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Cited by 286

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Efficacy of Sacral Nerve Stimulation for Fecal Incontinence: Results of a Multicenter Double-Blind Crossover Study

Open access
Leroi, Anne-Marie, Parc, Yann, Lehur, Paul-Antoine, Mion, Fran??ois, Barth, Xavier, Rullier, Eric, Bresler, Laurent, Portier, Guillaume, Michot, Francis·2005·Annals of Surgery

Abstract

BACKGROUND AND AIMS: This is the first double-blind multicenter study examining the effectiveness of sacral nerve stimulation in a significant number of fecally incontinent patients. METHODS: A total of 34 consecutive patients (31 women), median age 57 years (range, 33-73 years), underwent sacral nerve stimulation for fecal incontinence. After implantation, 27 of 34 patients were randomized in a double-blind crossover design to stimulation ON or OFF for 1-month periods. While still blinded, the patients chose the period of stimulation (ON or OFF) that they had preferred. The mode of stimulation corresponding to the selected period was continued for 3 months (final period). Outcome measures were frequency of fecal incontinence and urgency episodes, delay in postponing defecation, score severity, feeling of improvement, preference for ON or OFF, quality of life, and manometric measurements. RESULTS: In the crossover portion of the study, the self-reported frequency of fecal incontinence episodes was significantly reduced during the ON versus the OFF period (P = 0.03), and this symptomatic improvement was consistent: 1) with the patients feeling of greater improvement during the ON versus OFF period (P = 0.02); 2) with the significant preference of patients (P = 0.02) for the ON versus OFF period. In the final period of the study, the frequency of fecal incontinence episodes decreased significantly (P = 0.005) in patients with the stimulator ON. The ability to postpone defecation (P = 0.01), the score for symptom severity (P = 0.0004), and the quality of life (P < 0.05) as well as anal sphincter function significantly improved. CONCLUSIONS: The significant improvement in FI during the ON versus OFF period indicated that the clinical benefit of sacral nerve stimulation was not due to placebo.

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Metadata

Authors
Leroi, A.-M., Parc, Y., Lehur, P.-A., Mion, F., Barth, X., Rullier, E., Bresler, L., Portier, G., & Michot, F.
Venue
Annals of Surgery
Published
2005-11
Volume
242
Issue
5
Pages
662-669
ISSN
0003-4932 (ISSN-L)
OpenAlex
W2140627274
Cited by
286
References
16
FWCI
9.58
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Efficacy of Sacral Nerve Stimulation for Fecal Incontinence: Results of a Multicenter Double-Blind Crossover Study. https://app.cochat.ai/papers/10.1097/01.sla.0000186281.09475.db
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Leroi, A.-M., Parc, Y., Lehur, P.-A., Mion, F., Barth, X., Rullier, E., Bresler, L., Portier, G., & Michot, F. (2005). Efficacy of Sacral Nerve Stimulation for Fecal Incontinence: Results of a Multicenter Double-Blind Crossover Study. Annals of Surgery. https://doi.org/10.1097/01.sla.0000186281.09475.db

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