SACRAL NERVE STIMULATION FOR EXPERIENCE IN CHILDREN
|
|
- Milton Jackson
- 5 years ago
- Views:
Transcription
1 SACRAL NERVE STIMULATION FOR COLORECTAL DISEASES: EXPERIENCE IN CHILDREN C. LOUIS-BORRIONE - JM. GUYS TIMONE-ENFANTS MARSEILLE
2 SACRAL NEUROMODULATION IN CHILDREN 26 : Humphreys et al - 23 children with functional urinary incontinence/constipation and soiling 8% positive response for constipation (J Urol. 26;176: ) 21 : Guys et al - multicentric prospective randomized cross over study in 33 children with urinary and fecal incontinence of neurological origin - 78% positive response for bowel function (J Urol. 21;184:696-71) 212 : Wunnik et al - 13 adolescents with refractory functional constipation - 11/13 improved (Dis Colon Rectum. 212;55:278-85)
3 NEUROPHYSIOLOGICAL EFFECTS rectal compliance tonus of the external anal sphincter right colonic bowel movements left colonic and rectal bowel movements
4 CLINICAL EFFECTS Wexner score > 5% Spontaneous defecation / week Urgency or incontinent episodes Feeling of the urge to defecate Retention time between bowel movements Improvement of stool consistency Quality of life
5 PREDICTIVE FACTOR OF EFFICIENCY OF SNM? Neurologic diseases Fecal incontinence with urgency episodes Low intensity to achieve a stimulation during the test period
6 INCLUSION CRITERIA FOR SNM IN FECAL INCONTINENCE (French Health Authority) International consensus 27: Severe fecal incontinence : more than one accident per week No defect of the external anal sphincter Failure of conservative treatments > 2 years
7 EXCLUSION CRITERIA FOR SNM (French Health Authority) Congenital Anorectal and pelvic malformations Previous colorectal resection External anal sphincter defect exceeding 9 in circumference Chronic diarrhea resistant to medical treatment IBD Abdominal pain or hard bowel movements So what alternative should we offer to these patients?
8 POSTERIOR TIBIAL NERVE STIMULATION IN CHILDREN Anorectal ( ARM) or pelvic malformations Hirschsprung s disease Easy, non invasive and painless At home Adhesive electrodes
9 EXTERNAL SACRAL NEUROSTIMULATION IN CHILDREN 21 : Hoebeke P, Transcutaneous neuromodulation for the urge syndrome in children. J Urol,166: 2416,21. Bower WF, A pilot study of the home application of transcutaneous neuromodulation in children with urgency or urge incontinence. J Urol,166: 242, : Queralto M, Transcutaneous neuromodulation in the treatment of idiopathic fecal incontinence. Int Colorectal Dis, 26;7:67-2. adhesive electrodes 29 : De la Portilla F: Evaluation of the use of posterior tibial nerve stimulation for the treatment of fecal incontinence preliminary results of a prospective study. Dis Colon Rectum, 52 : 1427, : Vitton V, Transcutaneous posterior tibial nerve stimulation for fecal incontinence in inflammatory bowel disease patients. Inflamm Bowel Dis. 29;15:42-5. adhesive electrodes 212 : Leroi A.M, Transcutaneous electrical tibial nerve stimulation in the treatment of fecal incontinence: a randomized trial. Am j Gastroenterol. 212;doi:1.138/ajg adhesive electrodes 212 : Yik Y.I : Home transcutaneous electrical stimulation to treat children with slow transit constipation. J Pediatric Surg.212;47: Needles 215 : Lecompte J.F Louis-Borrione C, Evaluation of transcutaneous electrical posterior tibial nerve stimulation for the treatment of fecal and urinary leaks in children. J Pediatric Surg.215;5:63-3. adhesive electrodes
10 OUR EXPERIENCE 211/213 8 children : 4 high ARM 3 neurologic malformations- 1 Hirschsprung 3 G 5 B 1 to 13 years All presented soiling and 6 of them urinary leaks Failure of conservative treatments Urostim 2 low frequency (1 Hz) current applied just at the sensory level and under skeletal muscle contractions (1 to 25mA) 2 mn daily Wexner score at 2 and 6 months
