Resources

Systematic review of the clinical effectiveness of neuromodulation in the treatment of faecal incontinence

Over the past 18 years neuromodulation therapies have gained support as treatments for faecal incontinence (FI); sacral nerve stimulation (SNS) is the most established of these. A systematic review was performed of current evidence regarding the clinical effectiveness of neuromodulation treatments for FI.

Sacral nerve stimulation for faecal incontinence and constipation in adults

Faecal incontinence (FI) and constipation are both socially‐embarrassing and physically‐disabling conditions that impair quality of life. For both, surgery may be required in a minority of people when more conservative measures fail. However, the invasiveness and irreversible nature of direct surgery on bowel and sphincter muscles, poor long‐term outcomes and well‐established compIications makes such procedures unappealing for these benign conditions. A less‐invasive surgical option to treat faecal incontinence and constipation is direct, low‐voltage stimulation of the sacral nerve roots, termed sacral nerve stimulation (SNS). SNS has become the first line surgical treatment for FI in people failing conservative therapies. Its value in the treatment of constipation is less clear.

Surgery for constipation: systematic review and practice recommendations

C. H. Knowles, U. Grossi, M. Chapman, J. Mason, on behalf of the NIHR CapaCiTY working group, Pelvic floor Society

Surgery for constipation: systematic review and practice recommendations Graded practice and future research recommendations

C. H. Knowles, U. Grossi, E. J. Horrocks, D. Pares, P. F. Vollebregt, M. Chapman, S. Brown, M. Mercer-Jones, A. B. Williams, Y. Yiannakou, R. J. Hooper, N. Stevens, J. Mason, on behalf of the NIHR CapaCiTY working group, The Pelvic floor Society and, European Society of Coloproctology

Surgery for constipation: systematic review and practice recommendations Results III: Rectal wall excisional procedures (Rectal Excision)

M. Mercer-Jones, U. Grossi, D. Pares, P. F. Vollebregt, J. Mason, C. H. Knowles, on behalf of the NIHR CapaCiTY working group, the Pelvic floor Society

Surgery for constipation: systematic review and practice recommendations Graded practice and future research recommendations

C. H. Knowles, U. Grossi, E. J. Horrocks, D. Pares, P. F. Vollebregt, M. Chapman, S. Brown, M. Mercer-Jones, A. B. Williams, Y. Yiannakou, R. J. Hooper, N. Stevens, J. Mason, on behalf of the NIHR CapaCiTY working group, The Pelvic floor Society and, European Society of Coloproctology

Surgery for constipation: systematic review and practice recommendations

Surgery for constipation: systematic review and practice recommendations

C. H. Knowles, U. Grossi, M. Chapman, J. Mason, on behalf of the NIHR CapaCiTY working group, Pelvic floor Society

Cesarean delivery to prevent anal incontinence: a systematic review and meta-analysis

In a first for Paper of the Month, we have selected a pelvic floor paper. Cesarean delivery to prevent anal incontinence: a systematic review and meta‑analysis Nelson et al Techniques in Coloproctology 2019. 23 (9) 809-820

2020 Pelvic Floor Society Virtual Conference: Plenary Session 2 - What are the implications of COVID for Pelvic Floor services?

What are the implications of COVID for Pelvic Floor services?