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Tibial Nerve Stimulation for Fecal Incontinence: The Importance of Sham
1Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Percutaneous tibial nerve stimulation (PTNS) shows potential for fecal incontinence but a controlled study found no difference compared to sham treatment. More rigorous research is needed for neuromodulation therapies.
Area of Science:
- Urology
- Gastroenterology
- Neurology
Background:
- Sacral neuromodulation is an established treatment for fecal incontinence.
- It involves surgical implantation and is costly.
- Percutaneous tibial nerve stimulation (PTNS) is a less invasive, cheaper alternative.
- Previous uncontrolled studies suggest PTNS efficacy.
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