Case Report
Volume 7 Issue 6 - 2020
Sacral Neuromodulation for the Treatment of Faecal Incontinence and Urinary Incontinence: First Moroccan Experience
Sara Morabit1*, M Mrabti2, F Bouhamou1, M Alami2 and A Ameur2
1Department of Hepatogastroenterology I of the Military Hospital Mohamed V of Rabat, Morocco.
2Department of Urology of the Military Hospital Mohamed V of Rabat, Morocco.
*Corresponding Author: Sara Morabit, Department of Hepatogastroenterology I of the Military Hospital Mohamed V of Rabat, Morocco.
Received: March 23, 2020; Published: May 11, 2020




Abstract

Urinary and faecal incontinence are common conditions which are frequently associated and define double incontinence. When conservative treatments fail, sacral nerve modulation (SNM) is considered to be a first-line treatment for patients with urge urinary incontinence and for patients with faecal incontinence. We report the case of a 38 year old patient who suffers from double incontinence, benefiting from a sacral neuromodulation after failure of the usual treatment..

Keywords: Sacral Neuromodulation; Double Incontinence; Urinary Incontinence; Fecal Incontinence

References

  1. Fialkow MF., et al. “The functional and psychosocial impact of fecal incontinence on women with urinary incontinence”. American Journal of Obstetrics and Gynecology 189 (2003): 127-129.
  2. Kapoor DS, et al. “Combined urinary and fecal incontinence”. The International Urogynecology Journal 16 (2005): 321-328.
  3. Meschia M., et al. “Prevalence of anal incontinence in women with symptoms of urinary incontinence and genital prolapse”. Obstetrics and Gynecology 100 (2002): 719-723.
  4. Hetzer FH., et al. “Quality of life and morbidity after permanent sacral nerve stimulation for fecal incontinence”. The Archives of Surgery 142 (2007): 8-13.
  5. Altomare DF., et al. “Permanent sacral nerve modulation for fecal incontinence and associated urinary disturbances”. The International Journal of Colorectal Disease 19 (2004): 203-209.
  6. Vaizey CJ., et al. “Effects of short term sacral nerve stimulation on anal and rectal function in patients with anal incontinence”. Gut 44 (1999): 407-412.
  7. Jarrett ME., et al. “Sacral nerve stimulation for faecal incontinence in the UK”. British Journal of Surgery 91 (2004): 755-761.
  8. Vaizey CJ., et al. “Primary degeneration of the internal anal sphincter as a cause of passive fecal incontinence”. Lancet 349 (1997): 612-615.
  9. Matzel KE., et al. “Sacral nerve stimulation for fecal incontinence a multicenter study”. Lancet 363 (2004): 1270-1276.
  10. Jarret ME., et al. “Sacral nerve stimulation for fecal incontinence related to obstetric anal sphincter damage”. Diseases of the Colon and Rectum 51 (2008): 531-537.
  11. Braun PM., et al. “Alterations of cortical electrical activity in patients with sacral neuromodulator”. European Urology 41 (2002): 562-567.
  12. Michelsen HB., et al. “Rectal volume tolerability and anal pressures in patients with fecal incontinence treated with sacral nerve stimulation”. Diseases of the Colon and Rectum 49 (2006): 1039-1044.
  13. Leroi AM., et al. “Effect of sacral nerve stimulation in patients with fecal and urinary incontinence”. Diseases of the Colon and Rectum 44 (2001): 779-789.
  14. AM Leroi., et al. “Effect of sacral nerve stimulation in patients with fecal and urinary incontinence”. Diseases of the Colon and Rectum 6 (2001): 779-789.
  15. B Brazzelli A and Murray C Fraser. “Efficacy and safety of sacral nerve stimulation for urinary urge incontinence”. A systematic review”. The Journal of Urology 3-1 (2006): 835-841.
  16. DF Altomare., et al. “Permanent sacral nerve modulation for fecal incontinence and associated urinary disturbances”. The International Journal of Colorectal Disease 3 (2004): 203-209.
  17. E Ganio., et al. “Short-term sacral nerve stimulation for functional anorectal and urinary disturbances Results in 40 patient . Evaluation of a new option for anorectal functional disorders”. Diseases of the Colon and Rectum 9 (2001): 1261-1267.
  18. Caremel R., et al. “Can sacral neuromodulation improve minor incontinence symptoms in doubly incontinent patients successfully treated for major incontinence symptoms”. Urology1 (2012): 80-85.
  19. G El-Gazzaz., et al. “Sacral neuromodulation for the treatment of fecal incontinence and urinary incontinence in female patients Long-term follow-up”. The International Journal of Colorectal Disease12 (2009): 1377-1381.
  20. P Abrams., et al. “Fourth international consultation on incontinence recommendations of the international scientific committee evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence”. Neurourology and Urodynamics1 (2010): 213-240.
  21. AM Leroi., et al. “Sacral nerve stimulation in faecal incontinence: Position statement based on a collective experience”. Colorectal Disease 6 (2009): 572-583.
  22. MK Chan and JJ Tjandra. “Sacral nerve stimulation for fecal incontinence: External anal sphincter defect Vs Intact anal sphincter”. Diseases of the Colon and Rectum 7 (2008): 1024-1025.
  23. P Conaghan and R Farouk. “Sacral nerve stimulation can be successful in patients with ultrasound evidence of external anal sphincter disruption”. Diseases of the Colon and Rectum 8 (2005): 1610-1614.
  24. J Melenhorst., et al. “Is a morphologically intact anal sphincter necessary for success with sacral nerve modulation in patients with faecal incontinence?”. Colorectal Disease 3 (2008): 257-262.
  25. TC Dudding., et al. “Predictive factors for successful sacral nerve stimulation in the treatment of faecal incontinence: A 10-year cohort analysis”. Colorectal Disease 3 (2008): 249-256.
  26. ME Jarrett., et al. “Sacral nerve stimulation for fecal incontinence related to obstetric anal sphincter damage”. Diseases of the Colon and Rectum5 (2008): 531-537.
  27. AL Wennberg., et al. “Longitudinal population-based survey of urinary incontinence, overactive bladder and other lower urinary tract symptoms in women”. European Urology 4 (2009): 783-791.
Citation: Sara Morabit., et al. “Sacral Neuromodulation for the Treatment of Faecal Incontinence and Urinary Incontinence: First Moroccan Experience”. EC Gastroenterology and Digestive System 7.6 (2020): 16-20.

PubMed Indexed Article


EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005


EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777


EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347


EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478


EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253


EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033


EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992


EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505


EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793


EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211


EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047


EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560


EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318


EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819


EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840


EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344


EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476


EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658


EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489


EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278


EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108


EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571


EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333


EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883


EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001


EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937


EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723


EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726


EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603


EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646


EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616


EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290


EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226


EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812


EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268


News and Events


June Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the June issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before June 30, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to editor@ecronicon.uk