{"id":11205,"date":"2026-06-11T07:00:00","date_gmt":"2026-06-11T10:00:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=11205"},"modified":"2026-06-11T12:49:06","modified_gmt":"2026-06-11T15:49:06","slug":"neuromodulacao-sacral-na-incontinencia-fecal-indicacoes-e-abordagem-tecnica-parte-i","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/neuromodulacao-sacral-na-incontinencia-fecal-indicacoes-e-abordagem-tecnica-parte-i\/","title":{"rendered":"Neuromodula\u00e7\u00e3o Sacral na Incontin\u00eancia Fecal: Indica\u00e7\u00f5es e Abordagem T\u00e9cnica &#8211; Parte I"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/11205?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/11205?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-introducao\"><br><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>A <strong>incontin\u00eancia fecal (IF)<\/strong> \u00e9 uma condi\u00e7\u00e3o que afeta milh\u00f5es de pessoas globalmente, com preval\u00eancia m\u00e9dia de 5-7% da popula\u00e7\u00e3o adulta e aumento significativo com a idade.<sup>(1)<\/sup> De acordo com os <strong>crit\u00e9rios de Roma V<\/strong>, a incontin\u00eancia fecal \u00e9 definida pela <strong>perda involunt\u00e1ria recorrente de material fecal em indiv\u00edduos com idade superior a 4 anos<\/strong>, caracterizada pela <strong>ocorr\u00eancia de pelo menos dois epis\u00f3dios de escape fecal e por, no m\u00ednimo, um epis\u00f3dio mensal documentado em di\u00e1rio evacuat\u00f3rio de quatro semanas<\/strong>. Os crit\u00e9rios <strong>devem estar presentes nos \u00faltimos 3 meses<\/strong>, com in\u00edcio dos sintomas h\u00e1 pelo menos 6 meses.<sup>(2,3)<\/sup><\/p>\n\n\n\n<p>Embora tratamentos conservadores como modifica\u00e7\u00f5es diet\u00e9ticas, agentes antidiarreicos, fisioterapia p\u00e9lvica e biofeedback sejam a primeira linha de abordagem, uma parcela consider\u00e1vel de pacientes permanece refrat\u00e1ria a essas interven\u00e7\u00f5es. Nesses casos, a <strong>neuromodula\u00e7\u00e3o sacral (NMS)<\/strong> a partir do final do s\u00e9culo passado (1995) emergiu como uma <strong>op\u00e7\u00e3o terap\u00eautica eficaz e minimamente invasiva<\/strong>, oferecendo melhora significativa nos sintomas e na qualidade de vida.<\/p>\n\n\n\n<p>Diante da falha do tratamento conservador, a esfincteroplastia anal, por alguns anos, foi o \u00fanico tratamento dispon\u00edvel. Na presen\u00e7a de defeitos esfincterianos envolvendo entre 90\u00b0 e 180\u00b0 da circunfer\u00eancia, h\u00e1 indica\u00e7\u00e3o do reparo sobreposto do esf\u00edncter. Embora simples em conceito, a t\u00e9cnica cir\u00fargica n\u00e3o \u00e9 padronizada e est\u00e1 sujeita a muitas varia\u00e7\u00f5es, sendo mais complexa tecnicamente em rela\u00e7\u00e3o \u00e0 NMS, com risco significativo de infec\u00e7\u00e3o local e resultados dependentes em grande parte da experi\u00eancia do cirurgi\u00e3o. Al\u00e9m disso, a recorr\u00eancia da IF a longo prazo \u00e9 frequente.<sup>(4)<\/sup><\/p>\n\n\n\n<p>Este artigo tem como objetivo fornecer aos m\u00e9dicos gastroenterologistas e cirurgi\u00f5es uma vis\u00e3o detalhada das indica\u00e7\u00f5es, mecanismo de a\u00e7\u00e3o e descri\u00e7\u00e3o da t\u00e9cnica de implante do NMS, com \u00eanfase na padroniza\u00e7\u00e3o do posicionamento do eletrodo, essencial para otimizar os resultados no tratamento da IF.