Abstract
Aim. To evaluate and compare effectivenes of sacral and posterior tibial nerve stimulation for treating fecal incontinence.Methods. Systematic literature review was performed to compare sacral and posterior tibial nerve stimulation effectiveness. Research was performed in “Medline” database, using the “PubMed” website. English or lithuanian articles, published between 2008 and 2019, were included in our study. Results were described to assess the effect of interventions in each analysed article. We included 7 articles into meta-analysis. Articles compared the effectiveness of sacral or posterior tibial nerve stimulation with control groups or other treatment methods for managing fecal incontinence. Cochrane guidelines were used to perform this meta-analysis. Results. The results of meta-analysis suggests that sacral neuromodulation is superior to posterior tibial nerve stimulation to treat fecal incontinence compared to control groups or other treatments. Literature also suggest that after comparing these methods directly, sacral neuromodulation is superior to treat fecal incontinence a. Conclusion. Sacral neuromodulation is superior posterior tibial nerve stimulation to treat temporary or chronical fecal incontinence than and can be used as an alternative for surgical interventions.
Highlights
Kryžkaulio nervų ir užpakalinio blauzdinio nervo stimuliacijos efektyvumo išmatų nelaikymui gydyti palyginimas included in our study
The results of meta-analysis suggests that sacral neuromodulation is superior to posterior tibial nerve stimulation to treat fecal incontinence compared to control groups or other treatments
Išanalizavus keturis tyrimus, kuriais buvo lyginama kryžmens neuromoduliacija ir užpakalinio blauzdi nio nervo stimuliacija [13, 15, 36, 37], nustatyta, jog abu šie trumpalaikiai gydymo metodai yra efektyvūs pacientams, nelaikantiems išmatų
Summary
Kryžkaulio nervų ir užpakalinio blauzdinio nervo stimuliacijos efektyvumo išmatų nelaikymui gydyti palyginimas included in our study. Articles compared the effectiveness of sacral or posterior tibial nerve stimulation with control groups or other treatment methods for managing fecal incontinence. The results of meta-analysis suggests that sacral neuromodulation is superior to posterior tibial nerve stimulation to treat fecal incontinence compared to control groups or other treatments. Tiriamųjų grupės duomenis palyginus su vartojusiųjų placebą grupės įverčiais, nustatyta, kad išmatų nelaikymui gydyti efektyvus loperamidas.
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