scholarly journals Factors Associated With Efficacy of Percutaneous Tibial Nerve Stimulation for Fecal Incontinence, Based on Post-Hoc Analysis of Data From a Randomized Trial

2017 ◽  
Vol 15 (12) ◽  
pp. 1915-1921.e2 ◽  
Author(s):  
Emma J. Horrocks ◽  
Sami A. Chadi ◽  
Natasha J. Stevens ◽  
Steven D. Wexner ◽  
Charles H. Knowles
Keyword(s):  
Fecal Incontinence ◽  
Randomized Trial ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Post Hoc Analysis ◽  
Factors Associated ◽  
Tibial Nerve Stimulation ◽  
Post Hoc

Randomized Trial of Percutaneous Tibial Nerve Stimulation Versus Extended-Release Tolterodine: Results From the Overactive Bladder Innovative Therapy Trial

2009 ◽  
Vol 182 (3) ◽  
pp. 1055-1061 ◽  
Author(s):  
Kenneth M. Peters ◽  
Scott A. MacDiarmid ◽  
Leslie S. Wooldridge ◽  
Fah Che Leong ◽  
S. Abbas Shobeiri ◽  
...  
Keyword(s):  
Overactive Bladder ◽  
Randomized Trial ◽  
Nerve Stimulation ◽  
Extended Release ◽  
Tibial Nerve ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Innovative Therapy ◽  
Tibial Nerve Stimulation ◽  
Therapy Trial

Medium-term outcome of percutaneous tibial nerve stimulation in the treatment of fecal incontinence

2018 ◽  
Vol 22 (11) ◽  
pp. 875-879 ◽  
Author(s):  
M. Hidalgo-Pujol ◽  
V. Andriola ◽  
L. M. Jimenez-Gomez ◽  
F. Ostiz ◽  
E. Espin
Keyword(s):  
Fecal Incontinence ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Medium Term ◽  
Term Outcome ◽  
Tibial Nerve Stimulation

scholarly journals A novel combined anorectal biofeedback and percutaneous tibial nerve stimulation protocol for treating fecal incontinence

2020 ◽  
Vol 13 ◽  
pp. 175628482091638
Author(s):  
Yoav Mazor ◽  
Gillian M. Prott ◽  
Carol Sequeira ◽  
Michael Jones ◽  
Anastasia Ejova ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Treatment Options ◽  
Treatment Protocol ◽  
Patient Comfort ◽  
Future Research ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Biofeedback Therapy ◽  
Tibial Nerve Stimulation

Background/Aims: Fecal incontinence (FI) is a common, debilitating condition that causes major impact on quality of life for those affected. Non-surgical treatment options include anorectal biofeedback therapy (BF) and percutaneous tibial nerve stimulation (PTNS), usually performed separately. The aims of the current study were to determine the feasibility, tolerability, safety, and efficacy of performing a combined BF and PTNS treatment protocol. Methods: Female patients with urge FI were offered a novel pilot program combining BF with PTNS. The treatment protocol consisted of 13 weekly sessions: an educational session, followed by 5 combined BF and PTNS sessions, 6 PTNS and a final combined session. Anorectal physiology and clinical outcomes were assessed throughout the program. For efficacy, patients were compared with BF only historical FI patients matched for age, parity, and severity of symptoms. Results: A total of 12/13 (93%) patients completed the full program. Overall attendance rate was 93% (157/169 sessions). Patient comfort score with treatment was rated high at 9.8/10 (SD 0.7) for PTNS and 8.6/10 (SD 1.7) for the BF component. No major side effects were reported. A reduction of at least 50% in FI episodes/week was achieved by 58% of patients by visit 6, and 92% by visit 13. No physiology changes were evident immediately following PTNS compared with before, but pressure during sustained anal squeeze improved by the end of the treatment course. Comparing outcomes with historical matched controls, reductions in weekly FI episodes were more pronounced in the BF only group at visit 6, but not week 13. Conclusions: In this pilot study, concurrent PTNS and anorectal biofeedback therapy has been shown to be feasible, comfortable, and low risk. The combined protocol is likely to be an effective treatment for FI, but future research could focus on optimizing patient selection.

Factors associated with overactive bladder symptom improvement after 1 year of monthly percutaneous tibial nerve stimulation therapy

2019 ◽  
Vol 38 (6) ◽  
pp. 1676-1684
Author(s):  
Joseph Pincus ◽  
Ghazaleh Rostaminia ◽  
Cecilia Chang ◽  
Adam Gafni‐Kane ◽  
Roger P. Goldberg
Keyword(s):  
Overactive Bladder ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Symptom Improvement ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Factors Associated ◽  
Tibial Nerve Stimulation ◽  
Bladder Symptom

Randomized Pilot Study Anal Inserts Versus Percutaneous Tibial Nerve Stimulation In Patients With Fecal Incontinence

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Cosimo Alex Leo ◽  
Gregory P. Thomas ◽  
Jonathan D. Hodgkinson ◽  
Marjolein Leeuwenburgh ◽  
Ellie Bradshaw ◽  
...  
Keyword(s):  
Pilot Study ◽  
Fecal Incontinence ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Tibial Nerve Stimulation

Home-Based Percutaneous Tibial Nerve Stimulation for Fecal Incontinence

2015 ◽  
Vol 261 (1) ◽  
pp. e1 ◽  
Author(s):  
Ugo Grossi ◽  
Alexander Hotouras ◽  
Emma Horrocks ◽  
Marion Allison ◽  
Christopher L. Chan ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Nerve Stimulation ◽  
Tibial Nerve ◽  
Percutaneous Tibial Nerve Stimulation ◽  
Tibial Nerve Stimulation ◽  
Home Based
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