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allied
academies
Nov 15-16, 2018 | Paris, France
Gastroenterology and Digestive Disorders
International Conference on
Journal of Gastroenterology and Digestive Diseases | Volume 3
Long term results of Sacral Nerve Stimulation (SNS) in Spina Bifida
Ali Al Ghrebawi
Meppen, Germany
S
ince there are very limited data on patients with spina bifida
treated by Sacral Neuromodulation, we report a case of
22-year-old women with combined fecal (grade III) and urinary
overflow incontinence based on a follow-up 0f 28 months.
Urinary overflow incontinence manifested itself in frequent
urgency episodes along with the necessity of clean intermittent
self-catheterization. Peripheral Nerve Evaluation (PNE) was
performed as a diagnostic approach, since all conservative
therapies to treat the fecal incontinence had been exhausted.
Computed Tomography images were recorded beforehand
in order to ensure access to the sacral nerves. After a test
period of 3 weeks Bowel and Urinary conditions improved
more than 50%, so that in a second step the permanent
electrode and the Neurostimulator (Medtronic models 3889
and 3058) were implanted under local anaesthesia. Sacral
neuromodulation is an effective and safe treatment modality
for complex combined bowel and urinary disorders subject to
spina bifida. Local Anaesthesia should be preferred because
motor responses might be missing as in the current case.
e:
alikitan@yahoo.com