Evidence map›Paper›PMID 30972649›Full record

ArticleTechniques in coloproctology2019

Percutaneous tibial nerve stimulation (PTNS): an alternative treatment option for chronic therapy resistant anal fissure.

Ursula Aho Fält, Martin Lindsten, Sara Strandberg, Mari Dahlberg, Salma Butt, Emelie Nilsson, Antoni Zawadzki, Louis Banka Johnson

Abstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Anal Fissure and Its Treatments: A Historical Review.Journal of clinical medicine · 2024
    Review
  3. Article
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

8 authors.

Ursula Aho FältDepartment of Surgery, Pelvic Floor Centre, Skåne University Hospital-SUS, Lund University, 205 02, Malmö, Sweden.
Martin LindstenDepartment of Surgery, Pelvic Floor Centre, Skåne University Hospital-SUS, Lund University, 205 02, Malmö, Sweden.
Sara StrandbergDepartment of Surgery, Pelvic Floor Centre, Skåne University Hospital-SUS, Lund University, 205 02, Malmö, Sweden.
Mari DahlbergDepartment of Surgery, Pelvic Floor Centre, Skåne University Hospital-SUS, Lund University, 205 02, Malmö, Sweden.
Salma ButtDepartment of Surgery, Institution of Clinical Sciences Malmö, Skåne University Hospital-SUS, Lund University, 205 02, Malmö, Sweden.
Emelie NilssonDepartment of Surgery, Institution of Clinical Sciences Malmö, Skåne University Hospital-SUS, Lund University, 205 02, Malmö, Sweden.
Antoni ZawadzkiDepartment of Surgery, Pelvic Floor Centre, Skåne University Hospital-SUS, Lund University, 205 02, Malmö, Sweden.
Louis Banka JohnsonDepartment of Surgery, Pelvic Floor Centre, Skåne University Hospital-SUS, Lund University, 205 02, Malmö, Sweden. louis.johnson@med.lu.se.

Funding

Einar och Inga Nilssons Stiftelse för Kirurgiforskning och Forskning inom Jordbruket 2010-06-03
6 · The paper itself

Abstract

backgroundThe aim of the present study was to evaluate percutaneous tibial nerve stimulation (PTNS) for treatment resistant chronic anal fissure.

methodsConsecutive patients with chronic anal fissure were treated with neuromodulation via the posterior tibial nerve between October 2013 and January 2014. Patients had PTNS for 30 min on 10 consecutive days. All patients had failed conventional medical treatment. The visual analogue scale (VAS) score, St. Marks score, Wexner's constipation score, Brief Pain Inventory (BPI-SF), bleeding and mucosal healing were evaluated before treatment, at termination, after 3 months, and then yearly for 3 years.

resultsTen patients (4 males and 6 females; mean age 49.8 years) were identified but only 9 were evaluated as one patient's fissure healed before PTNS was started. At 3-year follow-up, fissures had remained completely healed in 5 out of 9 patients. All patients stopped bleeding and were almost completely pain-free at 3 years (VAS p = 0.010) and pain relief improved from 50% at completion to 90% at 3 years. The patients' Wexner constipation scores improved significantly (p = 0.007).

conclusionsIn this small series, PTNS enhanced healing of chronic anal fissure and reduced pain and bleeding with an associated improvement in bowel function.

Indexed as

Anal CanalChronic DiseaseConstipationFemaleFissure in AnoHumansMaleMiddle AgedTibial NerveTranscutaneous Electric Nerve StimulationTreatment OutcomeAnal fissureElectrical stimulationPercutaneous tibial nerve stimulationSacral nerve stimulationWound healing

Identifiers

PMID30972649
PMCPMC6536470

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Registered trials

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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.