Percutaneous Tibial Nerve Stimulation for the Treatment of Urge Fecal Incontinence

Boyle, Derek J.; Prosser, Karyn; Allison, Marion; Williams, Norman S.; Chan, Christopher L.

doi:10.1007/dcr.0b013e3181c75274

Cited by 81 publications

(61 citation statements)

References 25 publications

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“…Furthermore, improvements in patient quality of life have been observed. 22,24,25,26,27 Consistently, PTNS also improved the FI score and quality-of-life values in our study. In addition, 15 (68%) patients experienced more than 50% reduction in the number of FI episodes.…”

Section: Discussionsupporting

confidence: 87%

“…Following this publication, various materials, such as autologous fat, collagen analogs, and silicon, have been used and demonstrated positive results. 30,31 Although this method has been used for 20 years to treat FI, the optimal agent, quantity of the agent, injection technique, injection area and number of injections have not been clearly defined. 32 In our study, thin, solid polyacrylonitrile cylinders, first used by Ratto et al, 32 were used as an implant material.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of percutaneous tibial nerve stimulation and bulking agent injection (polyacrylonitrile) in treating fecal incontinence

Keskin¹,

Karıp²,

Şahbaz³

et al. 2016

TJCD

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Amaç: Fekal inkontinans, halen kolorektal cerrahların günlük pratiği içinde kompleks bir sorun olmayı sürdürmektedir. Sinir stimülasyonu ve dolgu madde enjeksiyonu bu hastalığın tedavisi için kullanılan iki minimal invaziv tedavi yöntemidir. Bu çalışmamızda, fekal inkontinans tedavisinde, perkütan tibial sinir stimülasyonu (PTSS) ile dolgu madde enjeksiyonu yöntemlerinin kısa dönem sonuçlarını değerlendirmeyi amaçladık. Yöntem: İstanbul Üniversitesi İstanbul Tıp Fakültesi'nde fekal inkontinans nedeniyle bu iki yöntemin uygulandığı 41 hasta çalışmaya dahil edildi. İki grup demografik veriler, fekal inkontinans etiyolojisi, anorektal fizyolojik testler, Wexner Fekal İnkontinans Skoru ve Modifiye Fekal İnkontinans Yaşam Kalite Skoru açısından değerlendirildi. Anketler tedavi öncesi ve tedavi sonrası 12. ayda yapıldı. Bulgular: Hastaların 24'ü (%59) kadın, 17'si (%41) erkekti. Ortalama yaş 50 (25-71) ve ortalama vücut kitle indeksi ise 27,7 kg/m 2 (20-41) idi. Yirmi iki (%54) hastaya PTSS uygulanırken, 19 hastaya (%46) dolgu madde enjeksiyonu yapıldı. Her iki grup demografik veriler, tedavi öncesi yapılan fekal inkontinans değerlendirme ve yaşam kalite ölçümü açısından benzeşik bulundu. Tedavi öncesi ve sonrası, inkontinans ve yaşam kalite ölçek skorları karşılaştırıldığında, her iki yöntem de fekal inkontinans tedavisinde etkin bulundu (p<0,001). Her iki yöntem kendi arasında karşılaştırıldığında, eşdeğer oldukları görüldü (p=0,315 ve 0,501). Sonuç: Her iki teknik, fekal inkontinansın tedavisinde etkin bulunmuştur. PTSS daha az invazivken, dolgu madde enjeksiyonu ile daha hızlı düzelme elde edilmekte ve hasta geliş sayısı daha az olmaktadır. Anahtar Kelimeler: Fekal inkontinans, sinir stimülasyonu, dolgu madde enjeksiyonu ÖZ ABSTRACTAim: Fecal incontinence is still a complex disorder in the daily practices of colorectal surgeons. Nerve stimulation and injection of bulking agent are two minimal invasive methods in the treatment of fetal incontinence. In the present study, the aim was to compare the short-term effectiveness of percutaneous tibial nerve stimulation (PTNS) and injection of bulking agent in the treatment of fecal incontinence. Method: A total of 41 patients with fecal incontinence, who were treated with PTNS or bulking agent injection at İstanbul University İstanbul Faculty of Medicine, were enrolled in the study. Both groups were evaluated in terms of demographic data, the etiology of fecal incontinence, anorectal physiology test results, Wexner Fecal Incontinence Score and Modified Fecal Incontinence Quality of Life-Scale scores. The questionnaires were performed in the 12 th month of the pre-and post-treatment periods. Results: Of the patients, 24 (59%) were female, and 17 (41%) were male. The median age was 50 years (in between 25-71 years), and the mean body mass index was 27.7 kg/m 2 (in between 20-41 kg/m 2 ). Twenty-two (54%) patients underwent PTNS; whereas, 19 (46%) patients underwent bulking agent injection. Both groups were found to be similar in terms of demographic data, pre-treatment feca...

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Comparison of percutaneous tibial nerve stimulation and bulking agent injection (polyacrylonitrile) in treating fecal incontinence

Keskin¹,

Karıp²,

Şahbaz³

et al. 2016

TJCD

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show abstract

“…Percutaneous tibial nerve stimulation is an alternative minimally invasive technique for neurostimulation, utilizing the posterior tibial nerve at the ankle, that had gained popularity for the treatment of fecal incontinence [19,20]. It has not been formally investigated as a treatment modality for LARS.…”

Section: Sacral Neuromodulationmentioning

confidence: 99%

Neuromodulation for low-anterior resection syndrome

McCawley

O’Connell

2017

Colorect. Cancer

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“…41 Similar to sacral nerve stimulation, posterior tibial nerve stimulation has been used in patients with urinary incontinence. It involves an office-based procedure, which involves repeated electrical stimulation of the posterior tibial nerve by needle insertion.…”

Section: Review Articlementioning

confidence: 99%

“…One prospective study of 31 patients with urge fecal incontinence reported improvement in 21 patients (68%) during a median follow-up of 9 months. 41 Patients with severe fecal incontinence in whom all conservative and surgical treatments fail can undergo fecal diversion as a last resort. A diverting colostomy is reserved for patients with poor quality of life.…”

Section: Review Articlementioning

confidence: 99%

Current Management of Fecal Incontinence

Wang

Abbas

2013

TPJ

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Percutaneous Tibial Nerve Stimulation for the Treatment of Urge Fecal Incontinence

Abstract: This preliminary study demonstrates that percutaneous tibial nerve stimulation is an effective and very well tolerated treatment for patients with urge fecal incontinence with particular improvement in reducing fecal urgency.

Cited by 81 publications

References 25 publications

Comparison of percutaneous tibial nerve stimulation and bulking agent injection (polyacrylonitrile) in treating fecal incontinence

Comparison of percutaneous tibial nerve stimulation and bulking agent injection (polyacrylonitrile) in treating fecal incontinence

Neuromodulation for low-anterior resection syndrome

Current Management of Fecal Incontinence

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