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Penile and clitoral stimulation for faecal incontinence: external application of a bipolar electrode for patients with faecal incontinence
Objective The aim of this study was to assess the effect of a novel pudendal nerve stimulator on clinical and anorectal manometric parameters in patients with faecal incontinence. Method Retrospective cohort analysis of consecutive patients presenting with faecal incontinence who had failed initia...
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| Published in: | Colorectal disease 2004-01, Vol.6 (1), p.54-57 |
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| creator | Frizelle, F. A. Gearry, R. B. Johnston, M. Barclay, M. L. Dobbs, B. R. Wise, C. Troughton, W. D. |
| description | Objective The aim of this study was to assess the effect of a novel pudendal nerve stimulator on clinical and anorectal manometric parameters in patients with faecal incontinence.
Method Retrospective cohort analysis of consecutive patients presenting with faecal incontinence who had failed initial conservative treatment and were not suitable for surgical intervention in a university hospital incontinence clinic. Biofeedback using a pudendal nerve stimulator comprising a bipolar electrode applied to the base of the clitoris or penis. Electrical pulse voltage was self‐titrated and defined periods of treatment were prescribed. Anorectal manometry and Cleveland incontinence scores were assessed.
Results There was a significant reduction in incontinence symptom score after pudendal nerve stimulator treatment in the 42 patients treated and who had a complete set of data (median age 57 years (range 37–81); 39 female, 3 male). This was accompanied by significant improvements (P |
| doi_str_mv | 10.1111/j.1463-1318.2004.00543.x |
| format | article |
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Method Retrospective cohort analysis of consecutive patients presenting with faecal incontinence who had failed initial conservative treatment and were not suitable for surgical intervention in a university hospital incontinence clinic. Biofeedback using a pudendal nerve stimulator comprising a bipolar electrode applied to the base of the clitoris or penis. Electrical pulse voltage was self‐titrated and defined periods of treatment were prescribed. Anorectal manometry and Cleveland incontinence scores were assessed.
Results There was a significant reduction in incontinence symptom score after pudendal nerve stimulator treatment in the 42 patients treated and who had a complete set of data (median age 57 years (range 37–81); 39 female, 3 male). This was accompanied by significant improvements (P < 0.05) in anal sphincter tone, maximal tolerated rectal volume and the sustained rectoanal inhibitory reflex.
Conclusions An externally applied pudendal nerve stimulator improves symptoms and physiological evidence of faecal incontinence but long‐term follow up is not available for these patients.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2004.00543.x</identifier><identifier>PMID: 14692954</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anal Canal - physiology ; anorectal physiology ; biofeedback ; Clitoris - innervation ; Electric Stimulation Therapy - instrumentation ; Electric Stimulation Therapy - methods ; Electrodes ; Faecal incontinence ; Fecal Incontinence - diagnosis ; Fecal Incontinence - physiopathology ; Fecal Incontinence - therapy ; Female ; Humans ; Male ; Manometry ; Middle Aged ; Penis - innervation ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Colorectal disease, 2004-01, Vol.6 (1), p.54-57</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3183-2c151f1ad466ece11d9adb2e4b9ecba6597ecf415975d726e4431f3f77665a703</citedby><cites>FETCH-LOGICAL-c3183-2c151f1ad466ece11d9adb2e4b9ecba6597ecf415975d726e4431f3f77665a703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14692954$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frizelle, F. A.</creatorcontrib><creatorcontrib>Gearry, R. B.</creatorcontrib><creatorcontrib>Johnston, M.</creatorcontrib><creatorcontrib>Barclay, M. L.</creatorcontrib><creatorcontrib>Dobbs, B. R.</creatorcontrib><creatorcontrib>Wise, C.</creatorcontrib><creatorcontrib>Troughton, W. D.</creatorcontrib><title>Penile and clitoral stimulation for faecal incontinence: external application of a bipolar electrode for patients with faecal incontinence</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Objective The aim of this study was to assess the effect of a novel pudendal nerve stimulator on clinical and anorectal manometric parameters in patients with faecal incontinence.
Method Retrospective cohort analysis of consecutive patients presenting with faecal incontinence who had failed initial conservative treatment and were not suitable for surgical intervention in a university hospital incontinence clinic. Biofeedback using a pudendal nerve stimulator comprising a bipolar electrode applied to the base of the clitoris or penis. Electrical pulse voltage was self‐titrated and defined periods of treatment were prescribed. Anorectal manometry and Cleveland incontinence scores were assessed.
Results There was a significant reduction in incontinence symptom score after pudendal nerve stimulator treatment in the 42 patients treated and who had a complete set of data (median age 57 years (range 37–81); 39 female, 3 male). This was accompanied by significant improvements (P < 0.05) in anal sphincter tone, maximal tolerated rectal volume and the sustained rectoanal inhibitory reflex.
