Alessandro Bergna, Andrea Rusconi, Jacques Megevand, Ettore Lillo, Massimo Amboldi, Alessio Lanzaro, Leonardo Lenisa, Ezio Ganio
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The inclusion criteria were established to ensure a representative sample of a well-defined patient population affected by fecal incontinence: postmenopausal women with late onset of FI after previous obstetric trauma. A cohort of 58 women aged 65 and older treated consecutively at the Humanitas San Pio X Hospital between January 2016 and December 2022 was analysed. Thirty-five women underwent sphincteroplasty, while 23 received SNM. Outcomes were evaluated based on the functional outcomes and the incidence of adverse events. Statistical Analysis did not show any statistically significant differences between the two groups (SP and SNM) in terms of baseline characteristics and 2-year functional outcomes. Both techniques were effective in the treatment of FI according to the Cleveland Clinic Incontinence Score registrations over the 2-year follow-up. No differences were found between the two techniques in terms of both early and late complication rates. Therefore, SP and SNM proved to be safe and effective treatments for late-onset FI in postmenopausal women with a history of obstetric trauma, yielding favourable outcomes at 24 months.</p>","PeriodicalId":23391,"journal":{"name":"Updates in Surgery","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparative outcomes of sphincteroplasty and sacral neuromodulation in postmenopausal women with late-onset fecal incontinence following obstetric trauma: a retrospective study.\",\"authors\":\"Alessandro Bergna, Andrea Rusconi, Jacques Megevand, Ettore Lillo, Massimo Amboldi, Alessio Lanzaro, Leonardo Lenisa, Ezio Ganio\",\"doi\":\"10.1007/s13304-025-02317-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Fecal incontinence (FI) is a debilitating condition that commonly affects postmenopausal women, particularly those with a history of obstetric trauma. 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Statistical Analysis did not show any statistically significant differences between the two groups (SP and SNM) in terms of baseline characteristics and 2-year functional outcomes. Both techniques were effective in the treatment of FI according to the Cleveland Clinic Incontinence Score registrations over the 2-year follow-up. No differences were found between the two techniques in terms of both early and late complication rates. 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引用次数: 0
摘要
大便失禁(FI)是一种衰弱的状况,通常影响绝经后妇女,特别是那些有产科创伤史。迄今为止,很少有研究直接比较SP和SNM,这在纳入标准上存在许多差异,如年龄、病因和发病时间。本回顾性研究旨在比较在FI治疗中最广泛应用的两种手术的临床结果:括约肌成形术和骶神经调节(SNM)。纳入标准的建立是为了确保粪便失禁患者群体的代表性样本:既往产科创伤后迟发性FI的绝经后妇女。对2016年1月至2022年12月期间在Humanitas San Pio X医院连续治疗的58名65岁及以上女性进行队列分析。35名妇女接受括约肌成形术,23名接受SNM。结果根据功能结果和不良事件发生率进行评估。统计分析显示两组(SP和SNM)在基线特征和2年功能结局方面没有统计学上的显著差异。根据克利夫兰诊所失禁评分注册的2年随访,这两种技术在治疗FI方面都是有效的。两种技术在早期和晚期并发症发生率方面没有差异。因此,SP和SNM被证明是有产科创伤史的绝经后妇女迟发性FI的安全有效的治疗方法,在24个月时取得了良好的结果。
Comparative outcomes of sphincteroplasty and sacral neuromodulation in postmenopausal women with late-onset fecal incontinence following obstetric trauma: a retrospective study.
Fecal incontinence (FI) is a debilitating condition that commonly affects postmenopausal women, particularly those with a history of obstetric trauma. To date, there are few studies directly comparing SP and SNM, which present many discrepancies in the inclusion criteria, such as age, etiology, and elapsed time from the onset of the condition. This retrospective study aims to compare the clinical outcomes of the two procedures most widely performed in the management of FI: sphincteroplasty and sacral neuromodulation (SNM). The inclusion criteria were established to ensure a representative sample of a well-defined patient population affected by fecal incontinence: postmenopausal women with late onset of FI after previous obstetric trauma. A cohort of 58 women aged 65 and older treated consecutively at the Humanitas San Pio X Hospital between January 2016 and December 2022 was analysed. Thirty-five women underwent sphincteroplasty, while 23 received SNM. Outcomes were evaluated based on the functional outcomes and the incidence of adverse events. Statistical Analysis did not show any statistically significant differences between the two groups (SP and SNM) in terms of baseline characteristics and 2-year functional outcomes. Both techniques were effective in the treatment of FI according to the Cleveland Clinic Incontinence Score registrations over the 2-year follow-up. No differences were found between the two techniques in terms of both early and late complication rates. Therefore, SP and SNM proved to be safe and effective treatments for late-onset FI in postmenopausal women with a history of obstetric trauma, yielding favourable outcomes at 24 months.
期刊介绍:
Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future.
Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts.
Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.