Sacral Spinal Nerve Stimulation Sacral spinal nerve stimulation represents a new treatment modality for selected patients with fecal incontinence. The underlying concept is the recruitment of residual function of the anorectal continence organ by stimulation of its peripheral nerve supply. The procedure consists of two diagnostic steps and one therapeutic step. The operative implantation of a permanent neurostimulation system is based on the results of an acute teststimulation, defining the pattern of innervation, and of a temporary stimulation phase, exploring the therapeutic potential of this treatment modality. The spectrum of indications is evolving. Up to date the procedure was successfully applied in patients with a functional deficit of the striated muscular sphincter, without or with a limited morphological defect, in patients with deficient internal anal sphincter function, in patients with combined disorders of the internal and external anal sphincter and in patients with neurogenic incontinence, all due to a variety of etiologies.

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