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-mecanismo-de-acao\"><br><strong>Mecanismo de A\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>A <strong>Neuromodula\u00e7\u00e3o Sacral atua atrav\u00e9s da estimula\u00e7\u00e3o el\u00e9trica dos nervos pudendos<\/strong>, mais comumente localizados na raiz sacral de S3, mas tendo fibras que podem ser localizadas desde S2 at\u00e9 S4. O mecanismo exato de a\u00e7\u00e3o n\u00e3o \u00e9 completamente elucidado, mas acredita-se que envolva a modula\u00e7\u00e3o de vias aferentes e eferentes. O nervo espinhal sacral estimulado cont\u00e9m fibras somatomotoras e somatossensoriais, bem como fibras auton\u00f4micas dos nervos p\u00e9lvicos. O efeito da NMS tamb\u00e9m n\u00e3o se limita \u00e0 inerva\u00e7\u00e3o perif\u00e9rica, mas envolve o sistema nervoso central<sup>(5,6)<\/sup>, resultando em:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Melhora da Fun\u00e7\u00e3o Esfincteriana:<\/strong> A estimula\u00e7\u00e3o dos nervos sacrais pode levar ao aumento do t\u00f4nus do esf\u00edncter anal interno (EAI) e \u00e0 melhora da for\u00e7a e resist\u00eancia do esf\u00edncter anal externo (EAE) e dos m\u00fasculos do assoalho p\u00e9lvico.<\/li>\n\n\n\n<li><strong>Restaura\u00e7\u00e3o da Sensibilidade Retal: <\/strong>Muitos pacientes com IF apresentam diminui\u00e7\u00e3o da sensibilidade retal, levando \u00e0 falha em reconhecer a presen\u00e7a das fezes. A NMS pode melhorar a percep\u00e7\u00e3o retal, permitindo ao paciente reagir apropriadamente ao conte\u00fado que atinge o reto distal, chegando ao topo do canal anal.<\/li>\n\n\n\n<li><strong>Modula\u00e7\u00e3o da Motilidade Colorretal:<\/strong> A estimula\u00e7\u00e3o sacral pode influenciar a motilidade do c\u00f3lon e do reto, contribuindo para um padr\u00e3o de evacua\u00e7\u00e3o mais controlado.<\/li>\n\n\n\n<li><strong>Influ\u00eancia Central:<\/strong> Acredita-se que a NMS modifique a atividade neuronal no c\u00f3rtex cerebral, afetando o processamento central das informa\u00e7\u00f5es sensoriais e motoras relacionadas \u00e0 fun\u00e7\u00e3o anorretal. Essa hip\u00f3tese \u00e9 sustentada por estudos de atividade neuronal no c\u00f3rtex cerebral, sem e com a atua\u00e7\u00e3o da NMS.<sup>(7)<\/sup><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-indicacoes-para-neuromodulacao-sacral-na-incontinencia-fecal\"><br><strong>Indica\u00e7\u00f5es para Neuromodula\u00e7\u00e3o Sacral na Incontin\u00eancia Fecal<\/strong><\/h2>\n\n\n\n<p>A <strong>principal indica\u00e7\u00e3o para NMS \u00e9 a IF refrat\u00e1ria<\/strong> a outras modalidades de tratamento conservador otimizado, sendo que o paciente deve ter sido submetido e falhado a um curso adequado de terapias conservadoras (dieta, medicamentos e fisioterapia p\u00e9lvica com biofeedback por pelo menos 3 meses.<sup>(8,9)<\/sup><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-indicacoes-para-neuromodulacao-sacral-10\"><br><strong>Indica\u00e7\u00f5es para Neuromodula\u00e7\u00e3o Sacral<sup>(10)<\/sup><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>IF sem resposta ao tratamento conservador, com ou sem les\u00e3o esfincteriana.<\/li>\n\n\n\n<li>Incontin\u00eancia Fecal P\u00f3s-Parto: Em pacientes que n\u00e3o obtiveram sucesso com reparo esfincteriano ou ap\u00f3s falha de reparos anteriores.<\/li>\n\n\n\n<li>Incontin\u00eancia Fecal com Les\u00f5es Esfincterianas Parciais.