Document Detail


Percutaneous tibial nerve versus sacral nerve stimulation for faecal incontinence: a comparative case-matched study.
MedLine Citation:
PMID:  24911219     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIM: The study assessed the initial experience with posterior tibila nerve stimulation (PTNS) for faecal incontinence and compared it to sacral nerve stimulation (SNS) performed in a single centre during the same timespan.
METHOD: A retrospective review of a prospectively collected database has been conducted at a colorectal Unit -University Hospital, Nantes, France from May 2009 to December 2010. Seventy-eight patients diagnosed with chronic severe faecal incontinence underwent neurostimulation including PTNS in 21and SNS in 57. The main outcome measures were faecal incontinence (Wexner score) and quality of life (Fecal Incontinence Quality of Life, FIQL) scores in a short-term follow-up.
RESULTS: No significant differences were observed in patients' characteristics. Of 57 patients having SNS, 18 (32%) failed peripheral nerve evaluation (PNE) and 39 (68%) received a permanent implant. Two (5%) developed a wound infection. No adverse effects were recorded in the PTNS group. There was no significant difference in the mean Wexner and FIQL scores between patients having PTNS and SNS at six (p = 0.39 and 0.09)) and 12 months (p = 0.79 and 0.37). A 50% or more improvement in Wexner score was seen at six and 12 months in 47% and 30% of PTNS patients and in 50% and 58% of SNS patients with no significant difference between the groups..
CONCLUSION: PTNS is a valid method of treating faecal incontinence in the short term when conservative treatment has failed. It is an easier, simpler, cheaper, and less invasive than SNS with a similar short-term outcome. This article is protected by copyright. All rights reserved.
Authors:
Sami Al Asari; Guillaume Meurette; Surendra Mantoo; Caroline Kubis; Vincent Wyart; Paul-Antoine Lehur
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-6-9
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  Colorectal Dis     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-6-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
This article is protected by copyright. All rights reserved.
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