Percutaneous tibial nerve stimulation (PTNS) in females with faecal incontinence: the impact of sphincter morphology and rectal sensation on the clinical outcome

Hotouras, Alexander; Thaha, Mohamed A.; Allison, Marion; Currie, Ann; Scott, S. M.; Chan, Christopher L.

doi:10.1007/s00384-011-1405-3

Cited by 39 publications

(38 citation statements)

References 10 publications

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“…29,[33][34][35] All of the studies showed a statistically significant decrease in FI episodes per week after PTNS therapy. 29,[33][34][35] The largest study of 115 subjects found a decrease in weekly FI episodes, from a median of 5 …”

Section: Bowel Symptoms-percutaneous Ptnsmentioning

confidence: 90%

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Posterior Tibial Nerve Stimulation for the Treatment of Fecal Incontinence

Edenfield¹,

Amundsen²,

Wu³

et al. 2015

Obstetrical &Amp; Gynecological Survey

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Section: Bowel Symptoms-percutaneous Ptnsmentioning

confidence: 90%

“…These studies likely contained overlapping study populations and therefore may also contain duplicate results. 29,[33][34][35] …”

mentioning

confidence: 98%

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Posterior Tibial Nerve Stimulation for the Treatment of Fecal Incontinence

Edenfield¹,

Amundsen²,

Wu³

et al. 2015

Obstetrical &Amp; Gynecological Survey

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“…6 Given this, sacral nerve stimulation is not recommended as a first-line management strategy. Other noninvasive and more economical neuromodulatory techniques have thus been explored, such as pudendal nerve stimulation, 7 posterior tibial nerve stimulation, 8,9 and magnetic stimulation of the sacral nerves. 10 This review will address the latest technique, transcutaneous interferential current therapy.…”

Section: Introductionmentioning

confidence: 99%

Neuromodulation via Interferential Electrical Stimulation as a Novel Therapy in Gastrointestinal Motility Disorders

Moore

Burgell

2018

J Neurogastroenterol Motil

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The concept of therapeutic percutaneous neuromodulation has, until recently, been limited by the ability to penetrate deeply enough to stimulate internal organs. By utilizing 2 medium frequency, slightly out of phase electrical currents passing diagonally through the abdomen, a third, low frequency current is created at the point of bisection. This interferential current appears to stimulate nerve fibers in the target organs and may have a therapeutic action. The aim of the study is to review the use of transcutaneous interferential electrical stimulation with a focus on its application in gastroenterology, particularly in motility disorders. Studies involving use of interferential current therapy were searched from Medline, PubMed, and Scopus databases, and articles pertaining to history, its application and all those treating abdominal and gastrointestinal disorders were retrieved. Seventeen studies were identified, 13 involved children only. Eleven of these were randomised controlled trials (3 in adults). Four trials were from the one center, where each paper reported on different outcomes such as soiling, defecation frequency, quality of life, and colon transit studies from the one pool of children. All studies found statistically significant improvement in symptom reduction. However, weaknesses in study design were apparent in some. In particular, finding an adequate placebo to interferential current therapy has been difficult. Interferential current therapy shows potential as a novel, non-pharmacological and economical means of treating gastrointestinal dysfunction such as constipation. More studies are needed particularly in the adult population. However, the design of a suitable placebo is challenging. Search MethodA search of Medline, PubMed, and Scopus databases for information on electrical interferential current and its application using search words such as "electrical interferential current," "transcutaneous," "therapeutics or uses," "mechanisms of action," and "gastrointestinal" was performed. Articles that were available in English were included. This review focuses on the use of transcutaneous interferential current therapy in the treatment of gastrointestinal symptoms. The Nature of Interferential Current TherapyInterferential current therapy has been used in a variety of settings including low back pain 11 and neurological disorders such as carpal tunnel syndrome. 12 More recently, interferential current therapy has been found to be effective in small studies in managing conditions such as fecal incontinence and constipation. It has the benefit of being completely non-invasive, cost effective and convenient, as it can be self-administered at home. 13Despite increased convenience to the patient, doctor and payer, the use of transcutaneously-delivered current can be problematic. To stimulate the nerve of interest, the current has to pass through the skin and surrounding muscle to reach its target. This causes resistance to flow, requiring the use of a higher current to achieve the desired resu...

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“…In conclusion, botulinum A toxin may have a novel role to play in the management of selected patients with overactive or hypersensitive rectum. Large prospective studies are required to provide pivotal mechanistic data and assess its long‐term efficacy, safety and cost‐effectiveness against other minimally invasive therapeutic options, such as percutaneous tibial nerve stimulation, which has been found to be effective in the short term, irrespective of sphincter morphology and rectal sensation [6,8].…”

mentioning

confidence: 99%

Re: Botulinum A toxin as a treatment for overactive rectum with associated faecal incontinence

Hotouras

Chan

2012

Colorectal Disease

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Percutaneous tibial nerve stimulation (PTNS) in females with faecal incontinence: the impact of sphincter morphology and rectal sensation on the clinical outcome

Abstract: PTNS is an effective treatment in female patients with FI. Improvements in clinical outcomes were independent of damage to the anal sphincter complex in patients with normal rectal sensation.

Cited by 39 publications

References 10 publications

Posterior Tibial Nerve Stimulation for the Treatment of Fecal Incontinence

Posterior Tibial Nerve Stimulation for the Treatment of Fecal Incontinence

Neuromodulation via Interferential Electrical Stimulation as a Novel Therapy in Gastrointestinal Motility Disorders

Re: Botulinum A toxin as a treatment for overactive rectum with associated faecal incontinence

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