<\/li>\n\n\n\n<li>Incontin\u00eancia Fecal Associada a Doen\u00e7as Neurol\u00f3gicas Est\u00e1veis: Pacientes com les\u00f5es medulares incompletas ou outras neuropatias.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-contraindicacoes\"><br><strong>Contraindica\u00e7\u00f5es<\/strong><\/h2>\n\n\n\n<p>A avalia\u00e7\u00e3o cuidadosa das contraindica\u00e7\u00f5es \u00e9 t\u00e3o importante quanto a das indica\u00e7\u00f5es para garantir a seguran\u00e7a e a efic\u00e1cia do tratamento:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-contraindicacoes-absolutas-6\"><br><strong>Contraindica\u00e7\u00f5es Absolutas<sup>(6)<\/sup><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dist\u00farbios de coagula\u00e7\u00e3o n\u00e3o controlados.<\/li>\n\n\n\n<li>Infec\u00e7\u00e3o sist\u00eamica ativa ou no local do implante.<\/li>\n\n\n\n<li>Incapacidade de operar o dispositivo de programa\u00e7\u00e3o (por limita\u00e7\u00f5es cognitivas ou f\u00edsicas), comprometendo a ades\u00e3o do paciente ao tratamento.<\/li>\n\n\n\n<li>Grandes defeitos anat\u00f4micos corrig\u00edveis (ex: prolapso retal total, grandes les\u00f5es esfincterianas que demandam reparo prim\u00e1rio).<\/li>\n\n\n\n<li>Trabalhadores em ambientes muito quentes, como operadores de caldeiras ou metal\u00fargicos.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-contraindicacoes-relativas-6\"><br><strong>Contraindica\u00e7\u00f5es Relativas<sup>(6)<\/sup><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gravidez<sup>(11)<\/sup><\/li>\n\n\n\n<li>Dist\u00farbios psiqui\u00e1tricos graves n\u00e3o controlados, que podem afetar a compreens\u00e3o do paciente e sua capacidade de gerenciar o dispositivo.<\/li>\n\n\n\n<li>Uso cr\u00f4nico de anticoagulantes, que requer uma avalia\u00e7\u00e3o cuidadosa de risco\/benef\u00edcio devido ao risco de sangramento.<\/li>\n\n\n\n<li>Deformidades anat\u00f4micas na coluna que prejudiquem o implante do eletrodo.<\/li>\n\n\n\n<li>Expectativa de vida limitada, devendo-se ponderar o benef\u00edcio da interven\u00e7\u00e3o em rela\u00e7\u00e3o \u00e0 longevidade do paciente.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-avaliacao-pre-operatoria-do-paciente\"><br><strong>Avalia\u00e7\u00e3o Pr\u00e9-operat\u00f3ria do Paciente<\/strong><\/h2>\n\n\n\n<p><br><strong>Anamnese<\/strong>: Investigar a frequ\u00eancia, gravidade <em>[<\/em>escore de Cleveland Clinic Florida<sup>(12)<\/sup> <em>\u2013 Q<\/em>uadro 1<em>]<\/em>, impacto da IF na qualidade de vida (utilizando question\u00e1rios validados como o FIQL &#8211; <em>Fecal Incontinence Quality of Life<\/em><sup>(13)<\/sup> e escala de Bristol<sup>(14)<\/sup> (Figura 1). \u00c9 fundamental documentar a falha de tratamentos conservadores otimizados.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><div class=\"pcrstb-wrap\"><table class=\"has-pale-ocean-gradient-background has-background has-fixed-layout\"><tbody><tr><td><em><strong>Tipo de Incontin\u00eancia<\/strong><\/em><\/td><td><em><strong>Frequ\u00eancia<\/strong><\/em><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td><\/td><td><em><strong>Nunca<\/strong><\/em><\/td><td><em><strong>Raramente<\/strong><\/em><\/td><td><em><strong>\u00c0s