Evidence map›Paper›PMID 30565161›Full record

ArticleTechniques in coloproctology2018

Medium-term outcome of percutaneous tibial nerve stimulation in the treatment of fecal incontinence.

M Hidalgo-Pujol, V Andriola, L M Jimenez-Gomez, F Ostiz, E Espin

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05016453 (Long-term Efficacy of Percutaneous Tibial Nerve Stimulation for Faecal Incontinence and New Approach for Partial Responders), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05016453 completednot on this map

Long-term Efficacy of Percutaneous Tibial Nerve Stimulation for Faecal Incontinence and New Approach for Partial Responders

TypeobservationalSponsorFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat ValencianaRan2010 to 2021Enrolled139ConditionsFaecal Incontinence
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Effects of Tibial Nerve Electrostimulation in Patients With Fecal Incontinence: A Systematic Review.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. What Is New in Neuromodulation?Current urology reports · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

M Hidalgo-PujolDepartment of Gastrointestinal Surgery, Vall d'Hebron Hospital, Barcelona, Spain. b737800as@hotmail.com.
V AndriolaColorectal Unit, Aldo Moro University Bari, Bari, Italy.
L M Jimenez-GomezDepartment of Colorectal Surgery, Vall d'Hebron Hospital, Barcelona, Spain.
F OstizCAP Sant Andreu, Barcelona, Spain.
E EspinDepartment of Colorectal Surgery, Vall d'Hebron Hospital, Barcelona, Spain.
Vall d'Hebron Hospital Universitari · ESConsorci d’Atenció Primària de Salut Barcelona Esquerra · ESUniversity of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFecal incontinence (FI) is a multifactorial disease that affects patients' quality of life. The aim of this study was to evaluate the efficacy of posterior tibial nerve stimulation (PTNS) in the treatment of FI and to assess the medium-term results.

methodsA prospective cohort of patients with FI treated with PTNS between 2012 and 2014 was analysed. Endoluminal ultrasound and anorectal physiologic studies were performed in all patients. The efficacy of PTNS was assessed using a validated questionnaire (Cleveland Clinic Incontinence Score) at baseline, after treatment, and 2 years later. The Vaizey score was also used at 2-year follow-up to assess urge incontinence.

resultsFifty-six patients (38 females; mean age 59.7 years) with FI were treated. The causes of FI were mainly obstetric injury and previous colorectal surgery. A decrease of 50% from baseline CCIS was seen in 41.1% of patients after PTNS. One-third maintained a minimum of 50% decrease of their initial CCIS after 2 years. Comparing CCIS at baseline, after treatment, and at 2-year follow-up, a statistically significant difference was observed (p < 0.0001 and p < 0.0004 respectively). Medium-term improvement was not maintained in patients with passive and mixed FI, while it was maintained in those with urge incontinence. At 2 years, patients with mild incontinence maintained the greatest response.

conclusionsPTNS is a safe, effective, non-invasive treatment for FI with good results in almost half of the patients at the end of the treatment. There is also an acceptable maintained response at 2-year follow-up. It seems to be most successful in patients with mild incontinence and urge incontinence.

Indexed as

Anal CanalFecal IncontinenceFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesTibial NerveTime FactorsTranscutaneous Electric Nerve StimulationTreatment OutcomeFecal incontinencePosterior tibial nerve stimulation

Identifiers

PMID30565161
OpenAlexW2904272474

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.