Posterior tibial nerve stimulation in the treatment of fecal incontinence: a systematic review

Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva
Rubén Arroyo FernándezAsunción Ferri Morales

Abstract

Fecal incontinence severely impacts on quality of life, causing stigmatization and social exclusion. Posterior tibial nerve stimulation (PTNS) is one technique used for treatment. This systematic review aims to assess the effectiveness of PTNS for the treatment of fecal incontinence. A literature review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) declaration. Pubmed, Scopus, Web of Knowledge and PEDro databases were searched for both randomized clinical trials and cases series. The outcome variables were treatment effectiveness, severity of incontinence and quality of life; all were measured in the short, mid and long-term after performing both percutaneous and transcutaneous PTNS. Twenty-three studies met the selection criteria. Two clinical trials found significant differences in treatment effectiveness compared to the placebo response. Fifteen cases series observed significant differences in terms of effectiveness, severity and quality of life. All clinical trials achieved a reduction in the number of incontinence episodes and an increase in the deferral time for defecation. Optimal results were achieved by interventions consisting of one or two weekly sess...Continue Reading

References

Jul 18, 1992·BMJ : British Medical Journal·J E BrazierL Westlake
Dec 4, 2001·The British Journal of Psychiatry : the Journal of Mental Science·A MykletunA A Dahl
Nov 20, 2002·European Journal of Gastroenterology & Hepatology·Hans-Helmut KönigReiner Leidl
Feb 24, 2004·Gastroenterology·Satish S C Rao
Feb 24, 2004·Gastroenterology·Todd H Rockwood
Oct 16, 2004·Diseases of the Colon and Rectum·Alexandra K MacmillanBryan R Parry
Nov 1, 2005·Diseases of the Colon and Rectum·Marcia L McGoryClifford Y Ko
Dec 7, 2005·International Journal of Colorectal Disease·M QueraltoF Lazorthes
Jan 26, 2008·Diseases of the Colon and Rectum·Yasuko MaedaMichael A Kamm
Sep 17, 2008·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Katharine FisherKay Savik
Aug 14, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B GovaertC G Baeten
Mar 23, 2010·Diseases of the Colon and Rectum·Derek J BoyleChristopher L H Chan
Jun 16, 2010·International Journal of Colorectal Disease·Marianne EléouetJean François Bretagne
Jul 16, 2010·Annals of the Royal College of Surgeons of England·John M FindlayCharles Maxwell-Armstrong
Dec 15, 2010·Journal of Clinical Epidemiology·Anne M MoseleyMark R Elkins
Feb 10, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K E Matzel
Oct 8, 2011·Diseases of the Colon and Rectum·A SharmaI P Bissett
Dec 8, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A HotourasC L H Chan
Aug 10, 2013·Diseases of the Colon and Rectum·Gregory P ThomasCarolynne J Vaizey
Oct 15, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G P ThomasC J Vaizey
Jan 22, 2014·The British Journal of Surgery·E J HorrocksC H Knowles
Mar 29, 2014·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A López-DelgadoR Calpena
May 14, 2014·Diseases of the Colon and Rectum·Zeiad I HussainStevan Stojkovic
Feb 24, 2015·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M Jiménez-ToscanoJ A Rueda Orgaz
May 15, 2015·Obstetrical & Gynecological Survey·Autumn L EdenfieldNazema Y Siddiqui
Oct 27, 2015·Techniques in Coloproctology·E Peña RosA Albarracín Marín-Blázquez

❮ Previous
Next ❯

Citations

Aug 3, 2020·JAAPA : Official Journal of the American Academy of Physician Assistants·Amanda P Stanton, Anita H Chen
Jan 6, 2021·Diseases of the Colon and Rectum·Cosimo Alex LeoCarolynne J Vaizey

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.