11 RESULTS / WEXNER SCORE Patient Sex Pathology Jorge and Wexner score Before treatment by TENS After treatment by TENS 1 M Anorectal malformation + syringomyelia 13 3 (filum cut) 2 M Anorectal malformation + sacral agenesis F Anorectal malformation with a mega rectum (partial proctectomy) 4 F Anorectal malformation (cloaca) +sacral agenesis F Sacrococcygeal teratoma 3 6 M Chiari's malformation 15 7 M Medullar lipoma M Hirschsprung 14 7
12 RESULTS /INCONTINENCE Patient Sex Antegrade irrigation (Malone) Transanal irrigation with Peristeen Spontaneous defecation with TENS Frequency of faecal incontinence Frequency of urinary incontinence Before TENS After TENS Before TENS After TENS Before TENS At 2 months At 6 months Before TENS At 2 months At 6 months 1 M Y N Y Y No >1/week >1/ week >1/day >1/ month >1/month 2 M Y N Y Y No >1/ week >1/ week >1/month 3 F Y Y Y Y Yes >1/ day >1/ week >1/week >1/ day >1/ week 4 F Y N Y Y Yes >1/ week >1/ month >1/ week >1/ month 5 F Y N Y N Yes >1/ month >1/ week >1/ month 6 H N N N N Yes >1/ week >1/ month >1/ week >1/ month 7 H N N N N yes >1/ day >1/ month >1/ day >1/ month 8 H N N Y Y yes >1/ day >1/week >1/month
13 TODAY Patient Sex Pathology today 1 M Anorectal malformation + syringomyelia (filum cut) continence 1/month Other medication Peristeen 2 M Anorectal malformation + sacral agenesis 1/month 3 F Anorectal malformation with a mega rectum (partial proctectomy) 4 F Anorectal malformation (cloaca) +sacral agenesis 5 F Sacrococcygeal teratoma 6 M Chiari's malformation 7 M Medullar lipoma 8 M Hirschsprung >1/month Peristeen Malone +/- Peristeen PTNS
14 CONCLUSION Sacral neuromodulation should have a place in the management of anorectal malformations and perhaps in Hirschsprung disease. We think that posterior nerve tibial stimulation is an alternative to sacral neuromodulation in children and it will be interesting to introduce this procedure early after surgery, specially when dysraphism is associated. Inclusion criteria should be evaluated with a larger multicentric cohort.
Management of Neurogenic Bowel Dysfunction. Fiona Paul, DNP, RN, CPNP Center for Motility and Functional Gastrointestinal Disorders
Management of Neurogenic Bowel Dysfunction Fiona Paul, DNP, RN, CPNP Center for Motility and Functional Gastrointestinal Disorders DEFECATION Delivery of colon contents to the rectum Rectal compliance
More informationChildhood constipation, a real problem..? Marc Benninga, Emma Children s Hospital, AMC, Amsterdam, the Netherlands
Childhood constipation, a real problem..? Marc Benninga, Emma Children s Hospital, AMC, Amsterdam, the Netherlands Constipation 0-10% >10-20% >20-30% >30-40% Mugie SM, et al. Best Pract & Res Clin Gastroenterol
More informationGI Physiology - Investigating and treating patients with pelvic floor dysfunction. Lynne Smith Department of GI Physiology NGH Sheffield
GI Physiology - Investigating and treating patients with pelvic floor dysfunction Lynne Smith Department of GI Physiology NGH Sheffield Aims o o o To give an overview of lower GI investigations To demonstrate
More informationPeristeen and the Neurogenic Bowel Dysfunction Score (NBD) for pediatric patients with spina bifida
Peristeen and the Neurogenic Bowel Dysfunction Score (NBD) for pediatric patients with spina bifida Coloplast develops products and services that make life easier for people with very personal and private
More informationFecal Incontinence. What is fecal incontinence?
