Biofeedback versus bilateral transcutaneous posterior tibial nerve stimulation in the treatment of functional non-retentive fecal incontinence in children: A randomized controlled trial

“…Comparing conventional treatment alone with conventional treatment plus biofeedback therapy in children with functional FI, biofeedback therapy does not provide an additional advantage of relieving symptoms of both constipation and FI (41). Like constipation-associated FI, biofeedback therapy for FNRFI did not show therapeutic benefits in old studies (18,39); however, a recent study comparing dietary advices and pelvic floor strengthening using Kegal exercises, biofeedback in addition to the dietary advices and Kegal exercises, and transcutaneous posterior tibial nerve stimulation, showed that biofeedback therapy was significantly more successful in decreasing the number of FI episodes and improving the FI score, compared to other two groups (44)…”

Section: Managementmentioning

confidence: 99%

Functional Fecal Incontinence in Children

Rajindrajith

Devanarayana

Thapar

et al. 2021

J. pediatr. gastroenterol. nutr.

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Functional fecal incontinence (FI) is a worldwide problem in children and comprises constipation-associated FI and nonretentive FI. Irrespective of pathophysiology, both disorders impact negatively on the psychological well-being and quality of life of affected children. A thorough clinical history and physical examination using the Rome IV criteria are usually sufficient to diagnose these conditions in most children. Evolving investigations such as high-resolution anorectal and colonic manometry have shed new light on the pathophysiology of functional FI. Although conventional interventions such as toilet training and laxatives successfully treat most children with constipationassociated FI, children with nonretentive FI need more psychologically based therapeutic options. Intrasphincteric injection of botulinum toxin, transanal irrigation and, in select cases, surgical interventions have been used in more resistant children with constipation-associated FI.

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“…The international continence society classifies anal incontinence as any involuntary passage of stool and/or gas and divides it into two types, Fecal incontinence (FI) and gas incontinence at least once/month for two successive months. 1,2 FI frequency ranges between .8% and 7.8% while Musa et al reported that the incidence may be up to 21%. 3 FI has a major negative impact on the quality of life (QoL) and occasionally results in depression and social exclusion.…”

Section: Introductionmentioning

confidence: 99%

“…6 Fecal incontinence can result from dysfunction of any of these structures so it is a more complicated and multifaceted illness. 2 Functional FI is classified into retentive (associated with stool retention and "overflow") and non-retentive FI (FNRFI) based on Rome IV criteria and underlying pathophysiological mechanisms are still unclear. 7 the Rome III classification defines FNRFI as FI in a kid with a mental age > 4 years and without evidence of a metabolic, anatomical, or inflammatory etiology.…”

Section: Introductionmentioning

confidence: 99%

“…Child must informed about the value of using the restroom on a regular basis. 2,9 Posterior tibial nerve stimulation (PTNS) for FI was initially reported on by Shafik and colleagues, 10 who also reported improved continence following a 4-week course. Percutaneous PTNS (PPTNS) and transcutaneous PTNS (TPTNS) were found to be effective treatments for FI in further investigations with a reduction in incontinence episode of 50%-80%.…”

Section: Introductionmentioning

confidence: 99%

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Long-Term Outcome of Transcutaneous Posterior Tibial Nerve Stimulation in the Treatment of Functional Non-Retentive Fecal Incontinence in Children

Abdelrahman,

Mohamed,

Abdel Ghafar

et al. 2023

Surg Innov

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Background Functional non-retentive fecal incontinence (FNRFI) is a psychologically upsetting and embarrassing issue and affects children's quality of life negatively. Aim of this study Evaluation of the short and long-term effect of Bilateral transcutaneous posterior tibial nerve stimulation (BTPTNS) in the treatment of FNRFI in children and its impact on the quality of life (QoL). Methodology: The current randomized controlled study included 94 Children with FNRFI who were randomly allocated into two equal groups. Group A received BTPTNS and Group B Received Sham BTPTNS. Follow-up was planned for 24 months for manometric findings, incontinence score, Incontinence episodes, and the QoL. Results The incontinence score was significantly decreases in Group A more than what was reported in Group B at 6, 12, 24 months follow up . In group A 53.2% of the included children who received BTPTNS showed a decrease in the incontinence episodes more than 75% and among them, 23.4% were fully continent. All the QoL domains were significantly improved in Group A after 6, 12, and 24 months when compared with Group B. Conclusion BTPTNS can be a good modality in the treatment of FNRFI with favorable long-term maintenance of its effect together with a remarkable positive impact on all domains of QoL.

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Biofeedback versus bilateral transcutaneous posterior tibial nerve stimulation in the treatment of functional non-retentive fecal incontinence in children: A randomized controlled trial

Cited by 7 publications

References 30 publications

Current Therapy: Defecation Disorders in the Era of Neuromodulation

Current Therapy: Defecation Disorders in the Era of Neuromodulation

Functional Fecal Incontinence in Children

Long-Term Outcome of Transcutaneous Posterior Tibial Nerve Stimulation in the Treatment of Functional Non-Retentive Fecal Incontinence in Children

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