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....
Main Authors: | , , , , |
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Format: | info:eu-repo/semantics/article |
Language: | English |
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MDPI
2022
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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. |
format | info:eu-repo/semantics/article |
id | oai:repositorio.ual.es:10835-13932 |
institution | Universidad de Cuenca |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | dspace |
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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