Service de Physiologie Digestive, Rouen University Hospital, Rouen, France.
Colorectal Dis. 2011 Mar;13 Suppl 2:15-8. doi: 10.1111/j.1463-1318.2010.02520.x.
Urinary and faecal incontinence are common conditions that are frequently associated. 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. This article aims to determine the effect of SNM on the treatment of double incontinence (i.e. urinary and faecal incontinence).
We searched for relevant articles in MEDLINE, PubMed and Embase, and for reviews in the Cochrane database. Articles were restricted to the English language.
Only a few studies have studied the efficacy of SNM for double incontinence and in a limited number of patients. Between 30% and 100% of patients with double incontinence experience improvement in urinary and faecal incontinence at medium-term follow up.
Further prospective trials are needed to determine which patients with combined problems will benefit from SNM at a long-term follow up.
尿失禁和粪便失禁是常见的病症，常同时存在。当保守治疗失败时，骶神经调节（SNM）被认为是治疗急迫性尿失禁和粪便失禁患者的一线治疗方法。本文旨在确定 SNM 对双重失禁（即尿失禁和粪便失禁）的治疗效果。
我们在 MEDLINE、PubMed 和 Embase 中搜索相关文章，并在 Cochrane 数据库中搜索综述。文章仅限于英文。
只有少数研究探讨了 SNM 治疗双重失禁的疗效，且患者数量有限。在中期随访中，有 30%至 100%的双重失禁患者在尿失禁和粪便失禁方面得到改善。
需要进一步的前瞻性试验来确定哪些合并问题的患者在长期随访中会从 SNM 中受益。