Scan for mobile link. Fecal Incontinence Fecal incontinence is the inability to control the passage of waste material from the body. It may be associated with constipation or diarrhea and typically occurs
More informationAnorectal Diagnostic Overview
Anorectal Diagnostic Overview 11-25-09 3.11.2010 2009 2010 Anorectal Manometry Overview Measurement of pressures and the annotation of rectal sensation throughout the rectum and anal canal to determine:
More informationACCIDENTAL BOWEL LEAKAGE: A PRACTICAL APPROACH TO EVALUATION. Tristi W. Muir, MD Chair, Department of OB/GYN Houston Methodist Hospital
ACCIDENTAL BOWEL LEAKAGE: A PRACTICAL APPROACH TO EVALUATION Tristi W. Muir, MD Chair, Department of OB/GYN Houston Methodist Hospital Accidental Bowel Leakage What Gets the Woman into Your Office 67%
More informationPelvic Floor Disorders. Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon
Pelvic Floor Disorders Amir Darakhshan MD FRCS (Gen Surg) Consultant Colorectal and General Surgeon What is Pelvic Floor Disorder Surgical perspective symptoms of RED, FI or prolapse on the background
More informationLets talk about Faecal incontinence (FI) in Scleroderma
Lets talk about Faecal incontinence (FI) in Scleroderma Dr. Shamaila Butt Gastroenterology Research Registrar GI Physiology unit University College Hospital London GI manifestations in Scleroderma Oesophagus
More informationConservative Management of Functional Bowel & Pelvic Floor Disorders
Conservative Management of Functional Bowel & Pelvic Floor Disorders Kathy Davis PhD BSc(Hons)SRN Specialist Nurse Consultant Parkside Hospital & Minerva Medical Clinic Overview Burden of disease Aims
More informationA Case of Fecal Incontinence: Medical and Interventional Treatment Options
A Case of Fecal Incontinence: Medical and Interventional Treatment Options HPI JP is a 69 year-old F with a 12-month history of FI. Her symptoms began after a colonoscopy She has been experiencing passive
More informationSacral Nerve Neuromodulation/Stimulation
Protocol Sacral Nerve Neuromodulation/Stimulation (70169) Medical Benefit Effective Date: 01/01/14 Next Review Date: 09/14 Preauthorization No Review Dates: 01/08, 11/08, 09/09, 09/10, 09/11, 09/12, 09/13
More informationPERCUTANEOUS TIBIAL NERVE STIMULATION
PERCUTANEOUS TIBIAL NERVE STIMULATION Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical
More informationTertiary, regional and local pelvic floor service providers: the future. model? Andrew Williams
Tertiary, regional and local pelvic floor service providers: the future Andrew Williams model? Pelvic Floor Unit Guy s and St Thomas NHS Foundation Trust Background 23% women suffer at least one pelvic
More informationPERCUTANEOUS TIBIAL NERVE STIMULATION
PERCUTANEOUS TIBIAL NERVE STIMULATION Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical
More informationCONSTIPATION. Atan Baas Sinuhaji
CONSTIPATION Atan Baas Sinuhaji Sub Division of Pediatrics Gastroentero-Hepatolgy Department of ChildHealth,School of Medicine University of Sumatera Utara MEDAN DEFECATION REGULAR PATTERN CONSTIPATION
More information2/5/2016. ABS Complications. Anal Slings-investigational
ABS Complications Anal Slings-investigational Similar to transvaginal tape or transobturator tape for UI Dacron, mersilene, polyester, and teflon mesh, fascia lata Wound infections, sinus tract, t ulcer
More informationA70.4 Insertion of neurostimulator electrodes into peripheral nerve Z12.2 Posterior tibial nerve R15.X Faecal incontinence
The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Percutaneous tibial nerve stimulation (PTNS) for
More informationSacral Nerve Neuromodulation/Stimulation. Description
Subject: Sacral Nerve Neuromodulation/Stimulation Page: 1 of 17 Last Review Status/Date: September 2015 Sacral Nerve Neuromodulation/Stimulation Description Sacral nerve neuromodulation (SNM), also referred
More informationSacral Nerve Neuromodulation/Stimulation for Pelvic Floor Dysfunction
Medical Policy Manual Surgery, Policy No. 134 Sacral Nerve Neuromodulation/Stimulation for Pelvic Floor Dysfunction Next Review: December 2018 Last Review: June 2018 Effective: July 1, 2018 IMPORTANT REMINDER
More informationPosterior Tibial Nerve Stimulation
Posterior Tibial Nerve Stimulation Policy Number: Original Effective Date: MM.02.025 01/01/2015 Lines of Business: Current Effective Date: HMO; PPO; QUEST Integration 02/01/2015 Section: Medicine Place(s)
More informationMEDICAL POLICY SUBJECT: PERCUTANEOUS POSTERIOR TIBIAL NERVE STIMULATION (PPTNS)
MEDICAL POLICY 03/19/15, 05/17/16 PAGE: 1 OF: 6 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical policy criteria
More informationMEDICAL POLICY SUBJECT: SACRAL NERVE STIMULATION
MEDICAL POLICY 01/16/14, 01/22/15, 03/15/16 PAGE: 1 OF: 8 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical policy
More informationPaediatric constipation and functional non-retentive faecal soiling Voskuijl, W.P.
UvA-DARE (Digital Academic Repository) Paediatric constipation and functional non-retentive faecal soiling Voskuijl, W.P. Link to publication Citation for published version (APA): Voskuijl, W. P. (2005).
