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Electrical stimulation fecal incontinence

Peter L Lu, Carlo Di Lorenzo
PURPOSE OF REVIEW: The use of neurostimulation for treatment of gastrointestinal disorders has been growing over the past two to three decades. Our objective is to review current applications of neurostimulation in the treatment of gastrointestinal disorders with an emphasis on the use of these treatment modalities in children. RECENT FINDINGS: Gastric electrical stimulation can lead to symptomatic improvement in children with chronic nausea and vomiting refractory to conventional treatment, and a recent report of long-term outcomes is encouraging...
October 2016: Current Opinion in Pediatrics
Maria Luiza Veiga, Elen Veruska Costa, Inaah Portella, Ananda Nacif, Ana Aparecida Martinelli Braga, Ubirajara Barroso
BACKGROUND: Parasacral transcutaneous electrical nerve stimulation (TENS) is an effective method for the treatment of overactive bladder (OAB), and, additionally, it accelerates bowel transit time. Therefore, not only does parasacral transcutaneous electrical nerve stimulation (TENS) improve lower urinary tract symptoms (LUTS), but it also resolves the problem of constipation in a significant number of children. Since TENS has a positive effect on LUTS and on the symptoms of fecal retention, it is possible that its action regarding OAB could be directly associated with the improvement in constipation...
July 5, 2016: Journal of Pediatric Urology
Michal Romaniszyn, Piotr Walega, Michal Nowakowski, Wojciech Nowak
PURPOSE: To verify the precision of surface electromyography (sEMG) in locating the innervation zone of the gracilis muscle, by comparing the location of the IZ estimated by means of sEMG with in vivo location of the nerve bundle entry point in patients before graciloplasty procedure due to fecal incontinence. METHODS: Nine patients who qualified for the graciloplasty procedure underwent sEMG on both gracilis muscle before their operations. During surgery the nerve bundle was identified by means of electrical stimulation...
June 2016: Journal of Electromyography and Kinesiology
Fareed Iqbal, Gregory P Thomas, Emile Tan, Alan Askari, Jamasp K Dastur, John Nicholls, Carolynne J Vaizey
BACKGROUND: Transcutaneous sacral nerve stimulation is reported to improve symptoms of fecal incontinence. Chronic constipation may also respond to stimulation, but this is poorly reported in the literature. OBJECTIVE: The study assessed the efficacy of transcutaneous electrical stimulation directly over the sacral nerve roots in chronic constipation. PATIENTS: Chronic functional constipation was established in all patients using the Rome III criteria...
February 2016: Diseases of the Colon and Rectum
William C de Groat, Changfeng Tai
Neuromodulation elicited by electrical stimulation of peripheral or spinal nerves is a U.S. Food and Drug Administered (FDA)-approved therapy for treating disorders of the pelvic viscera, including urinary urgency, urgency-frequency, nonobstructive urinary retention and fecal incontinence. The technique is also being tested experimentally for its efficacy in treating interstitial cystitis, chronic constipation and pelvic pain. The goal of neuromodulation is to suppress abnormal visceral sensations and involuntary reflexes and restore voluntary control...
January 22, 2015: Bioelectronic Medicine
Abdol-Mohammad Kajbafzadeh, Majid Kajbafzadeh, Shabnam Sabetkish, Nastaran Sabetkish, Seyyed Mohammad Tavangar
The aim of the present study was to demonstrate the regaining histological characteristics of bioengineered external anal sphincters (EAS) in rabbit fecal incontinence model. The EAS of 16 rabbits were resected and decellularized. The decellularized scaffolds were transplanted to the terminal rectum following a period of 6 months of fecal incontinency (5 days after sterilization). The rabbits were divided into two groups: in group 1 (n = 8), myogenic satellite cells were injected into the transplanted sphincters...
