Successful sacral neuromodulation treatment of refractory faecal incontinence in a patient with spina bifida and partial sacral agenesis

Douglas Luchristt*, Amie Kawasaki

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A woman in her early 20s with a history of lumbosacral lipomyelomeningocele with associated partial sacral agenesis and tethered cord was referred for possible sacral neuromodulation treatment of her refractory faecal incontinence. Anorectal testing revealed a thinned and weakened anal sphincter complex with absent left-sided bulbocavernosus and anal wink reflexes. Through a two-stage approach, she underwent successful placement of a chronic tined quadripolar sacral nerve lead and implanted pulse generator. Despite significant distortion of normal bony anatomic landmarks, bilateral S3 and S4 foraminal entry was possible, with intraoperative motor and sensory testing providing key confirmation of appropriate lead placement. The patient had a substantial improvement in her baseline frequency and urgency with a near-complete resolution of faecal incontinence episodes during her test phase.

Original languageEnglish (US)
Article numbere254835
JournalBMJ case reports
Volume16
Issue number9
DOIs
StatePublished - Sep 5 2023

Keywords

  • Congenital disorders
  • Incontinence
  • Neurological injury
  • Urological surgery
  • Urology

ASJC Scopus subject areas

  • General Medicine

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