Sacral transcutaneous electrical nerve stimulation in the treatment of idiopathic faecal incontinence

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
S S B ChewW Adams

Abstract

The aim of this study was to investigate the potential use of S3 transcutaneous electrical nerve stimulation (TENS) in the treatment of idiopathic faecal incontinence. Seventeen patients were treated by S3 TENS 2 h a day for 3 months. The outcome was evaluated by faecal incontinence severity index (FISI), faecal incontinence quality of life scale (FIQOL), 7-day bowel diary, anorectal physiology, patients' self-reported impression of improvement, bowel control and satisfaction with treatment on a visual analogue scale. Seventeen patients (13 women) of mean age 67.2 years (52-80) were followed up for a mean of 19.7 months. The FISI improved in 69% after 3 months of TENS (P < 0.01), and all components of FIQOL improved. The number of incontinent episodes per week fell for incontinence to gas and stool (solid and/or liquid). There was no significant difference in the maximum resting pressure and squeeze pressure, but the mean rectal volume of first sensation (12.1 ml, P = 0.027) and first urge (25.0 ml, P = 0.054) fell, and the maximum tolerable volume (16.0 ml, P = 0.679) rose. The satisfaction score was ≥ 6/10 in all patients. Fifteen (88%) scored ≥ 6/10 for bowel control, and all patients scored ≥ 2 (scale: -5 to +5) for their i...Continue Reading

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Citations

May 12, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Y Beyazit
Aug 6, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G P ThomasC J Vaizey
Aug 10, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·G P ThomasC J Vaizey
Mar 13, 2012·International Journal of Surgery·Emad H Aly
Jul 7, 2017·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·D W KauffW Kneist
Jul 12, 2014·Journal of Clinical Gastroenterology·Satish S C Rao
Feb 9, 2013·Diseases of the Colon and Rectum·Edmund Leung, James Francombe
Jul 18, 2020·United European Gastroenterology Journal·Ferdinando D'AmicoLaurent Peyrin-Biroulet
Feb 17, 2021·Journal of Neural Engineering·Marina CracchioloSilvestro Micera

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