Office-based Treatment of Faecal Incontinence

Urgent PC neuromodulation system is designed for the treatment of Faecal Incontinence.

The Urgent PC advantage

• Minimally invasive treatment easily administered in a clinic – No need for hospitalisation or anaesthesia
• Well-tolerated by patients with few associated side-effects
• Can treat both OAB and Faecal Incontinence
• Suitable for patients when conventional therapies have failed
• May be used alone or with other therapies

Results supported by clinical evidence*

• Growing number of publications highlight the clincial performance of PTNS with Urgent PC for the treatment of Faecal Incontinenence
• Most studies show >60% patient response rates (range of 38 – 82%) 1-9
• PTNS provides superior performance compared to TENS and Sham treatment 5
• In a meta-analysis, percutaneous PTNS treatment provided statistically significant decrease in FI episodes in all nine studies evaluating the treatment 10

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References

1. Allison, M., Prosser, K., & Martin-Lumbard, K. (2009). Percutaneous tibial nerve stimulation: A new treatment for faecal incontinence. Gastrointestinal Nursing, 8(1), 19-26.
2. Shafik, A., Ahmed, I., El-Sibai, O., & Mostafa, R.M. (2003). Percutaneous peripheral neuromodulation in the treatment of fecal incontinence. Eur Surg Res, 35, 103-7.
3. Mentes, B.B., Yüksel, O., Aydin, A., Tezcaner, T., Leventolu, A., & Aytac, B. (2007), Posterior tibial nerve stimulation for faecal incontinence after partial spinal injury: Preliminary report. Tech Coloproctol, 11(2), 115-9.
4. Govaert, B., Pares, D., Delgado-Aros, S., La Torre, F., & Baeten, C. (2008). A prospective multicentre study to investigate percutaneous tibial nerve stimulation (PTNS) for the treatment of faecal incontinence. Colorectal Disease, 10(Suppl. 2), 1-13.
5. George, A.T., Kalmar, K., Sala, S., Kopanakis, K., Panarese, A., Dudding, T.C., et. al.(2013). Randomized controlled trial of percutaneous versus transcutaneous posterior tibial nerve stimulation in faecal incontinence. Br J Surgery, 100, 330-338.
6. Boyle, D.J., Prosser, B.N., Allison, M.E., Williams, N.S., & Chan, C.L.H. (2010). Percutaneous tibial nerve stimulation for the treatment of urge fecal incontinence. Dis Colon Rectum, 53, 432-7.
7. Hotouras, A., Thaha, M.A., Boyle, D.J., Allison, M.E., Currie, A., Knowles, C.H., et al.(2012). Short-term outcome following percutaneous tibial nerve stimulation (PTNS) for faecal incontinence: a single-centre prospective study. Colorectal Disease, 14, 1101-5.
8. de la Portilla, F., Rada, R., Vega, J., González ,C.M., Cisnersos, N. & Maldonado, V.F. (2009). Evaluation of the use of posterior tibial nerve stimulation for the treatment of fecal incontinence: Preliminary results of a prospective study. Dis Colon Rectum, 52(8), 1427-33.
9. Edenfield, A.L., Amundsen, C.L, Wu, J.M., Levin, P.J. & Siddiqui, N.Y. (2015). Posterior tibial nerve stimulation for the treatment of fecal incontinence: a systematic evidence review. Obstet Gynecol Surv, 70, 329-41.