More informationA prospective multicentre study to investigate percutaneous tibial nerve stimulation for the treatment of faecal incontinence
Original article doi:1.1111/j.1463-1318.29.22.x A prospective multicentre study to investigate percutaneous tibial nerve stimulation for the treatment of faecal incontinence B. Govaert, D. Pares, S. Delgado-Aros,
More informationSacral Nerve Neuromodulation/Stimulation. Description
Subject: Sacral Nerve Neuromodulation/Stimulation Page: 1 of 16 Last Review Status/Date: June 2014 Sacral Nerve Neuromodulation/Stimulation Description Sacral nerve neuromodulation (SNM), also referred
More informationDuc M. Vo, MD, FACS Northwest Surgical Specialists
Duc M. Vo, MD, FACS Northwest Surgical Specialists Disclosures none Outline Definition Etiologies Exam findings Additional testing Medical management Surgical options What is fecal incontinence? Recurrent
More information2/5/2016. Evolving Surgical Treatment Approaches for Fecal Incontinence in Women: An Evidence and Cased-Based Approach
Evolving Surgical Treatment Approaches for Fecal Incontinence in Women: An Evidence and Cased-Based Approach Holly E Richter, PhD, MD, FACOG, FACS J Marion Sims Professor Obstetrics and Gynecology Professor
More informationSacral Nerve Neuromodulation / Stimulation
Sacral Nerve Neuromodulation / Stimulation Policy Number: 7.01.69 Last Review: 2/2018 Origination: 2/2001 Next Review: 2/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage
More informationNovel Options for the Management of Fecal Incontinence
Novel Options for the Management of Fecal Incontinence Arnold Wald, MD, MACG University of Wisconsin School of Medicine and Public Health, Madison WI ANORECTAL CONTINENCE MECHANISMS Reservoir Elements
More informationViscous Fluid Retention: A New Method for Evaluating Anorectal Function
Viscous Fluid Retention: A New Method for Evaluating Anorectal Function Michael Srensen, M.D., Tine Tetzschner, M.D., le 0. Rasmussen, M.D., John Christiansen, M.D. From the Department of Surgery D, Glostrup
More informationA Nursing Assessment Tool for Adults With Fecal Incontinence
Journal of Wound, Ostomy and Continence Nursing 2000, 279- A Nursing Assessment Tool for Adults With Fecal Incontinence Christine Norton, MA, RN, and Sonya Chelvanayagam, MSc, RN Abstract Fecal incontinence
More informationMEDICAL POLICY SUBJECT: PERCUTANEOUS POSTERIOR TIBIAL NERVE STIMULATION (PPTNS) POLICY NUMBER: CATEGORY: Technology Assessment
MEDICAL POLICY SUBJECT: PERCUTANEOUS POSTERIOR Clinical criteria used to make utilization review decisions are based on credible scientific evidence published in peer reviewed medical literature generally
More informationPOLICIES AND PROCEDURE MANUAL
POLICIES AND PROCEDURE MANUAL Policy: MP091 Section: Medical Benefit Policy Subject: Sacral Nerve Stimulation I. Policy: Sacral Nerve Stimulation II. Purpose/Objective: To provide a policy of coverage
More informationSacral Nerve Neuromodulation/Stimulation
Protocol Sacral Nerve Neuromodulation/Stimulation (70169) Medical Benefit Effective Date: 01/01/16 Next Review Date: 09/18 Preauthorization No Review Dates: 01/08, 11/08, 09/09, 09/10, 09/11, 09/12, 09/13,
More informationMedical Policy An independent licensee of the Blue Cross Blue Shield Association
Sacral Nerve Neuromodulation / Stimulation Page 1 of 23 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Sacral Nerve Neuromodulation / Stimulation Professional Institutional
More informationFaecal Incontinence: Assessment and Management
Mrs PK; 56 yrs; Married; 2 children Faecal Incontinence: Assessment and Management Professor Marc A Gladman MBBS DFFP PhD MRCOG FRCS (UK) FRACS Professor of Colorectal Surgery >10 years of incontinence
More informationNEUROMODULATION FOR UROGYNAECOLOGISTS
NEUROMODULATION FOR UROGYNAECOLOGISTS Introduction The pelvic floor is highly complex structure made up of skeletal and striated muscle, support and suspensory ligaments, fascial coverings and an intricate
More information03/13/18. A. Symptoms lasting for greater than or equal to 12 months that have resulted to significant impairment in activities of daily living; and
Reference #: MC/I008 Page: 1 of 5 PRODUCT APPLICATION: PreferredOne Administrative Services, Inc. (PAS) ERISA PreferredOne Administrative Services, Inc. (PAS) Non-ERISA PreferredOne Community Health Plan