May 2016: Annals of Biomedical Engineering
Anubhav Agrawal, Sean Lamar Francis, Nicolette Elizabeth Deveneau, Shaily Jain, Christopher Abrasley, Jason Trippe McNeese, Shivangi T Kothari, Christopher J Lahr, Thomas L Abell
AIMS: The objective of this study was to investigate sacral electrical stimulation (SES) and gastric electrical stimulation (GES) by comparing upper and lower gastrointestinal (GI) and genitourinary (GU) symptoms and quality of life, before treatment and in the long term after treatment. We hypothesized that dual-device treatment would greatly improve upper and lower gastrointestinal and genitourinary symptoms, as well as quality of life. METHODS: Fifty-four patients who underwent dual-device treatment (GES and SES) were enrolled in this study...
January 2016: Digestive Diseases and Sciences
Autumn L Edenfield, Cindy L Amundsen, Jennifer M Wu, Pamela J Levin, Nazema Y Siddiqui
IMPORTANCE AND OBJECTIVES: Posterior tibial nerve stimulation (PTNS) is a potential emerging therapy for fecal incontinence (FI). The aim of this study was to systematically review the literature regarding the efficacy of PTNS as a treatment of FI. EVIDENCE ACQUISITION: We searched MEDLINE/PubMed, EMBASE, and Cochrane databases from inception through November 2013. We included English-language full-text articles reporting outcomes for FI with either percutaneous PTNS or transcutaneous techniques (transcutaneous electrical nerve stimulation)...
May 2015: Obstetrical & Gynecological Survey
Kazuhiko Yoshioka, Katsuji Tokuhara, Masanori Kwon
No abstract text is available yet for this article.
January 2015: Nihon Geka Gakkai Zasshi
Tomoyuki Sato
No abstract text is available yet for this article.
January 2015: Nihon Geka Gakkai Zasshi
Jean-François Lecompte, Geraldine Hery, Jean-Michel Guys, Claude Louis-Borrione
OBJECTIVE: To examine the effectiveness of posterior tibial nerve stimulation (PTNS) for the treatment of fecal and urinary incontinence in children with malformations of the bowel or neurological pathologies. INTRODUCTION: Treatment of fecal and urinary leaks, in cases of congenital malformations remains a challenge. Recent studies in adults have shown the effectiveness of PTNS. METHOD: Eight children: 4 with anorectal malformations, 3 with neurological causes (1 medullary lipoma, 1 Arnold Chiari malformation, 1 sacrococcygeal teratoma) and 1 with Hirschsprung's disease presenting with serious anal incontinence, despite extensive bowel management during at least 2 years, were treated with PTNS...
April 2015: Journal of Pediatric Surgery
Li-Jen Kuo, Yu-Ching Lin, Chien-Hung Lai, Yen-Kuang Lin, Yu-Shih Huang, Chia-Chen Hu, Shih-Ching Chen
OBJECTIVE: To assess the efficacy and benefits of pelvic rehabilitation programs in terms of functional outcomes and quality of life for patients with fecal incontinence and defecation disorders after rectal cancer surgery. DESIGN: Prospective, observational study. SETTING: University hospital physiotherapy clinics. PARTICIPANTS: Patients (N=32) who experienced fecal incontinence after sphincter-saving surgery with the intersphincteric resection (ISR) technique and could follow and cooperate with the treatment schedule were included in the present study...
August 2015: Archives of Physical Medicine and Rehabilitation
S Norderval
No abstract text is available yet for this article.
March 2015: British Journal of Surgery
D F Altomare, S Giuratrabocchetta, C H Knowles, A Muñoz Duyos, J Robert-Yap, K E Matzel
BACKGROUND: Sacral nerve stimulation (SNS) has proven short- to medium-term effectiveness for the treatment of faecal incontinence (FI); fewer long-term outcomes have been presented and usually in small series. Here, the long-term effectiveness of SNS was evaluated in a large European cohort of patients with a minimum of 5 years' follow-up. METHODS: Prospectively registered data from patients with FI who had received SNS for at least 5 years from ten European centres were collated by survey...
