Abdelrahman Emad M, Mohamed Amr G, Abdel Ghafar Mohamed A, Ahmed Marwa Elsayed, Ali Rania R, Kharoub Mohamed S
General Surgery Department, Faculty of Medicine, Benha University, Benha, Egypt.
Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia.
Surg Innov. 2024 Feb;31(1):33-41. doi: 10.1177/15533506231221942. Epub 2023 Dec 12.
Functional non-retentive fecal incontinence (FNRFI) is a psychologically upsetting and embarrassing issue and affects children's quality of life negatively.
Evaluation of the short and long-term effect of Bilateral transcutaneous posterior tibial nerve stimulation (BTPTNS) in the treatment of FNRFI in children and its impact on the quality of life (QoL). Methodology: The current randomized controlled study included 94 Children with FNRFI who were randomly allocated into two equal groups. Group A received BTPTNS and Group B Received Sham BTPTNS. Follow-up was planned for 24 months for manometric findings, incontinence score, Incontinence episodes, and the QoL.
The incontinence score was significantly decreases in Group A more than what was reported in Group B at 6, 12, 24 months follow up In group A 53.2% of the included children who received BTPTNS showed a decrease in the incontinence episodes more than 75% and among them, 23.4% were fully continent. All the QoL domains were significantly improved in Group A after 6, 12, and 24 months when compared with Group B.
BTPTNS can be a good modality in the treatment of FNRFI with favorable long-term maintenance of its effect together with a remarkable positive impact on all domains of QoL.
功能性大便失禁（FNRFI）是一个令人心理困扰和尴尬的问题，对儿童的生活质量有负面影响。
评估双侧经皮胫后神经刺激（BTPTNS）治疗儿童FNRFI的短期和长期效果及其对生活质量（QoL）的影响。方法：本随机对照研究纳入94例FNRFI儿童，随机分为两组。A组接受BTPTNS，B组接受假BTPTNS。计划对测压结果、失禁评分、失禁发作次数和生活质量进行24个月的随访。
在6、12、24个月的随访中，A组的失禁评分显著低于B组。在A组中，接受BTPTNS的儿童中有53.2%的失禁发作次数减少超过75%，其中23.4%完全无失禁。与B组相比，A组在6、12和24个月后的所有生活质量领域均有显著改善。
BTPTNS可能是治疗FNRFI的一种良好方法，其效果具有良好的长期维持性，并且对生活质量的所有领域都有显著的积极影响。
