Abstract
Background
This study evaluated the possible effects of posterior tibial nerve stimulation in two patients with faecal incontinence due to partial spinal cord injury.
Methods
Posterior tibial nerve stimulation was performed for 30 min, every other day for 4 weeks, and was then repeated every 2 months for three months. Clinical examination, anorectal physiological work-up, faecal incontinence severity index, and quality of life assessments were performed before and after the treatment.
Results
After posterior tibial nerve stimulation, patients showed improvement in rectal sensory threshold, pudendal nerve terminal motor latency, Wexner faecal incontinence score, faecal incontinence severity index, faecal incontinence quality of life scales, resting pressure, and maximum squeeze pressure measurements.
Conclusions
Posterior tibial nerve stimulation can be an effective method for the treatment of faecal incontinence caused by partial spinal cord injury.
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References
Nelson R, Norton N, Cautley E, Furner S (1995) Communitiy-based prevalence of anal incontinence. JAMA 274:559–561
Jarrett M (2005) Neuromodulation for constipation and fecal incontinence. Urol Clin N Am 32:79–87
Jarrett ME, Matzel KE, Christiansen J et al (2005) Sacral nerve stimulation for faecal incontinence in patients with previous partial spinal injury including disc prolapse. Br J Surg 92:734–739
Longo WE, Ballantyne GH, Modlin IM (1989) The colon anorectum and spinal cord patient. A review of the functional alternations of the denervated hindgut. Dis Colon Rectum 32:261–267
Lynch AC, Antony A, Dobbs BR, Frizelle FA (2001) Bowel dysfunction following spinal cord injury. Spinal Cord 39:193–203
Mills PM, Deakin M, Kiff ES (1990) Percutaneous electrical stimulation for anorectal incontinence. Physiotherapy 76:433–438
Scheuer M, Kuijpers HC, Bleijenberg G (1994) Effect of electrostimulation on sphincter function in neurogenic fecal continence. Dis Colon Rectum 37:590–594
Shafik A (1995) Inferior rectal nerve stimulation for anal sphincteric control: experimental study. J Surg Res 59:441–445
Shafik A (2000) Inferior rectal nerve stimulation in the treatment of idiopathic fecal incontinence. J Pelvic Surg 6:145–149
Shafik A (1995) Sacral root stimulation for controlled defecation. Eur Surg Res 27:63–68
Warwick R, Williams PL (1975) Neurology. In: Warwick R, Williams PL (eds) Gray’s anatomy. Longman, Edinburgh, pp 1056–1064
Shafik A, Ahmed I, El-Sibai O, Mostafa RM (2003) Percutaneous peripheral neuromodulation in the treatment of fecal incontinence. Eur Surg Res 35:103–107
Glia A, Gylin M, Akerlund JE, Lindfors U, Lindberg G (1998) Biofeedback training in patients with fecal incontinence. Dis Colon Rectum 41:359–364
Glickman S, Kamm MA (1996) Bowel dysfunction in spinal-cord-injury patients. Lancet 347:1651–1653
Queralto M, Portier G, Cabarrot PH et al (2006) Preliminary results of peripheral transcutaneous neuromodulation in the treatment of idiopathic fecal incontinence. Int J Colorectal Dis 21:670–672
Pescatori M, Pavesio R, Anastasio G, Daini S (1991) Transanal electrostimulation for fecal incontinence: clinical, psychologic, and manometric prospective study. Dis Colon Rectum 34:540–545
Binnic NR, Kawimbe BM, Papachrysostomou M, Smith AN (1990) Use of the pudendo-anal reflex in the treatment of neurogenic fecal incontinence. Gut 31:1051–1055
Nakamura M, Sakurai T, Tsujimoto Y, Tada Y (1983) Transcutaneous electrical stimulation for the control of frequency and urge incontinence. Hinyokika Kiyo 29:1053–1059
Krivoborodov GG, Mazo EB, Shvarts PG (2002) Afferent stimulation of the tibial nerve in patients with hyperactive bladder. Urologiia 5:36–39
Mazo EB, Krivoborodov GG (2002) Temporary sacral and tibial neuromodulation in treating patients with overactive urinary bladder. Zh Vopr Neirokhir Im N N Burdenko 1:17–21
Amarenco G, Ismael SS, Even-Schneider A et al (2003) Urodynamic effect of acute transcutaneous posterior tibial nerve stimulation in overactive bladder. J Urol 169:2210–2215
Congregado Ruiz B, Pena Outeirino XM, Campoy Martinez P, Leon Duenas E, Leal Lopez A (2004) Peripheral afferent nerve stimulation for treatment of lower urinary tract irritative symptoms. Eur Urol 45:65–69
Rosen HR, Urbarz C, Holzer B, Novi G, Schiessel R (2001) Sacral nerve stimulation as a treatment for fecal incontinence. Gastroenterology 121:536–541
Jarrett ME, Varma JS, Duthie GS, Nichols RJ, Kamm MA (2004) Sacral nerve stimulation for fecal incontinence in the UK. Br J Surg 91:755–761
Vaizey CJ, Kamm MA, Turner IC, Nichols RJ, Woloszko J (1999) Effects of short term sacral nerve stimulation on anal and rectal function in patients with anal incontinence. Gut 44:407–412
Frenckner B, Ihre T (1976) Influence of autonomic nerves on the internal anal sphincter in man. Gut 17:306–312
Emmanuel AV, Kamm MA (1999) Laser doppler measurement of rectal mucosal blood flow. Gut 45:64–69
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Mentes, B.B., Yüksel, O., Aydin, A. et al. Posterior tibial nerve stimulation for faecal incontinence after partial spinal injury: preliminary report. Tech Coloproctol 11, 115–119 (2007). https://doi.org/10.1007/s10151-007-0340-3
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DOI: https://doi.org/10.1007/s10151-007-0340-3