Efficacy of Posterior Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Systematic Review

Fecal incontinence is a condition that carries high social stigmatization and a determining factor in the quality of life of the person who suffers from it. Its etiology is multifactorial and treatment includes surgical and conservative measures, including stimulation of the posterior tibial nerve....

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Main Authors: Ibáñez-Vera, Alfonso Javier, Mondéjar-Ros, Rosa María, Franco-Bernal, Vanessa, Molina Torres, Guadalupe, Diaz-Mohedo, Esther
Format: info:eu-repo/semantics/article
Language:English
Published: MDPI 2022
Subjects:
Online Access:http://hdl.handle.net/10835/13932
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author Ibáñez-Vera, Alfonso Javier
Mondéjar-Ros, Rosa María
Franco-Bernal, Vanessa
Molina Torres, Guadalupe
Diaz-Mohedo, Esther
author_facet Ibáñez-Vera, Alfonso Javier
Mondéjar-Ros, Rosa María
Franco-Bernal, Vanessa
Molina Torres, Guadalupe
Diaz-Mohedo, Esther
author_sort Ibáñez-Vera, Alfonso Javier
collection DSpace
description Fecal incontinence is a condition that carries high social stigmatization and a determining factor in the quality of life of the person who suffers from it. Its etiology is multifactorial and treatment includes surgical and conservative measures, including stimulation of the posterior tibial nerve. The aim of this review is to determine whether posterior tibial nerve stimulation (PTNS) is more effective than other treatments in reducing episodes of fecal incontinence in adults. A systematic review of randomized clinical trials that analyzed different approaches and comparisons with other treatments in adults without neurological or metabolic diseases was carried out, analyzing, fundamentally, the reduction of episodes of fecal incontinence. In general, a reduction in fecal incontinence episodes is observed in the experimental groups compared with the control groups, although these differences are not significant in most studies. The results regarding the effectiveness of PTNS in reducing episodes of fecal incontinence compared to other treatments are not entirely conclusive, although benefits are observed regarding the stimulation of sacral roots. More well-designed studies with a long-term follow-up of the results are needed so that the recommendation of this treatment can be generalized.
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spelling oai:repositorio.ual.es:10835-139322023-04-12T19:17:54Z Efficacy of Posterior Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Systematic Review Ibáñez-Vera, Alfonso Javier Mondéjar-Ros, Rosa María Franco-Bernal, Vanessa Molina Torres, Guadalupe Diaz-Mohedo, Esther fecal incontinence tibial nerve electric stimulation therapy ranscutaneous electric nerve stimulation adult Fecal incontinence is a condition that carries high social stigmatization and a determining factor in the quality of life of the person who suffers from it. Its etiology is multifactorial and treatment includes surgical and conservative measures, including stimulation of the posterior tibial nerve. The aim of this review is to determine whether posterior tibial nerve stimulation (PTNS) is more effective than other treatments in reducing episodes of fecal incontinence in adults. A systematic review of randomized clinical trials that analyzed different approaches and comparisons with other treatments in adults without neurological or metabolic diseases was carried out, analyzing, fundamentally, the reduction of episodes of fecal incontinence. In general, a reduction in fecal incontinence episodes is observed in the experimental groups compared with the control groups, although these differences are not significant in most studies. The results regarding the effectiveness of PTNS in reducing episodes of fecal incontinence compared to other treatments are not entirely conclusive, although benefits are observed regarding the stimulation of sacral roots. More well-designed studies with a long-term follow-up of the results are needed so that the recommendation of this treatment can be generalized. 2022-09-07T16:37:52Z 2022-09-07T16:37:52Z 2022-09-01 info:eu-repo/semantics/article 2077-0383 http://hdl.handle.net/10835/13932 10.3390/jcm11175191 en https://www.mdpi.com/2077-0383/11/17/5191 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI
spellingShingle fecal incontinence
tibial nerve
electric stimulation therapy
ranscutaneous electric nerve stimulation
adult
Ibáñez-Vera, Alfonso Javier
Mondéjar-Ros, Rosa María
Franco-Bernal, Vanessa
Molina Torres, Guadalupe
Diaz-Mohedo, Esther
Efficacy of Posterior Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Systematic Review
title Efficacy of Posterior Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Systematic Review
title_full Efficacy of Posterior Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Systematic Review
title_fullStr Efficacy of Posterior Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Systematic Review
title_full_unstemmed Efficacy of Posterior Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Systematic Review
title_short Efficacy of Posterior Tibial Nerve Stimulation in the Treatment of Fecal Incontinence: A Systematic Review
title_sort efficacy of posterior tibial nerve stimulation in the treatment of fecal incontinence: a systematic review
topic fecal incontinence
tibial nerve
electric stimulation therapy
ranscutaneous electric nerve stimulation
adult
url http://hdl.handle.net/10835/13932
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