digestive-diseases-2016_scientifictracks-abstracts

Volume 6, Issue 8(Suppl)

J Gastrointest Dig Syst 2016

ISSN:2161-069X JGDS, an open access journal

Page 47

Notes:

Digestive Diseases 2016

December 08-09, 2016

conferenceseries

.com

Digestive Diseases

December 08-09, 2016 Dubai, UAE

International Conference on

Long term results of sacral nerve stimulation in spina bifida

Ali Al Ghrebawi

Coloproctology Center- Haren, Germany

Aim:

Since there are very limited data on patients with spina bifida treated by sacral neuromodulation, we report a case of a 22 year

old women with combined fecal (grade III) and urinary overflow incontinence based on a follow-up of 28 months. Urinary overflow

incontinence manifested itself in frequent urgency episodes along with the necessity of clean intermittent self catheterization.

Methods:

Peripheral nerve evaluation (PNE) was performed as a diagnostic approach, since all conservative therapies to treat the

fecal incontinence had been exhausted. Computed tomography images were recorded beforehand in order to ensure access to the

sacral nerves. After a test period of three weeks bowel and urinary conditions improved more than 50%, so that in a second step the

permanent electrode and the neurostimulator (Medtronic models 3889 and 3058) were implanted under local anesthesia.

Results:

There was a significant improvement in fecal incontinence as well as urinary symptoms up to a follow-up of 28 months. The

decrease of symptoms correlated favourably with a significant improvement in her quality of life, since she was now able to finish her

apprenticeship.

Conclusion:

Sacral neuromodulation is an effective and safe treatment modality for complex combined bowel and urinary disorders

subject to spina bifida. Local anesthesia should be preferred because motor responses might be missing as in the current case.

Biography

Ali Al Ghrebawi is currently working in Colorectal Surgery Department, Meppen, Germany.

Ali Al Ghrebawi, J Gastrointest Dig Syst 2016, 6:8(Suppl)