Modified posterior tibial nerve stimulation for faecal incontinence: F10


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Abstract

Aim:Posterior tibial nerve stimulation (PTNS) is an effective treatment for fecal incontinence. The study evaluated the amplitude of stimulation necessary to perform an adequate intermittent PTNS by aprevious localization of the tibial nerve using the MultiStim device and comparing it with the Stoller technique.Method:Ninety-eight patients underwent PTNS, including 69 by the classical technique and 29 under control of the MultiStim-Sensor.Results:The two groups were statistically comparable. There was a statistically significant difference between the mean amplitude of stimulation without and with the MultiStim-Sensor (7.26 vs 3.74 mA).Conclusion:Localization of the posterior tibial nerve with the MultiStim-Sensor nerve stimulator is accurate and allows the use of a significatively lower amplitude of stimulation.

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