Long-Term Outcome of Transcutaneous Posterior Tibial Nerve Stimulation in the Treatment of Functional Non-Retentive Fecal Incontinence in Children.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-02-01 Epub Date: 2023-12-12 DOI:10.1177/15533506231221942
Emad M Abdelrahman, Amr G Mohamed, Mohamed A Abdel Ghafar, Marwa Elsayed Ahmed, Rania R Ali, Mohamed S Kharoub
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引用次数: 0

Abstract

Background: Functional non-retentive fecal incontinence (FNRFI) is a psychologically upsetting and embarrassing issue and affects children's quality of life negatively.

Aim of this study: Evaluation of the short and long-term effect of Bilateral transcutaneous posterior tibial nerve stimulation (BTPTNS) in the treatment of FNRFI in children and its impact on the quality of life (QoL). Methodology: The current randomized controlled study included 94 Children with FNRFI who were randomly allocated into two equal groups. Group A received BTPTNS and Group B Received Sham BTPTNS. Follow-up was planned for 24 months for manometric findings, incontinence score, Incontinence episodes, and the QoL.

Results: The incontinence score was significantly decreases in Group A more than what was reported in Group B at 6, 12, 24 months follow up . In group A 53.2% of the included children who received BTPTNS showed a decrease in the incontinence episodes more than 75% and among them, 23.4% were fully continent. All the QoL domains were significantly improved in Group A after 6, 12, and 24 months when compared with Group B.

Conclusion: BTPTNS can be a good modality in the treatment of FNRFI with favorable long-term maintenance of its effect together with a remarkable positive impact on all domains of QoL.

经皮胫后神经刺激治疗儿童功能性非强直性大便失禁的长期效果。
背景:功能性非留置性大便失禁(FNRFI)是一个令人不安和尴尬的心理问题,对儿童的生活质量产生负面影响:评估双侧经皮胫后神经刺激术(BTPTNS)治疗儿童功能性无阻力大便失禁的短期和长期效果及其对生活质量(QoL)的影响。研究方法:本随机对照研究包括 94 名患有 FNRFI 的儿童,他们被随机分配到两个相同的组别。A 组接受 BTPTNS,B 组接受 Sham BTPTNS。计划进行为期 24 个月的随访,以了解压力测量结果、尿失禁评分、尿失禁发作次数和 QoL:结果:在 6 个月、12 个月、24 个月的随访中,A 组尿失禁评分明显低于 B 组。在接受 BTPTNS 治疗的 A 组儿童中,53.2% 的尿失禁发作次数减少了 75% 以上,其中 23.4% 的儿童完全失禁。与 B 组相比,A 组在 6 个月、12 个月和 24 个月后的所有 QoL 领域均有明显改善:结论:BTPTNS 是治疗 FNRFI 的一种良好方法,其疗效可长期保持,并对所有 QoL 领域产生了显著的积极影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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