Compared with optimal medical management, sacral nerve modulation is at least as effective for fecal incontinence.

Prepare for the Axonics Entrance Test. Practice with flashcards and multiple choice questions featuring detailed explanations and hints, helping you succeed in your exam!

This question tests how sacral nerve modulation stacks up against optimized medical management for fecal incontinence. Sacral nerve modulation works by delivering electrical stimulation to the sacral nerves to modulate the pelvic floor reflexes, rectal sensation, and sphincter coordination, which helps reduce leakage and urgency.

Across studies, SNM has been shown to produce significant reductions in incontinence episodes and improvements in quality of life, comparable to or better than optimized medical therapy (which includes dietary changes, fiber, anti-diarrheals, and pelvic floor therapies). The evidence supports that SNM is at least as effective as optimized medical management, and often more effective in certain outcomes, making the statement true.

So the correct choice is true. The other options aren’t supported by the comparative data.