P1946 - Efficacy of Sacral Neuromodulation for Elderly Women With Severe Refractory Fecal Incontinence in Rural Texas

Jefferson Tran, ¹, Nathan Smallwood, MD², Karen Eskue, ¹, Katrina Sykes, ¹, Paige Baugh, ¹, Robin Bassett, ¹, Thomas Tran, MD^1
1TMC, Denison, TX; ²GIA, Sherman, TX

Introduction: Fecal incontinence (FI) is under-treated in elderly women in rural areas due to limited access to healthcare resources such as biofeedback therapies. Sacral neuromodulation (SNM) was initially indicated for urinary incontinence but has emerged as a treatment option for FI. This study aims to evaluate the efficacy of SNM for elderly women with severe refractory FI in rural Texas.

Methods: This is a retrospective analysis of FI questionnaires for patients before and after undergoing SNM within a year in a clinic in rural Texas. The questionnaires assessed the frequency (never = 0 point, rarely = 1 point, sometimes = 2 points, usually = 3 points, and always = 4 points) of 5 types of FI (solid, liquid, gas, wearing pad, and lifestyle alteration). Minimum score was 0 (perfect continence). Maximum score was 20 (complete incontinence). The pre-SNM and post-SNM scores were compared. A P value of < 0.05 was considered to be statistically significant.

Results: Fourteen consecutive elderly women with an average age of 73 completed the peripheral nerve evaluation followed by the permanent implantation of SNM. All patients in the study had failed conservative treatments such as medications and lifestyle changes. The pre-SNM average score was 11.57 +/- 2.56. There were no incidences of serious complications that required removal of the SNM device. The post-SNM average score was 3.43 +/- 1.55. The mean score difference was 8.14 (95% CI 6.50-9.79). P value was < 0.0001.

Discussion: SNM is an effective treatment for elderly women with severe refractory FI in rural Texas. SNM results in significant improvement of symptoms related to FI.


Disclosures:


Jefferson Tran, ¹, Nathan Smallwood, MD², Karen Eskue, ¹, Katrina Sykes, ¹, Paige Baugh, ¹, Robin Bassett, ¹, Thomas Tran, MD¹. P1946 - Efficacy of Sacral Neuromodulation for Elderly Women With Severe Refractory Fecal Incontinence in Rural Texas, ACG 2023 Annual Scientific Meeting Abstracts. Vancouver, BC, Canada: American College of Gastroenterology.