More informationLong-Term Bowel Symptoms Following Corrective Surgery
HIRSCHSPRUNG'S DISEASE Samuel Nurko MD MPH Center for Motility and Functional Gastrointestinal Disorders Children s Hospital Medical Center, Boston Ma Long-Term Bowel Symptoms Following Corrective Surgery
More informationIncontinence; Lets talk about it. Karanvir Virk M.D. Minimally Invasive and Pelvic Reconstructive Surgery
Incontinence; Lets talk about it Karanvir Virk M.D. Minimally Invasive and Pelvic Reconstructive Surgery Select the most appropriate subtitle for this talk A: Bladders gone wild! B: There s no such thing
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE The management of faecal incontinence in adults 1.1 Short title Faecal incontinence 2 Background (a) (b) (c) The National Institute
More informationSacral Nerve Stimulation for Faecal Incontinence
Sacral Nerve Stimulation for Faecal Incontinence Questions & Answers GLASGOW COLORECTAL CENTRE Ross Hall Hospital 221 Crookston Road Glasgow G52 3NQ e-mail: info@colorectalcentre.co.uk Ph: Main hospital
More informationMCOMPASS ANAL MANOMETRY AN OVERVIEW
MCOMPASS ANAL MANOMETRY AN OVERVIEW ANAL MANOMETRY MEASURES PRESSURE ALLOWS INTERPRITATION SENSATION RAIR RECTAL COMPLIANCE MOTIVATION OF THE PATIENT FUNCTION OF THE PUDENDAL NERVE WHEN TO USE ANAL MANOMETRY
More informationDOWNLOAD OR READ : URINARY FECAL INCONTINENCE CURRENT MANAGEMENT CONCEPTS URINARY AND FECAL INCONTINENCE PDF EBOOK EPUB MOBI
DOWNLOAD OR READ : URINARY FECAL INCONTINENCE CURRENT MANAGEMENT CONCEPTS URINARY AND FECAL INCONTINENCE PDF EBOOK EPUB MOBI Page 1 Page 2 urinary fecal incontinence current pdf Discusses urinary incontinence
More informationMedical Review Criteria Implantable Neurostimulators
Medical Review Criteria Implantable Neurostimulators Subject: Implantable Neurostimulators Effective Date: April 14, 2017 Authorization: Prior authorization is required for covered implantable stimulators
More informationClinical Policy: Fecal Incontinence Treatments Reference Number: PA.CP.MP.137
Clinical Policy: Fecal Incontinence Treatments Reference Number: PA.CP.MP.137 Effective Date: 01/18 Last Review Date: 12/16 Coding Implications Revision Log Description Fecal incontinence defined as the
More informationBowel Disease Research Foundation
Bowel Disease Research Foundation of The Association of Coloproctology of Great Britain and Ireland Advancing the cure and treatment of bowel disease Royal College of Surgeons of England 35-43 Lincoln's
More informationSubject: Sacral Nerve Neuromodulation/Stimulation
02-61000-23 Original Effective Date: 01/01/01 Reviewed: 06/28/18 Revised: 01/01/19 Subject: Sacral Nerve Neuromodulation/Stimulation THIS MEDICAL COVERAGE GUIDELINE IS NOT AN AUTHORIZATION, CERTIFICATION,
More informationSacral Neuromodulation Beyond Pelvic Pain!!!
Sacral Neuromodulation Beyond Pelvic Pain!!! Dr. Hirachand S Mutagi. Senior Consultant Pain Physician. Head -Sakra World Hospital. Director ReLeaf Pain Services. Rapid advances in neurostimulation therapy
More informationControlled outcome of Hirschsprung s disease beyond adolescence: a single center experience
https://doi.org/10.1007/s00383-018-4391-5 ORIGINAL ARTICLE Controlled outcome of Hirschsprung s disease beyond adolescence: a single center experience Elisabet Gustafson 1,2 Therese Larsson 1,2 Johan Danielson
More informationMCOMPASS ANAL MANOMETRY AN OVERVIEW
MCOMPASS ANAL MANOMETRY AN OVERVIEW ANAL MANOMETRY MEASURES PRESSURE ALLOWS INTERPRITATION SENSATION RAIR RECTAL COMPLIANCE MOTIVATION OF THE PATIENT FUNCTION OF THE PUDENDAL NERVE WHEN TO USE ANAL MANOMETRY
More informationAbout the Authors. Yee Ian Yik. Andre Tan. John M Hutson. Bridget R Southwell Future Medicine
About the Authors Yee Ian Yik Yee Ian Yik is a Pediatric Surgeon in the Department of Pediatric Surgery, University of Malaya, Kuala Lumpur, Malaysia. He has just completed his PhD in the Surgical Research
More informationPerineale Rektumprolapsoperation: Gute Resultate bei geringem Aufwand! F.H. Hetzer
Perineale Rektumprolapsoperation: Gute Resultate bei geringem Aufwand! F.H. Hetzer STARR: Wunderwaffe beim Obstructed Defecation Syndrom (ODS) F.H. Hetzer Stapled TransAnal Rectal Resection STARR PPH 01
More informationProlapse & Urogynaecology. Hester Mannion and Fabi Sica