vezes<\/strong><\/em><\/td><td><em><strong>Usualmente<\/strong><\/em><\/td><td><strong>Sempre<\/strong><\/td><\/tr><tr><td><em><strong>S\u00f3lida<\/strong><\/em><\/td><td>0<\/td><td>1<\/td><td>2<\/td><td>3<\/td><td>4<\/td><\/tr><tr><td><em><strong>L\u00edquida<\/strong><\/em><\/td><td>0<\/td><td>1<\/td><td>2<\/td><td>3<\/td><td>4<\/td><\/tr><tr><td><em><strong>Gases<\/strong><\/em><\/td><td>0<\/td><td>1<\/td><td>2<\/td><td>3<\/td><td>4<\/td><\/tr><tr><td><em><strong>Uso de Protetores<\/strong><\/em><\/td><td>0<\/td><td>1<\/td><td>2<\/td><td>3<\/td><td>4<\/td><\/tr><tr><td><em><strong>Mudan\u00e7a no estilo de vida<\/strong><\/em><\/td><td>0<\/td><td>1<\/td><td>2<\/td><td>3<\/td><td>4<\/td><\/tr><\/tbody><\/table><\/div><figcaption class=\"wp-element-caption\">Quadro 1 \u2013 Escore de contin\u00eancia de Cleveland Clinic Florida<br>Pontos: 0 = perfeito 20 = incontin\u00eancia completa.<br>Nunca = 0 (nunca). Raramente = &lt;1\/m\u00eas. \u00c0s vezes = &lt;1\/semana, >1\/m\u00eas.<br>Frequentemente = &lt;1\/dia, >1\/semana. Sempre = >1\/dia. O escore de contin\u00eancia \u00e9 determinado somando-se os pontos da tabela acima, que leva em considera\u00e7\u00e3o o tipo e a frequ\u00eancia da incontin\u00eancia, bem como o grau em que ela altera a vida do paciente.<br><em>Adaptado de Jorge et al., 1993<sup>(12)<\/sup><\/em><\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/gastropedia.pub\/pt\/?attachment_id=11206\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"820\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/ESCALA-DE-FEZES-1024x820.png\" alt=\"\" class=\"wp-image-11206\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/ESCALA-DE-FEZES-1024x820.png 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/ESCALA-DE-FEZES-300x240.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/ESCALA-DE-FEZES-768x615.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/ESCALA-DE-FEZES-585x469.png 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/ESCALA-DE-FEZES.png 1026w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><em><strong>Figura 1 &#8211; Escala de Fezes de Bristol<\/strong><\/em><br><em>Modificado de:<\/em> Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997;32:920\u2013924.<sup>(14)<\/sup><br><\/figcaption><\/figure>\n\n\n\n<p><strong>Exame F\u00edsico Completo<\/strong>: Incluindo exame proctol\u00f3gico para avaliar o t\u00f4nus esfincteriano, reflexos e integridade do assoalho p\u00e9lvico. A observa\u00e7\u00e3o da resposta anal durante o exame pode ser um indicativo precoce da capacidade de resposta \u00e0 estimula\u00e7\u00e3o.<\/p>\n\n\n\n<p><strong>Di\u00e1rio de H\u00e1bitos Intestinais<\/strong>: Um registro detalhado de pelo menos 2 semanas \u00e9 essencial para quantificar a frequ\u00eancia dos epis\u00f3dios de incontin\u00eancia, sua gravidade e avaliar a resposta \u00e0s terapias anteriores.<\/p>\n\n\n\n<p><strong>Exames Complementares: <\/strong>para a indica\u00e7\u00e3o de neuroestimula\u00e7\u00e3o sacral t\u00eam papel secund\u00e1rio, permanecendo como m\u00e9todos de proped\u00eautica mais relacionados \u00e0 progn\u00f3stico. No entanto, a manometria anorretal e o ultrassom endoanal s\u00e3o rotineiramente indicados com intuito de verificar os n\u00edveis press\u00f3ricos do canal anal e identifica\u00e7\u00e3o de eventuais falhas esfincterianas, antes da indica\u00e7\u00e3o da NMS.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Manometria Anorretal: <\/strong>avalia a press\u00e3o de repouso e de contra\u00e7\u00e3o dos esf\u00edncteres do \u00e2nus, a sensibilidade retal e os reflexos anorretais.