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Introduction: The present systematic review and meta-analysis plans to achieve and present a general conclusion regarding the role of posterior tibial nerve stimulation (PTNS) in control of fecal incontinence (FI).
Methods: Two independent reviewers carried out an extensive search in electronic databases of Medline, Embase, Scopus, Web of Science, CENTRAL, and CINAHL until the end of 2016. Only randomised clinical trial were included. The studied outcomes included FI episodes, FI score, resting pressure, squeezing pressure, and maximum tolerable pressure. Data were reported as standardized mean differences (SMD) with 95% confidence interval (95% CI).
Results: Finally, 5 articles were included in the present study (249 patients under treatment with PTNS and 239 in the sham group). Analyses showed that PTNS leads to a significant decrease in number of FI episodes (SMD=-0.38; 95% CI: -0.67-0.10; p=0.009). Yet, it did not have an effect on FI score (SMD=0.13; 95% CI: -0.49-0.75; p=0.68), resting pressure (SMD=0.12; 95% CI: -0.14-0.37; p=0.67), squeezing pressure (SMD=-0.27; 95% CI: -1.03-0.50; p=0.50), and maximum tolerable pressure (SMD=-0.10; 95% CI: -0.40-0.24; p=0.52).
Conclusion: Based on the results, it seems that prescription of PTNS alone cannot lead to a significant improvement in FI.
نوع مطالعه: Review | موضوع مقاله: Behavioral Neuroscience
دریافت: ۱۳۹۷/۲/۹ | پذیرش: ۱۳۹۷/۵/۶

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