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Sacral nerve stimulation (SNS), posterior tibial nerve stimulation (PTNS) or acupuncture for the treatment for fecal incontinence: a clinical commentary
Sahlgrenska University Hospital, Gothenburg, Sweden.
Sahlgrenska University Hospital, Gothenburg, Sweden.
S. Luigi Gonzaga University Hospital, Orbassano, Turin, Italy.
Örebro University, School of Medicine, Örebro University, Sweden.
2013 (English)In: Techniques in Coloproctology, ISSN 1123-6337, E-ISSN 1128-045X, Vol. 17, no 5, p. 589-592Article in journal (Refereed) Published
Abstract [en]

Sacral nerve stimulation (SNS) has become an established therapy worldwide for the treatment for fecal incontinence. A large number of papers have been published over the years, and SNS is generally considered very effective with improved continence and quality of life for most patients. However, the results are mostly expressed in the semi-quantitative terms, that is, patients' diaries translated into score points. The clinical value of SNS is questionable, especially as the patient groups are usually small and/or etiologically heterogenic and the follow-up period mostly short. The Health Technology Assessment organization in the west region of Sweden has recently evaluated the SNS with regard to evidence, efficacy and risks. Economic and ethical aspects raise serious questions on this expensive and not entirely risk-free treatment in routine medical care. Similar criticism has also been raised by other reviewers proposing a more thorough scientific assessment with well-designed randomized trials and comparison with other similar methods of treatment.

Place, publisher, year, edition, pages
Milan, Italy: Springer Milan, 2013. Vol. 17, no 5, p. 589-592
Keywords [en]
Fecal incontinence, sacral nerve stimulation, posterior tibial nerve stimulation, acupuncture
National Category
Medical and Health Sciences Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:oru:diva-32406DOI: 10.1007/s10151-013-0985-zISI: 000325128600020PubMedID: 23519985Scopus ID: 2-s2.0-84885429229OAI: oai:DiVA.org:oru-32406DiVA, id: diva2:664516
Available from: 2013-11-15 Created: 2013-11-15 Last updated: 2017-12-06Bibliographically approved

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Delbro, Dick

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