Percutaneous tibial nerve stimulation for slow transit constipation: a pilot study

Abstract

Percutaneous tibial nerve stimulation has potential as an affordable and minimally invasive treatment for slow transit constipation.

Effectiveness of percutaneous tibial nerve stimulation in managing refractory constipation

“…Its role in managing constipation, however, has not been investigated in detail. The only published study of its effectiveness in constipation reported a success rate of 32% . In contrast the present study had a significantly lower overall success rate of 11.8%.…”

A review of sacral nerve stimulation for faecal incontinence following rectal surgery and radiotherapy

“…There were no reports of posterior tibial nerve stimulation (PTNS) or pudendal nerve stimulation after radiotherapy or rectal surgery although the former has been reported in many studies to be effective for faecal incontinence . PTNS has also been reported in constipation , with a similar effect to SNS . PTNS is cheap and can be performed as an outpatient procedure and therefore, given the cost of SNS, PTNS should be investigated in these patients.…”

Percutaneous endoscopic colostomy for adults with chronic constipation: Retrospective case series of 12 patients

“…Previous reports demonstrate variable efficacy of these surgical treatment entities, and morbidity of these procedures is high . Less invasive and potentially reversible procedures such as sacral neuromodulation and tibial nerve stimulation have been disappointing with respect to efficacy . Therefore, exploration of potentially efficacious minimally invasive therapeutic alternatives for refractory constipation is warranted.…”

“…7,[10][11][12] Less invasive and potentially reversible procedures such as sacral neuromodulation and tibial nerve stimulation have been disappointing with respect to efficacy. [13][14][15][16][17] Therefore, exploration of potentially efficacious minimally invasive therapeutic alternatives for refractory constipation is warranted.…”