Table 3.
Impact of sacral neuromodulation on anorectal physiology (mean values)
| Study | Anal resting pressurea | Difference | Anal squeeze pressurea | Difference | First perception (mL) | Difference | Urge volume (mL) | Difference | Maximum tolerated volume (mL) | Difference | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pre | Post | Pre | Post | Pre | Post | Pre | Post | Pre | Post | ||||||
| Altomare et al.26 | 45 | 56 | 11 | 50 | 118 | 68 | 61 | 38 | −23 | 134 | 110 | −24 | 206 | 169 | −37 |
| Altomare et al.26 | 34 | 56 | 21 | 42 | 134 | 92 | 61 | 58 | −3 | 120 | 119 | −1 | 170 | 175 | 5 |
| Chan and Tjandra56 (sphincter defect) | 31.3 | 30.9 | −0.4 | 58.4 | 62.4 | 4 | NR | — | — | NR | — | — | NR | — | — |
| Chan and Tjandra56 (intact sphincter) | 28.6 | 29.6 | 1 | 63.1 | 69 | 5.9 | NR | — | — | NR | — | — | NR | — | — |
| Ganio et al.28 | 38 | 49 | 11 | 67 | 83 | 16 | 61 | 49 | −12 | 118 | 87.7 | −30.3 | NR | — | — |
| Ganio et al.29 | 39 | 54 | 15 | 83 | 90 | 7 | 61 | 49 | −12 | 112 | 92 | −20 | NR | — | — |
| Ganio et al.30 | 39 | 54 | 15 | 85 | 99 | 14 | 58.5 | 37 | −21.5 | 112 | 92 | −20 | NR | — | — |
| George et al.51 | 21.9 | 23.0 | 1.1 | 36.6 | 35.6 | −0.96 | 56.7 | 54.7 | −2 | 122 | 90 | −32 | 178 | 123 | −55 |
| Jarrett et al.50 | 33.8 | 36.0 | 2.2 | 45.6 | 68.4 | 22.8 | 41 | 27 | −14 | 92 | 71 | −21 | 129 | 107 | −22 |
| Kenefick et al.53 | 25.7 | 30.2 | 4.4 | 31.6 | 50.8 | 19.1 | NR | — | — | 82 | 74 | −8 | 127 | 103 | −24 |
| Leroi et al.35 | 56.6 | 44.9 | −11.8 | 41.6 | 29 | −12.5 | 175 (123.7) | — | −51.3 | — | — | — | 202.5 | 200 | −2.5 |
| Matzel et al.7 | NR | — | — | 66 | 162 | 96 | NR | — | — | NR | — | — | NR | — | — |
| Matzel et al.37 | NR | — | — | 48.5 | 92.7 | 44.2 | NR | — | — | NR | — | — | NR | — | — |
| Melenhorst et al.40 (intact sphincter) | NR | — | — | NR | — | — | 50.8 (38.9) | — | −11.9 | 96.1 | 83.3 | −12.8 | 164 | 153.3 | −10.7 |
| Melenhorst et al.40 (sphincter defect) | NR | — | — | 88.6 | 125.3 | 36.7 | 35.5 (25) | — | −10.5 | 59.8 | 75 | 15.2 | 125.5 | 139.1 | 13.6 |
| Ratto et al.43 | 69.6 | 75.9 | 6.3 | 30.3 | 35.5 | 5.2 | 50.2 (50.5) | — | 0.3 | 79 | 90 | 11 | 136 | 133.5 | −2.5 |
| Ripetti et al.57 | 59 | 74 | 15 | 89 | 110 | 21 | 80 (39) | — | −41 | 127 | 89 | −38 | NR | — | — |
| Roman et al.44 | NR | — | — | NR | — | — | 44 (71) | — | 27 | — | — | — | 227 | 201 | −26 |
| Sheldon et al.45 | 48.6 | 49.3 | 0.7 | NR | — | — | 40 (32) | — | −8 | 71 | 68 | −3 | 100 | 105 | 5 |
| Tjandra et al.23 | 29.7 | 30.1 | 0.4 | 61.2 | 66.3 | 5.1 | NR | — | — | NR | — | — | NR | — | — |
| Vaizey et al.24 | 27.6 | 42.3 | 14.7 | 73.6 | 69.9 | −3.7 | NR | — | — | NR | — | — | NR | — | — |
| Otto et al.41 | 33.8 | 39.7 | 5.9 | 86.5 | 101.3 | 14.8 | 62.1 | 86.4 | 24.3 | 108.2 | 145.7 | 37.5 | 148.9 | 188.2 | 39.3 |
| Median | 34 | 44.9 | 5.9 | 61.2 | 83 | 14.8 | 58.5 | 49 | −11.9 | 110.1 | 89.5 | −16.4 | 156.5 | 146.2 | −6.6 |
| Minimum | 21.9 | 23 | −11.8 | 30.3 | 29 | −12.5 | 35.5 | 25 | −51.3 | 59.8 | 68 | −38 | 100 | 103 | −55 |
| Maximum | 69.6 | 75.9 | 21 | 89 | 162 | 96 | 175 | 123.7 | 27 | 134 | 145.7 | 37.5 | 227 | 201 | 39.3 |
Maximum pressure in mmHg. NR, not reported.