Prolapse & Urogynaecology Hester Mannion and Fabi Sica Take home messages Prolapse and associated incontinence is very common It has a devastating effect on the QoL of the patient and their partner Strategies
More informationPARTICULARS, SCHEDULE 2- THE SERVICES, A- SERVICE SPECIFICATIONS. A08/S/d Colorectal: Faecal Incontinence (Adult)
A08/S/d 2013/14 NHS STANDARD CONTRACT FOR COLORECTAL: FAECAL INCONTINENCE (ADULT) PARTICULARS, SCHEDULE 2- THE SERVICES, A- SERVICE SPECIFICATIONS Service Specification No. Service Commissioner Lead Provider
More informationMEDICAL POLICY SUBJECT: SACRAL NERVE STIMULATION. POLICY NUMBER: CATEGORY: Technology Assessment
MEDICAL POLICY SUBJECT: SACRAL NERVE STIMULATION EFFECTIVE DATE: 11/19/99 PAGE: 1 OF: 9 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial
More informationBowel Dysfunction in Neurological Disease Best Practice in an Evolving Disorder
Bowel Dysfunction in Neurological Disease Best Practice in an Evolving Disorder Anton Emmanuel October 2016 National Hospital for Neurology & Neurosurgery Regulation of colonic function Brain gut axis
More informationThe new ICCS terminology J Urol 176, , 2006
The new ICCS terminology J Urol 176, 314-324, 2006 The Standardization of Terminology of Lower Urinary Tract Function in Children and Adolescents: Report from the Standardisation Committee of the International
More informationThe Praxis FES System and Bladder/Bowel Management in Patients with Spinal Cord Injury
The Praxis FES System and Bladder/Bowel Management in Patients with Spinal Cord Injury Brian J. Benda 1, Thierry Houdayer 2, Graham Creasey 3, Randal R. Betz 1, Brian T. Smith 1 *, Therese E. Johnston
More informationBowel Management for Children with Anorectal Malformations by Kathleen Guardino, RN, MSN
Bowel Management for Children with Anorectal Malformations by Kathleen Guardino, RN, MSN Dr. Alberto Peña, Chief of Surgery at Schneider Children's Hospital created the posterior sagittal anorectoplasty
More informationGastrointestinal motility disorders in children: etiology and associated behaviors Peeters, B.
UvA-DARE (Digital Academic Repository) Gastrointestinal motility disorders in children: etiology and associated behaviors Peeters, B. Link to publication Citation for published version (APA): Peeters,
More informationUrodynamic outcome of parasacral transcutaneous electrical neural stimulation for overactive bladder in children
ORIGINAL ARTICLE Vol. 41 (4): 739-743, July - August, 2015 doi: 10.1590/S1677-5538.IBJU.2014.0303 Urodynamic outcome of parasacral transcutaneous electrical neural stimulation for overactive bladder in
More informationUpdates in the nonpharmacological. treatment on overactive bladder
Updates in the nonpharmacological treatment on overactive bladder Overactive Bladder Also known as urgency-frequency syndrome Symptoms Urgency Daytime frequency Nocturia Urge urinary incontinence Sudden
More informationFecal Incontinence. Inability to retain feces or bowel movements, resulting in involuntary passage of feces or bowel movements
Fecal Incontinence (Involuntary Passage of Feces or Bowel Movements) Basics OVERVIEW Inability to retain feces or bowel movements, resulting in involuntary passage of feces or bowel movements GENETICS
More informationBiofeedback Therapy A nurse led management service for functional bowel disorders
Biofeedback Therapy A nurse led management service for functional bowel disorders Brigitte Collins Lead Nurse BSc, MSc GI Nursing, Dip/Hypnotherapy St Marks Hospital Is biofeedback necessary? Conservative
More informationApplication of Anorectal Dynamics in the Treatment of Colon Disease Packing
Application of Anorectal Dynamics in the Treatment of Colon Disease Packing Zongyue Gao 1, 2, a, Yuyan Liu 1, 2, b, Chunxia Wan 1, 2, c 3, d* and Xiaoli Zhou 1 Henan Province Hospital of TCM, 450000, Henan,
More informationOHTAC Recommendation
OHTAC Recommendation Sacral Nerve Stimulation for the Management of Urge Incontinence, Urgency-Frequency, Urinary Retention and Fecal Incontinence March 2, 2005 1 The Ontario Health Technology Advisory
More informationMotility Disorders. Pelvic Floor. Colorectal Center for Functional Bowel Disorders (N = 701) January 2010 November 2011
Motility Disorders Pelvic Floor Colorectal Center for Functional Bowel Disorders (N = 71) January 21 November 211 New Patients 35 3 25 2 15 1 5 Constipation Fecal Incontinence Rectal Prolapse Digestive-Genital
