Percutaneous tibial nerve stimulation - PTNS: an alternative treatment option for chronic therapy resistant anal fissure
Aho Fält, Ursula LU
; Lindsten, Martin
LU
; Strandberg, Sara
; Dahlberg, Mari
; Butt, Salma
LU
; Nilsson, Emelie
LU
; Zawadzki, Antoni
LU
and Johnson, Louis Banka
LU
(2019)
In Techniques in Coloproctology
23(4).
p.361-365
- Abstract
- Background
The aim of the present study was to evaluate percutaneous tibial nerve stimulation (PTNS) for treatment resistant chronic anal fissure.
Methods
Consecutive patients with chronic anal fissure were treated with neuromodulation via the posterior tibial nerve between October 2013 and January 2014. Patients had PTNS for 30 min on 10 consecutive days. All patients had failed conventional medical treatment. The visual analogue scale (VAS) score, St. Marks score, Wexner’s constipation score, Brief Pain Inventory (BPI-SF), bleeding and mucosal healing were evaluated before treatment, at termination, after 3 months, and then yearly for 3 years.
Results
Ten patients (4 males and 6 females; mean age 49.8... (More) - Background
The aim of the present study was to evaluate percutaneous tibial nerve stimulation (PTNS) for treatment resistant chronic anal fissure.
Methods
Consecutive patients with chronic anal fissure were treated with neuromodulation via the posterior tibial nerve between October 2013 and January 2014. Patients had PTNS for 30 min on 10 consecutive days. All patients had failed conventional medical treatment. The visual analogue scale (VAS) score, St. Marks score, Wexner’s constipation score, Brief Pain Inventory (BPI-SF), bleeding and mucosal healing were evaluated before treatment, at termination, after 3 months, and then yearly for 3 years.
Results
Ten patients (4 males and 6 females; mean age 49.8 years) were identified but only 9 were evaluated as one patient’s fissure healed before PTNS was started. At 3-year follow-up, fissures had remained completely healed in 5 out of 9 patients. All patients stopped bleeding and were almost completely pain-free at 3 years (VAS p = 0.010) and pain relief improved from 50% at completion to 90% at 3 years. The patients’ Wexner constipation scores improved significantly (p = 0.007).
Conclusions
In this small series, PTNS enhanced healing of chronic anal fissure and reduced pain and bleeding with an associated improvement in bowel function. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/62c12cec-3e1d-49ea-84a0-42e4d56adfa9
- author
- Aho Fält, Ursula
LU
; Lindsten, Martin
LU
; Strandberg, Sara
; Dahlberg, Mari
; Butt, Salma
LU
; Nilsson, Emelie
LU
; Zawadzki, Antoni
LU
and Johnson, Louis Banka
LU
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Techniques in Coloproctology
- volume
- 23
- issue
- 4
- pages
- 361 - 365
- publisher
- Springer
- external identifiers
-
- scopus:85066232261
- pmid:30972649
- ISSN
- 1123-6337
- DOI
- 10.1007/s10151-019-01972-5
- project
- Neuromodulation
- language
- English
- LU publication?
- yes
- id
- 62c12cec-3e1d-49ea-84a0-42e4d56adfa9
- date added to LUP
- 2019-03-23 17:59:58
- date last changed
- 2022-04-25 22:03:35
@article{62c12cec-3e1d-49ea-84a0-42e4d56adfa9,
abstract = {{Background<br/><br/>The aim of the present study was to evaluate percutaneous tibial nerve stimulation (PTNS) for treatment resistant chronic anal fissure.<br/>Methods<br/><br/>Consecutive patients with chronic anal fissure were treated with neuromodulation via the posterior tibial nerve between October 2013 and January 2014. Patients had PTNS for 30 min on 10 consecutive days. All patients had failed conventional medical treatment. The visual analogue scale (VAS) score, St. Marks score, Wexner’s constipation score, Brief Pain Inventory (BPI-SF), bleeding and mucosal healing were evaluated before treatment, at termination, after 3 months, and then yearly for 3 years.<br/>Results<br/><br/>Ten patients (4 males and 6 females; mean age 49.8 years) were identified but only 9 were evaluated as one patient’s fissure healed before PTNS was started. At 3-year follow-up, fissures had remained completely healed in 5 out of 9 patients. All patients stopped bleeding and were almost completely pain-free at 3 years (VAS p = 0.010) and pain relief improved from 50% at completion to 90% at 3 years. The patients’ Wexner constipation scores improved significantly (p = 0.007).<br/>Conclusions<br/><br/>In this small series, PTNS enhanced healing of chronic anal fissure and reduced pain and bleeding with an associated improvement in bowel function.}},
author = {{Aho Fält, Ursula and Lindsten, Martin and Strandberg, Sara and Dahlberg, Mari and Butt, Salma and Nilsson, Emelie and Zawadzki, Antoni and Johnson, Louis Banka}},
issn = {{1123-6337}},
language = {{eng}},
number = {{4}},
pages = {{361--365}},
publisher = {{Springer}},
series = {{Techniques in Coloproctology}},
title = {{Percutaneous tibial nerve stimulation - PTNS: an alternative treatment option for chronic therapy resistant anal fissure}},
url = {{http://dx.doi.org/10.1007/s10151-019-01972-5}},
doi = {{10.1007/s10151-019-01972-5}},
volume = {{23}},
year = {{2019}},
}