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A prospective multicentre study to investigate percutaneous tibial nerve stimulation for the treatment of faecal incontinence.

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Abstract

Aim Percutaneous tibial nerve stimulation (PTNS) is a minimal invasive treatment that can be performed in the outpatient clinic. This is a pilot study to investigate PTNS in the treatment of faecal incontinence.

Method Percutaneous tibial nerve stimulation was performed by insertion of a needle electrode near the posterior tibial nerve. Patients were treated twice a week. Evaluation of faecal incontinence and quality of life was performed at baseline, 6 weeks, 3 months, 6 months and 1 year. Quality of life was estimated using SF-36 and FIQL questionnaires.

Results A total of 22 patients were included. The mean age was 60.4 +/- 11.7 years. After 6 weeks, 18 continued the treatment; 13 patients had a > 50% decrease in incontinence episodes. Overall incontinence episodes fell from 19.6 +/- 21.0 at baseline to 9.9 +/- 15.5 (P = 0.082) at 6 weeks and to 3.6 +/- 4.8 (P = 0.029) at 1 year. Postponement time and quality of life increased significantly during follow up.

Conclusion Percutaneous tibial nerve stimulation is simple and can be used in the outpatient setting. Good results can be obtained and sustained during maintenance treatment.

    Research areas

  • Faecal incontinence, neuromodulation, posterior tibial nerve stimulation, nerve stimulation, REFRACTORY OVERACTIVE BLADDER, SACRAL NEUROMODULATION, PREVALENCE
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Details

Original languageEnglish
Pages (from-to)1236-1241
Number of pages6
JournalColorectal Disease
Volume12
Issue number12
DOIs
Publication statusPublished - Dec 2010