More informationPosterior Tibial Nerve Stimulation for Treating Neurologic Bladder in Women: a Randomized Clinical Trial
ORIGINAL ARTICLE Posterior Tibial Nerve Stimulation for Treating Neurologic Bladder in Women: a Randomized Clinical Trial Tahereh Eftekhar 1, Nastaran Teimoory 1, Elahe Miri 1, Abolghasem Nikfallah 2,
More informationURINARY INCONTINENCE
Center for Continence Care and Pelvic Medicine What is urinary incontinence? URINARY INCONTINENCE Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only
More informationWhen the bowel works, life works
When the bowel works, life works Feeling better by taking control It can be difficult to establish a regular bowel routine for people living with chronic constipation, incontinence or time-consuming bowel
More informationNeuromodulation and the pudendal nerve
Neuromodulation and the pudendal nerve Stefan De Wachter, MD, PhD, FEBU Professor of Urology University of Antwerpen, Belgium Chairman dept of Urology, UZA Disclosures Consultant speaker: Astellas, Medtronic,
More informationSaint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia
Saint-Petersburg State Pediatric Medical University, Saint-Petersburg, Russia Modern technologies in treatment of fecal incontinence in children Komissarov Igor Alexeevich- Ph.D, M.D, Prof. Kolesnikova
More informationCorporate Medical Policy
Corporate Medical Policy Sacral Nerve Neuromodulation/Stimulation for Pelvic Floor Dysfunction File Name: Origination: Last CAP Review: Next CAP Review: Last Review: sacral_nerve_neuromodulation_stimulation_for_pelvic_floor_dysfunction
More informationInstructions for Use
CONTINENCE RESTORATION SYSTEM Instructions for Use Humanitarian Device Authorized by Federal (USA) Law for use in the treatment of fecal incontinence in patients who are not candidates for or have previously
More informationInterStim Therapy. symptom diary
InterStim Therapy symptom diary Symptom DIARY Begin date: End date: Baseline Test assessment Follow-up visit 2 Your doctor and Medtronic, maker of InterStim Therapy, know that finding the right treatment
More informationTHE RESULTS OF POSTERIOR SAGITTAL ANORECTOPLASTY IN ANORECTAL MALFORMATIONS
Arch Iranian Med 2005; 8 (4): 272 276 Original Article THE RESULTS OF POSTERIOR SAGITTAL ANORECTOPLASTY IN ANORECTAL MALFORMATIONS Ahmad Khaleghnejad-Tabari MD *, Mahmood Saeeda MD** Background: Posterior
More informationRobotic Ventral Rectopexy
Robotic Ventral Rectopexy What is a robotic ventral rectopexy? The term rectopexy refers to an operation in which the rectum (the part of the bowel nearest the anus) is put back into its normal position
More informationRefractory Lower Urinary Tract Symptoms
Sacral Neuromodulation for Treatment of Refractory Lower Urinary Tract Symptoms Alex Kavanagh, PGY3 Mar 30/2011 Goals 1. Define sacral neuromodulation (SNM) and review the clinical implementation 2. Provide
More informationLONG TERM OUTCOME OF ELECTIVE SURGERY
LONG TERM OUTCOME OF ELECTIVE SURGERY Roberto Persiani Associate Professor Mini-invasive Oncological Surgery Unit Institute of Surgical Pathology (Dir. prof. D. D Ugo) Dis Colon Rectum, March 2000 Dis
More informationObjectives. Shocking The GI Tract: Electrical Stimulation From Top to Bottom. Steven Teich, M.D. Levine Children s Hospital.
Shocking The GI Tract: Electrical Stimulation From Top to Bottom Steven Teich, M.D. Levine Children s Hospital Disclosures I have the following financial relationship to disclose: Endostim, Inc* * Products
More informationNon-Reversed Appendicostomy for Antegrade Continence Enema in the Treatment of Encopresis
Original Article Annals of Pediatric Surgery Vol. 6, No 3,4 July, October 2010, PP 144-149 Non-Reversed Appendicostomy for Antegrade Continence Enema in the Treatment of Encopresis Kamal Abdel-Elah, Basem
More informationEfficacy of Peristeen transanal irrigation system for neurogenic bowel in the pediatric population: Preliminary findings
Efficacy of Peristeen transanal irrigation system for neurogenic bowel in the pediatric population: Preliminary findings Tiffany Gordon, MSN, RN, CRRN, CPN David Vandersteen, MD John Belew RN, PhD Gillette
More informationUse of gatekeeper in obese patients with fecal incontinence before bariatric surgery, is it improving the results?
