According to the American College of Gastroenterology, sacral nerve modulation is a strong recommendation for the treatment of fecal incontinence.

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Sacral nerve modulation works by sending targeted electrical stimulation to the sacral nerves that control the pelvic floor and rectum, helping to regulate continence. Because it can produce durable improvement in fecal incontinence, the American College of Gastroenterology gives it a strong recommendation for management, typically after conservative measures (like dietary changes, bowel retraining, and pelvic floor therapy) have not provided sufficient relief. The therapy is delivered with a small implantable device and leads that stimulate the S3 nerve roots, which helps reduce urgency, improve sphincter coordination, and decrease incontinence episodes. Across multiple studies, patients experience meaningful gains in continence and quality of life, with a safety profile that is acceptable for a device-assisted approach, though potential device-related complications can occur. This combination of solid, reproducible benefit and appropriate safety explains why it is considered a strong, guideline-supported option.