Tibial Nerve Stimulation for Fecal Incontinence: The Importance of Sham

被引:0
|
作者
Wald, Arnold [1 ]
机构
[1] Univ Wisconsin, Sch Med & Publ Hlth, Div Gastroenterol & Hepatol, Madison, WI 53706 USA
来源
AMERICAN JOURNAL OF GASTROENTEROLOGY | 2022年 / 117卷 / 04期
关键词
EFFICACY;
D O I
10.14309/ajg.0000000000001676
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Sacral neuromodulation has become an established treatment for fecal incontinence unresponsive to conservative measures. However, it requires surgical implantation and is expensive. Percutaneous tibial nerve stimulation (PTNS) has been suggested as a minimally invasive and less expensive alternative on the basis of uncontrolled studies. The study by Zyczynski et al. compared active PTNS with a sham control group of women with fecal incontinence. Similar to previous studies, active PTNS provided benefits to treated patients but were not different from the sham group. This study highlights the need for rigorously performed controlled studies of neuromodulation for anorectal disorders.
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收藏
页码:605 / 606
页数:2
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