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Sacral nerve stimulation versus percutaneous posterior tibial nerve stimulation in the treatment of severe fecal incontinence in men

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Abstract

Background

Sacral nerve stimulation and percutaneous posterior tibial nerve stimulation have been described previously as effective treatments for fecal incontinence. Nevertheless, there does not exist any study that compares the efficiency of both. The aim of this study was to compare the use of SNS and PPTNS in males with FI.

Methods

We conducted a prospective cohort study on men with FI treated with SNS or PTNS in the Coloproctology Unit of the University General Hospital of Elche and Reina Sofia of Murcia between January 2010 and December 2011. Preoperative assessment included physical examination, anorectal manometry, and anal endosonography. Anal continence was evaluated using the Wexner continence grading system. Quality of life was evaluated using the Fecal Incontinence Quality of life Scale.

Results

Nineteen patients were included (ten patients SNS and nine PPTNS). SNS improved FI in nine of the ten patients. The mean Wexner score decreased significantly from a median of 14 (12–16) (preoperative) to 4 (1–8) (6-month revision) (p = 0.007). PTNS improved FI in seven of the nine patients. The mean Wexner score decreased significantly from a median of 12 (11–19) (preoperative) to 5 (4–7) (6-month revision) (p = 0.018). Both treatments produced symptomatic improvement without statistical differences between them.

Conclusions

Our study was nonrandomized with a relatively small number of patients. PPTNS had similar efficiency to the SNS in our men population. However, more studies are necessary to exclude selection bias and analyze long-term results.

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References

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Authors and Affiliations

  1. Coloproctology Unit, Department of Surgery, University General Hospital of Elche, Alicante, Spain

    P. Moya, A. Arroyo & R. Calpena

  2. Coloproctology Unit, Department of Surgery, University General Hospital Reina Sofia, Murcia, Spain

    P. Parra, E. Peña & J. Benavides

Authors
  1. P. Moya
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  2. P. Parra
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  3. A. Arroyo
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  4. E. Peña
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  5. J. Benavides
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  6. R. Calpena
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Corresponding author

Correspondence to P. Moya.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the participant included in the study.

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Moya, P., Parra, P., Arroyo, A. et al. Sacral nerve stimulation versus percutaneous posterior tibial nerve stimulation in the treatment of severe fecal incontinence in men. Tech Coloproctol 20, 317–319 (2016). https://doi.org/10.1007/s10151-016-1443-5

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  • DOI: https://doi.org/10.1007/s10151-016-1443-5

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