Conclusions An externally applied pudendal nerve stimulator improves symptoms and physiological evidence of faecal incontinence but long‐term follow up is not available for these patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anal Canal - physiology</subject><subject>anorectal physiology</subject><subject>biofeedback</subject><subject>Clitoris - innervation</subject><subject>Electric Stimulation Therapy - instrumentation</subject><subject>Electric Stimulation Therapy - methods</subject><subject>Electrodes</subject><subject>Faecal incontinence</subject><subject>Fecal Incontinence - diagnosis</subject><subject>Fecal Incontinence - physiopathology</subject><subject>Fecal Incontinence - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Manometry</subject><subject>Middle Aged</subject><subject>Penis - innervation</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNqNUU1v1DAQtRAV_YC_gHziltROHDtB4oB2S6nU0gq14mg5zkR48drB9qrbv8CvxrtZtRcO-DKjmffeyO8hhCkpaX7nq5IyXhe0pm1ZEcJKQhpWl9tX6OR58XrfV0XbUXKMTmNcEUK5oO0bdJwXXdU17AT9uQNnLGDlBqytST4oi2My641VyXiHRx_wqEDnsXHau2QcOA0fMWwTBJfHapqs0TPaj1jh3kzeqoDBgk7BD7AXmTICXIr40aSf_5J8i45GZSO8O9Qz9PDl4n7xtbi-vbxafL4udP5VXVSaNnSkamCcgwZKh04NfQWs70D3ijedAD0ymmsziIoDYzUd61EIzhslSH2GPsy6U_C_NxCTXJuowVrlwG-ibAnhHRdtBrYzUAcfY4BRTsGsVXiSlMhdDnIld3bLnd1yl4Pc5yC3mfr-cGPTr2F4IR6Mz4BPM-Axu__038Jycbu8yl3mFzPfxATbZ74KvyQXtWjkj2-X8uZmufi-7Fp5V_8FSNSo9Q</recordid><startdate>200401</startdate><enddate>200401</enddate><creator>Frizelle, F. A.</creator><creator>Gearry, R. B.</creator><creator>Johnston, M.</creator><creator>Barclay, M. L.</creator><creator>Dobbs, B. R.</creator><creator>Wise, C.</creator><creator>Troughton, W. D.</creator><general>Blackwell Science Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200401</creationdate><title>Penile and clitoral stimulation for faecal incontinence: external application of a bipolar electrode for patients with faecal incontinence</title><author>Frizelle, F. A. ; Gearry, R. B. ; Johnston, M. ; Barclay, M. L. ; Dobbs, B. R. ; Wise, C. ; Troughton, W. D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3183-2c151f1ad466ece11d9adb2e4b9ecba6597ecf415975d726e4431f3f77665a703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anal Canal - physiology</topic><topic>anorectal physiology</topic><topic>biofeedback</topic><topic>Clitoris - innervation</topic><topic>Electric Stimulation Therapy - instrumentation</topic><topic>Electric Stimulation Therapy - methods</topic><topic>Electrodes</topic><topic>Faecal incontinence</topic><topic>Fecal Incontinence - diagnosis</topic><topic>Fecal Incontinence - physiopathology</topic><topic>Fecal Incontinence - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Manometry</topic><topic>Middle Aged</topic><topic>Penis - innervation</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frizelle, F. A.</creatorcontrib><creatorcontrib>Gearry, R. B.</creatorcontrib><creatorcontrib>Johnston, M.</creatorcontrib><creatorcontrib>Barclay, M. L.</creatorcontrib><creatorcontrib>Dobbs, B. R.</creatorcontrib><creatorcontrib>Wise, C.</creatorcontrib><creatorcontrib>Troughton, W. D.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frizelle, F. A.</au><au>Gearry, R. B.</au><au>Johnston, M.</au><au>Barclay, M. L.</au><au>Dobbs, B. R.</au><au>Wise, C.</au><au>Troughton, W. D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Penile and clitoral stimulation for faecal incontinence: external application of a bipolar electrode for patients with faecal incontinence</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2004-01</date><risdate>2004</risdate><volume>6</volume><issue>1</issue><spage>54</spage><epage>57</epage><pages>54-57</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Objective The aim of this study was to assess the effect of a novel pudendal nerve stimulator on clinical and anorectal manometric parameters in patients with faecal incontinence.
Method Retrospective cohort analysis of consecutive patients presenting with faecal incontinence who had failed initial conservative treatment and were not suitable for surgical intervention in a university hospital incontinence clinic. Biofeedback using a pudendal nerve stimulator comprising a bipolar electrode applied to the base of the clitoris or penis. Electrical pulse voltage was self‐titrated and defined periods of treatment were prescribed. Anorectal manometry and Cleveland incontinence scores were assessed.
Results There was a significant reduction in incontinence symptom score after pudendal nerve stimulator treatment in the 42 patients treated and who had a complete set of data (median age 57 years (range 37–81); 39 female, 3 male). This was accompanied by significant improvements (P < 0.05) in anal sphincter tone, maximal tolerated rectal volume and the sustained rectoanal inhibitory reflex.
Conclusions An externally applied pudendal nerve stimulator improves symptoms and physiological evidence of faecal incontinence but long‐term follow up is not available for these patients.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>14692954</pmid><doi>10.1111/j.1463-1318.2004.00543.x</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1462-8910 |
| ispartof | Colorectal disease, 2004-01, Vol.6 (1), p.54-57 |
| issn | 1462-8910 1463-1318 |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Aged Aged, 80 and over Anal Canal - physiology anorectal physiology biofeedback Clitoris - innervation Electric Stimulation Therapy - instrumentation Electric Stimulation Therapy - methods Electrodes Faecal incontinence Fecal Incontinence - diagnosis Fecal Incontinence - physiopathology Fecal Incontinence - therapy Female Humans Male Manometry Middle Aged Penis - innervation Retrospective Studies Treatment Outcome |
| title | Penile and clitoral stimulation for faecal incontinence: external application of a bipolar electrode for patients with faecal incontinence |
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