March 2015: British Journal of Surgery
N N Thin, S J C Taylor, S A Bremner, A V Emmanuel, N Hounsome, N S Williams, C H Knowles
BACKGROUND: Sacral nerve stimulation (SNS) is a well established therapy for faecal incontinence (FI). Percutaneous tibial nerve stimulation (PTNS) is a newer, less invasive, treatment. The effectiveness and acceptability of these treatments have not been compared systematically. METHODS: An investigator-blinded randomized pilot trial of PTNS versus SNS with a parallel qualitative study was performed. Quantitative clinical outcomes and qualitative data from patient interviews were collected for both interventions...
March 2015: British Journal of Surgery
Nira Cohen-Zubary, Rachel Gingold-Belfer, Inna Lambort, Nir Wasserberg, Haim Krissi, Sigal Levy, Yaron Niv, Ram Dickman
PURPOSE: The purpose of this study is to compare the effectiveness and cost of home electrical stimulation and standardized biofeedback training in females with fecal incontinence METHODS: Thirty-six females suffering from fecal incontinence were randomized into two groups, matched for mean age (67.45 ± 7.2 years), mean body mass index (kg/m2) (26.2 ± 3.9), mean disease duration (4.1 ± 0.8 years), mean number of births (2.7 ± 1.3), and reports of obstetric trauma (25%)...
April 2015: International Journal of Colorectal Disease
Volker Kahlke, Heidi Topic, Hans G Peleikis, Johannes Jongen
BACKGROUND: Although sacral nerve modulation has become an important tool for the treatment of fecal incontinence, prospective, randomized data are still rare. OBJECTIVE: To determine the effectiveness of sacral nerve modulation in a prospective randomized crossover study DESIGN: : Prospective randomized crossover study SETTING: : Proctological Office and Department of Surgical Proctology at a private hospital. PATIENTS: A total of 31 consecutive patients (31 women) aged 55 ± 12 years (median ± SD) with fecal incontinence were enrolled between February 2012 and December 2012...
February 2015: Diseases of the Colon and Rectum
Thomas L Abell, Jiande Chen, Anton Emmanuel, Christopher Jolley, Abeezar I Sarela, Hans Törnblom
OBJECTIVE: Neurostimulation is one manifestation of neuromodulation of the gastrointestinal (GI) tract. This manuscript reviews the history of neurostimulation of the GI tract with emphasis on current methods of stimulation. MATERIALS AND METHODS: A review was completed of the current research on GI neurostimulation methods with an emphasis on their clinical applications. RESULTS: Upper GI disorders can be modulated with both temporary (placed endoscopically or surgically) or permanent (placed surgically) gastric electrical stimulation (GES) devices...
April 2015: Neuromodulation: Journal of the International Neuromodulation Society
Khaled M Madbouly, Ahmed M Hussein
BACKGROUND: Rectal hyposensitivity (RH) can lead to fecal incontinence (FI). Sacral nerve stimulation (SNS) is known to modulate rectal sensation, but no data about affecting FI owing to RH are available. This prospective study aimed to assess the therapeutic effect of temporary SNS on patients with FI owing to RH. METHODS: Twenty-four patients with FI owing to RH had temporary SNS (4 weeks on followed by 1 week off). Before SNS (baseline), after 4 weeks of stimulation (on), and at the end of the off week we recorded first constant sensation (FCS), defecatory desire volume (DDV), maximum tolerated volume (MTV), anal pressures, bowel diaries, Wexner incontinence score, and FI quality-of-life score (FIQOL)...
January 2015: Surgery
Rodolfo Rodríguez, Rafael Alós, M Soledad Carceller, Amparo Solana, Andrés Frangi, M Dolores Ruiz, Roberto Lozoya
The development of fecal incontinence after childbirth is a common event. This incontinence responds to a multifactorial etiology in which the most common element is external anal sphincter injury. There are several risk factors, and it is very important to know and avoid them. Sphincter injury may result from perineal tear or sometimes by incorrectly performing an episiotomy. It is very important to recognize the injury when it occurs and repair it properly. Pudendal nerve trauma may contribute to the effect of direct sphincter injury...
June 2015: Cirugía Española
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