International Surgery Journal Ibrahim AAM. Int Surg J. 2017 Nov;4(11):3594-3598 http://www.ijsurgery.com pissn 2349-3305 eissn 2349-2902 Original Research Article DOI: http://dx.doi.org/10.18203/2349-2902.isj20174876
More informationFECAL INCONTINENCE. John H. Winston, III, M.D., M.B.A.
FECAL INCONTINENCE John H. Winston, III, M.D., M.B.A. Diplomate, American Board of Colon & Rectal Surgery Diplomate, American Board of Surgery www.colorectalsurgeryservices.com Fecal Incontinence (FI)
More informationTransanal irrigation for the management of neurogenic bowel dysfunction: Evidence summary
Transanal irrigation for the management of neurogenic bowel dysfunction: Evidence summary Transanal irrigation for the management of neurogenic bowel dysfunction: evidence summary A randomized, controlled
More informationHemorrhoids. Carlos R. Alvarez-Allende PGY-III Colorectal Surgery
Hemorrhoids Carlos R. Alvarez-Allende PGY-III Colorectal Surgery Overview Anatomy Classification Etiology Incidence Symptoms Differential Diagnosis Medical Management Surgical Management Anatomy Anal canal
More informationComparison of Sacral Ratio in Normal Children and Children with Urinary and/or Faecal Complaints
Short Comunication Iran J Pediatr Mar 2008; Vol 18 ( No 1), Pp:57-61 Comparison of Sacral Ratio in Normal Children and Children with Urinary and/or Faecal Complaints Abdol Mohammad Kajbaf Zadeh* 1, MD,
More informationACG Clinical Guideline: Management of Benign Anorectal Disorders
ACG Clinical Guideline: Management of Benign Anorectal Disorders Arnold Wald, MD, MACG 1, Adil E. Bharucha, MBBS, MD 2, Bard C. Cosman, MD, MPH, FASCRS 3 and William E. Whitehead, PhD, MACG 4 1 Division
More informationPelvic Organ Functions: Urinary, Sexual and Bowel Dysfunction after Rectal Surgery
Pelvic Organ Functions: Urinary, Sexual and Bowel Dysfunction after Rectal Surgery Disclosure M ADHULIKA G. V ARMA M D PROFESSOR AND CHIEF S E CTION O F COLORECTAL S U R G ERY U N I V ERS ITY O F CALIFORNIA,
More informationOptimising the outcome of neuromodulation for faecal incontinence and constipation. Mr Gregory Paul Thomas. Imperial College. London, United Kingdom
Optimising the outcome of neuromodulation for faecal incontinence and constipation Mr Gregory Paul Thomas Imperial College London, United Kingdom Department of Surgery and Cancer MD (Res) 1 Declaration
More informationTREATMENT SOCIETY GUIDELINES FOR CONSTIPATION: WHAT IS NEW? FUNCTIONAL CONSTIPATION
SOCIETY GUIDELINES FOR CONSTIPATION: WHAT IS NEW? Samuel Nurko MD MPH Center for Motility and Functional Gastrointestinal Disorders FUNCTIONAL CONSTIPATION One of the most common functional GI disorders
More informationAccidental Bowel Leakage (Fecal Incontinence)
Accidental Bowel Leakage (Fecal Incontinence) What is Accidental Bowel Leakage (ABL)? Accidental bowel leakage is the inability to control solid or liquid stool. This is the inability to control gas and
More informationBowel dysfunctions following hysterectomy
Bowel dysfunctions following hysterectomy Marco Scaglia Retrospective studies Retrospective studies 6% of patients developed new symptoms (Carlson 1994) Constipation is more common in women after hysterectomy
More informationIncidence of Colorectal Cancers- Australia. Anterior Resection 5/23/2018. What spurs us to investigate?
Incidence of Colorectal Cancers- Australia 17,000 Colorectal cancers in 2018 20% of Colorectal cancers are in the Rectum 12.3% of all new cancers Anterior Resection Syndrome (ARS) Lisa Wilson. Colorectal
More informationChapter 31 Bowel Elimination
Chapter 31 Bowel Elimination Defecation Defecation: the act of expelling feces from the body Peristalsis: rhythmic contractions of intestinal smooth muscle to facilitate defecation Gastrocolic reflex:
More informationDiagnosis of Impaired Defecatory Function with Special Reference to Physiological Tests
Defecatory Dysfunction Diagnosis of Impaired Defecatory Function with Special Reference to Physiological Tests JMAJ 46(9): 373 377, 2003 Masatoshi OYA, Masashi UENO, and Tetsuichiro MUTO Department of
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Urinary incontinence in women: the management of urinary incontinence in women 1.1 Short title Urinary incontinence in women
More information