<\/li>\n\n\n\n<li><strong>Ultrassonografia Endoanal: <\/strong>Identifica poss\u00edveis les\u00f5es anat\u00f4micas do esf\u00edncter anal interno e externo.<\/li>\n\n\n\n<li><strong>Resson\u00e2ncia Magn\u00e9tica P\u00e9lvica ou Defecografia: <\/strong>Podem ser \u00fateis para descartar prolapsos, intussuscep\u00e7\u00f5es ou outras anormalidades anat\u00f4micas que possam requerer corre\u00e7\u00e3o cir\u00fargica antes da NMS.<\/li>\n<\/ul>\n\n\n\n<p><strong>Exclus\u00e3o de outras causas<\/strong>: \u00c9 imperativo descartar causas secund\u00e1rias de IF como doen\u00e7a inflamat\u00f3ria intestinal ativa, tumores colorretais ou diarreia cr\u00f4nica intrat\u00e1vel, que exigem tratamentos espec\u00edficos. Nesse sentido, a indica\u00e7\u00e3o de <strong>exame endosc\u00f3pico (colonoscopia) \u00e9 recomendada antes da realiza\u00e7\u00e3o de qualquer tratamento invasivo para a IF<\/strong>.<\/p>\n\n\n\n<p class=\"has-text-align-center has-pale-ocean-gradient-background has-background\">Na parte 2 deste artigo, ser\u00e3o discutidos os detalhes t\u00e9cnicos da neuromodula\u00e7\u00e3o sacral, desde o teste de avalia\u00e7\u00e3o at\u00e9 o implante definitivo do sistema.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Dawoud C, Reissig L, M\u00fcller C, Jahl M, Harpain F, Capek B, et al. Comparison of surgical techniques for optimal lead placement in sacral neuromodulation: a cadaver study. Tech Coloproctol. 2022;26(9):707-712. doi:10.1007\/s10151-022-02632-x.<\/li>\n\n\n\n<li>Rome Foundation. Rome V criteria [Internet]. Raleigh (NC): Rome Foundation; [cited 2026 Mar 8]. Available from:\u00a0<a href=\"https:\/\/theromefoundation.org\/rome-iv\/rome-v-disorders-of-gut-brain-interaction-5th-edition\/\">https:\/\/theromefoundation.org\/rome-iv\/rome-v-disorders-of-gut-brain-interaction-5th-edition\/<\/a><\/li>\n\n\n\n<li>Rao SSC, Bharucha AE, Carrington EV, et al. Anorectal disorders. Gastroenterology. 2026;170(6):1318-1346.<\/li>\n\n\n\n<li>Lehur PA, Christoforidis D. Is anal sphincteroplasty out-dated in the era of sacral neuromodulation? J Visc Surg. 2020;157(1):1-2. doi:10.1016\/j.jviscsurg.2019.12.005.<\/li>\n\n\n\n<li>Matzel KE, Chartier-Kastler E, Knowles CH, Lehur PA, Mu\u00f1oz-Duyos A, Ratto C, et al. Sacral neuromodulation: standardized electrode placement technique. Neuromodulation. 2017;20(8):816-824. doi:10.1111\/ner.12695.<\/li>\n\n\n\n<li>Bittorf B, Matzel KE. Management of fecal incontinence: surgical treatment options. Visc Med. 2024;40(6):318-324. doi:10.1159\/000541355.<\/li>\n\n\n\n<li>Amend B, Matzel KE, Oerlemans D, van Kerrebroeck PE. How does sacral neuromodulation work? Neurourol Urodyn. 2011;30(5):762-765. doi:10.1002\/nau.21096.<\/li>\n\n\n\n<li>Brusciano L, Brillantino A, Pellino G, Marinello F, Baeten CI, Digesu A, et al. Sacral nerve modulation for patients with fecal incontinence: long-term outcome and effects on sexual function. Updates Surg. 2023;75(5):1187-1195. doi:10.1007\/s13304-023-01570-z.<\/li>\n\n\n\n<li>Ivatury SJ, Wilson LR, Paquette IM. Surgical treatment alternatives to sacral neuromodulation for fecal incontinence: injectables, sphincter repair, and colostomy. Clin Colon Rectal Surg. 2021;34(1):40-48. doi:10.1055\/s-0040-1714285.<\/li>\n\n\n\n<li>Katuwal B, Bhullar J. Current position of sacral neuromodulation in treatment of fecal incontinence. Clin Colon Rectal Surg. 2021;34(1):22-27. doi:10.1055\/s-0040-1714247.