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Fecal incontinence is a health problem that leads to serious quality of life disturbances in the elderly, much greater than the ones generated by micturition disturbances. When physical therapy, habit changes and medication fail to control the disease, electrical stimulation of the sacral nerves at the level of the third sacral foramen represents a solution for eligible patients. Our research done on 29 patients, operated by the first author at Klinikum Bielefeld, Germany, revealed statistically significant improvements, slightly superior to the ones in the literature. As many as 82.75% of the patients experienced more than 70% reduction in the number of weekly incontinence episodes, correlated with a robust increase in the quality of life and level of daily physical activity. The aim of the present paper is to present our results after the intervention, and at 1-year follow-up, and to describe the surgical technique, hoping for an increased awareness and adoption in Romania.

A 26 year-old female patient was admitted for the first time in the surgical, presenting an abnormal connection between the rectum and vagina given a context of an apparently clear period of time following a natural childbirth 1 year and 10 months ago. This is a rare pathological condition with a major physical, mental and sexual impact for a young female. Various surgical treatment solutions are described in the specialized literature. Yet, we have not come across any studies that analyzed the various means of surgical treatment. In what follows we will describe the technique we used in this case, with a very good immediate result and after 5 years by surgery.