Effects of extracorporeal magnetic stimulation in fecal incontinence

Abstract

<jats:title>Abstract</jats:title><jats:sec id="j_med-2020-0009_s_006_w2aab3b7c76b1b6b1aab1c16b1Aa"><jats:title>Background</jats:title><jats:p>Fecal incontinence (FI) is a common condition that has devastating consequences for patients’ QOL. In some patients, the conventional functional pelvic floor electrical stimulation has been effective but is an invasive and embarrassing treatment. The object of the study was to evaluate the feasibility of functional extracorporeal magnetic stimulation (FMS) in strengthening the pelvic floor muscles without an anal plug and the embarrassment of undressing.</jats:p></jats:sec><jats:sec id="j_med-2020-0009_s_007_w2aab3b7c76b1b6b1aab1c16b2Aa"><jats:title>Materials and Methods</jats:title><jats:p>Thirty patients (26 female and 4 males) with FI were enrolled. All patients were assessed during a specialized coloproctology evaluation followed by endoanal ultrasonography and anorectal manometry. All patients underwent an FMS treatment once weekly for 8 weeks. Patients’ outcome was assessed by the Cleveland Clinic Fecal Incontinence Score (CCFIS) and by the fecal incontinence QOL questionnaire (FIQL).</jats:p></jats:sec><jats:sec id="j_med-2020-0009_s_00_w2aab3b7c76b1b6b1aab1c16b3Aa"><jats:title>Results</jats:title><jats:p>After 8 weeks, the number of solid and liquid stool leakage per week was significantly reduced (p&lt;0.05) with a significant improvement of the CCFIS and of the FIQL (p&lt;0.05). Moreover, the authors recorded a missed recruitment of the agonist and antagonists’ defecation muscles.</jats:p></jats:sec><jats:sec id="j_med-2020-0009_s_009_w2aab3b7c76b1b6b1aab1c16b4Aa"><jats:title>Conclusion</jats:title><jats:p>FMS is a safe, non-invasive and painless treatment for FI. It could be recommended for selected patients with non-surgical FI to ensure a rapid clinical improvement.</jats:p></jats:sec>

Physiotherapy for Prevention and Treatment of Fecal Incontinence in Women—Systematic Review of Methods

“…In MS, an electric current is induced by a time-varying magnetic field [ 94 ]. The key to the effectiveness of MS in the treatment of pelvic floor disorders is depolarization of nerve fibers, which leads to a gradual increase in strength and endurance of the PFM [ 95 ]. Due to the lack of an internal probe and the ability of the magnetic field to pass through clothing, MS is painless and well-tolerated by patients with pelvic floor dysfunction [ 94 , 96 ].…”

“…Further research is still needed; however, the existing results are promising. In the study by Brusciano et al [ 95 ], a frequency of 50–60 Hz was used in the treatment of FI in both women and men. The treatment time was 15 min, performed once a week for 8 weeks [ 95 ].…”

“…In the study by Brusciano et al [ 95 ], a frequency of 50–60 Hz was used in the treatment of FI in both women and men. The treatment time was 15 min, performed once a week for 8 weeks [ 95 ]. In turn, Schobeiri et al [ 64 ] verified the efficacy of MS in FI treatment exclusively among women.…”

“…A single therapeutic session lasted 20 min and was performed twice a week for two months. Both studies showed a significant decrease in symptoms of FI [ 64 , 95 ]. Nevertheless, this technique has not been recommended by the ICI-ICS, so far.…”

Does Bariatric Surgery Improve Faecal Incontinence? A Systematic Review and Meta-analysis

“…Contributing factors include older age, female sex, an obstetric history, colorectal surgery and anorectal disease [ 1 ]. It is associated with other pelvic floor dysfunctions such as urinary incontinence (UI) and pelvic organ prolapse (POP) [ 2 ]. Obesity has recently been identified as an important contributor to FI [ 1 ].…”