Efficacy and quality of life after transcutaneous posterior tibial neuromodulation for faecal incontinence

Abstract

Transcutaneous posterior tibial nerve neuromodulation provides good treatment for faecal incontinence in terms of efficacy and quality of life.

Posterior Tibial Nerve Stimulation in Fecal Incontinence: A Systematic Review and Meta-analysis

“…Posterior Tibial Nerve Stimulation (PTNS) is another option that recent studies have indicated its high effectiveness (Bondurri, Maffioli, & Danelli, 2015;de Groat & Tai, 2015;Edenfield, Amundsen, Wu, Levin, & Siddiqui, 2015;Giani & Musco 2015;Grossi et al, 2015;Gupta, Ehlert, Sirls, & Peters, 2015;Jiménez-Toscano et al, 2015;Kelly, Radley, & Brown, 2016;Lecompte, Hery, Guys, & Louis-Borrione, 2015;Lopez-Delgado et al, 2014;Marti & Maurus, 2014;Moya et al, 2016;Pena Ros et al, 2016;Sucar-Romero, Escobar-del Barco, Rodriguez-Colorado, & Gorbea-Chavez, 2014;Wexner, 2015). Although there is still an ongoing controversy regarding PTNS in FI treatment, PTNS is low cost and easy to operate without anesthesia (Hotouras et al, 2014;.…”

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

“…20 One main point in the outcome in treatment of FNRFI is the decrease in the FI severity throughout decrease the FI episodes and improvement of FI score. For the effectiveness of TPTNS, several studies 21-25 reported statistically significant improvement of FI score after 3 months or after 6 months as reported by Eleouet et al . 23 Others continued the follow-up for 12 months and reported the same results.…”

“…20 One main point in the outcome in treatment of FNRFI is the decrease in the FI severity throughout decrease the FI episodes and improvement of FI score. For the effectiveness of TPTNS, several studies [21][22][23][24][25] reported statistically significant improvement of FI score after 3 months or after 6 months as reported by Eleouet et al 23 Others continued the follow-up for 12 months and reported the same results. All of the above-reported results matched the results of the present study where there was a statistically significant improvement of the FI score at 6, 12, 24 months when compared to the baseline.…”

“…Several studies described the effectiveness of BTPTNS for short-term follow-up for 6 months [23][24][25] and reported a statistically improved the quality of life domains and total score following a decrease in the Frequency of FI episode and this matched the results of the current study that reported that Lifestyle, Depression, Behavior and Embarrassment domains were significantly improved in both groups with much improvement in children received BTPTNS than those received Sham electrical stimulation and this simply can be explained by the more decrease in the FI episodes in Group A in comparison with Group B. The assessment of QOL domains is one of the cornerstones In the current study and the lack of follow-up data in the literature about the long-term effect of BTPTNS was a great obstacle.…”

Bilateral transcutaneous tibial nerve stimulation for chronic constipation

“…Transcutaneous tibial nerve stimulation (TTNS) targets the tibial nerve in a similar fashion to PTNS but does not require needle puncture . Compared with PTNS it is cheap, noninvasive and deliverable by the patient at home . Bilateral TTNS for functional constipation remains untested.…”