<\/li>\n\n\n\n<li>Salehi-Pourmehr H, Atayi M, Mahdavi N, Aletaha R, Kashtkar M, Sharifimoghadam S, et al. Is sacral neuromodulation effective and safe in pregnancy? A systematic review. Neurourol Urodyn. 2023;42(6):1329-1343. doi:10.1002\/nau.25224.<\/li>\n\n\n\n<li>Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993;36(1):77-97. doi:10.1007\/BF02050307.<\/li>\n\n\n\n<li>Yusuf SAI, Jorge JMN, Habr-Gama A, Kiss DR, Rodrigues JG. Avalia\u00e7\u00e3o da qualidade de vida na incontin\u00eancia anal: valida\u00e7\u00e3o do question\u00e1rio FIQL (Fecal Incontinence Quality of Life). Arq Gastroenterol. 2004;41(3):202-208. doi:10.1590\/S0004-28032004000300013.<\/li>\n\n\n\n<li>Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997;32(9):920-924. doi:10.3109\/00365529709011203.<\/li>\n\n\n\n<li>Oliveira L, Hagerman G, Torres ML, Lumi CM, Siachoque JAC, Reyes JC, et al. Sacral neuromodulation for fecal incontinence in Latin America: initial results of a multicenter study. Tech Coloproctol. 2019;23(6):545-550. doi:10.1007\/s10151-019-02004-y.<\/li>\n\n\n\n<li>Widmann B, Galata C, Warschkow R, Beutner U, \u00d6gredici \u00d6, Hetzer FH, et al. Success and complication rates after sacral neuromodulation for fecal incontinence and constipation: a single-center follow-up study. J Neurogastroenterol Motil. 2019;25(1):159-170. doi:10.5056\/jnm17106.<\/li>\n\n\n\n<li>Medtronic. InterStim X system [Internet]. Minneapolis (MN): Medtronic; [cited 2026 Mar 8]. Available from:\u00a0<a href=\"https:\/\/www.medtronic.com\/en-us\/healthcare-professionals\/products\/bladder-bowel\/sacral-neuromodulation\/neurostimulators\/interstim-x-system.html\">https:\/\/www.medtronic.com\/en-us\/healthcare-professionals\/products\/bladder-bowel\/sacral-neuromodulation\/neurostimulators\/interstim-x-system.html<\/a><\/li>\n<\/ol>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Pinto RA, Lima AP, Neto IJF, Anjos LAP. Neuromodula\u00e7\u00e3o Sacral na Incontin\u00eancia Fecal: Indica\u00e7\u00f5es e Abordagem T\u00e9cnica &#8211; Parte I. Gastropedia 2026, Vol I. Dispon\u00edvel: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=11205\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/gastroenterologia\/neuromodulacao-sacral-na-incontinencia-fecal-indicacoes-e-abordagem-tecnica-parte-i\/<\/a><\/p>\n\n\n\n<p id=\"h-contraindicacoes-absolutas-6\"><br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A incontin\u00eancia fecal (IF) \u00e9 uma condi\u00e7\u00e3o que afeta milh\u00f5es de pessoas globalmente, com preval\u00eancia m\u00e9dia de 5-7% da popula\u00e7\u00e3o adulta e aumento significativo com a idade.(1) De acordo&hellip;<\/p>\n","protected":false},"author":5726,"featured_media":11206,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[24,26,18,22],"tags":[],"ano":[423],"tipo":[121],"volume":[57],"class_list":["post-11205","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia","category-colorretal","category-gastroenterologia","category-intestino","ano-423","tipo-assuntos-gerais","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Neuromodula\u00e7\u00e3o Sacral na Incontin\u00eancia Fecal: Indica\u00e7\u00f5es e Abordagem T\u00e9cnica - Parte I - Gastropedia<\/title>\n<meta name=\"description\" content=\"Neuromodula\u00e7\u00e3o sacral na incontin\u00eancia fecal: 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