Sacral Nerve Stimulation
4 results
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Pelvic Floor- A 78-year-old woman with fecal incontinence presents for sacral neuromodulator placement. During placement of the nerve probe, in which areas should the patient report increased sensation as an indication of proper placement of the stimulator probe?
- A 67-year-old woman has daily episodes of solid stool incontinence. Workup includes endoanal ultrasonography, which shows a 70-degree sphincteric defect, and anorectal manometry, which demonstrates low squeeze and resting pressures. Pudendal nerve terminal latency is 2.5 ms bilaterally. She has tried pelvic floor biofeedback without improvement. What is the best next step in treatment?
- Malignancy
- A 64-year-old man received neoadjuvant chemoradiotherapy followed by a low anterior resection 3 years ago for the treatment of rectal cancer. He complains of persistent fecal urgency, occasional fecal incontinence, clustered stools, and incomplete evacuation, which has persisted since the time of surgery. What is the most likely cause of these symptoms?
- A 68-year-old man with a history of a hemorrhoidectomy and fecal urgency presents with a T3n1m0 rectal cancer 5 cm from the anal verge. He has no family history of colorectal cancer. What is the most important consideration when counseling the patient about his surgical treatment options?