Transcutaneous Tibial Nerve Stimulation on Incontinence Among Rectal Cancer: A Case Series
Keywords:
Low Anterior Resection Syndrome, Overactive Bladder, Quality of life, Total mesorectal excisionAbstract
Recent times surgeries associated with cancer and its complications are challenging, Globally. Low Anterior Resection Syndrome is a collection of symptoms or issues the Subjects have after removing a part of or entire rectum. Transcutaneous Tibial nerve stimulation (TTNS) is a form of neuromodulation involving the use of electrical impulses to address urinary symptoms. Overactive Bladder (OAB) is nothing but a frequent & a sudden urge to urinate that may be difficult to control (urgency incontinence). ICIQ-SF [International Consultation on Incontinence Questionnaire-Short Form] is used widely in urinary incontinence with neurological condition & used to assess type of incontinence & quality of life. Low Anterior Resection Syndrome is an easy-to-use tool for assessment of bowel dysfunction following a Low Anterior Resection for Rectal Cancer. This case series was conducted to analyze the impact of TTNS in 4 male individuals aged between 42 to 69 Outcome measures were assessed before and after the application of treatment (6days/week for 3 weeks)
Downloads
Metrics
References
D F Altomare, A Picciariello, C Ferrara, R Digennaro, Y Ribas, M De Fazio “Short-term outcome of percutaneous tibial nerve stimulation for low anterior resection syndrome: results of a pilot study”. "Colorectal Dis"[jour],2017 Sep;19(9):851-856. doi: 10.1111/codi.13669.
National Guideline Alliance (UK). Optimal management of low anterior resection syndrome: Colorectal cancer (update): Evidence review E2. London: National Institute for Health and Care Excellence (NICE); 2020 Jan. (NICE Guideline, No. 15.
Theresa H Nguyen, Reena V Chokshi , “Low Anterior Resection Syndrome”, CurrGastroenterol Rep, 2020 Aug 4;22(10):48, doi: 10.1007/s11894-020-00785-z.
ElitaWibisono 1, Harrina E Rahardjo: “Effectiveness of Short Term Percutaneous Tibial Nerve Stimulation for Non-neurogenic Overactive Bladder Syndrome in Adults: A Meta-analysis”,Acta Med Indones [jour], 2015 Jul;47(3):188-200.
Jure Tornic, Martina D Liechti, Stephanie A Stalder, VeronikaBirkhäuser, Stéphanie van der Lely, Lorenz Leitner, Ulrich Mehnert, Thomas M Kessler, “Transcutaneous Tibial Nerve Stimulation for Treating Neurogenic Lower Urinary Tract Dysfunction: A Pilot Study for an International Multicenter Randomized Controlled Trial”, EurUrol Focus, 2020 Sep 15;6(5):909-915, doi: 10.1016/j.euf.2019.11.008. Epub 2019 Dec 4.
Lisbeth D le wall, John PFA(2003), “Percutaneous tibial nerve stimulation as a treatment for overactive bladder syndrome”, Res Rep Urol, 2017 Aug 14;9:145-157, doi: 10.2147/RRU.S124981. eCollection 2017..
Melzack R, Wall P, “Pain mechanisms: a new theory” (1996), penguin books, Science, 1965 Nov 19;150(3699):971-9, doi: 10.1126/science.150.3699.971.
Luc Timmermans, Freddy Falez, Christian Melot, Sandra Higuet, Denis Vincent. “Use of the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) for an objective assessment of disability determination according to the Modified Katz Scale: a prospective longitudinal study”MinervaUrolNefrol, 2016 Aug;68(4):317-23. Epub 2015 Sep 9.
Katrine J Emmertsen, SørenLaurberg “Low anterior resection syndrome score: development and validation of a symptom-based scoring system for bowel dysfunction after low anterior resection for rectal cancer”. Ann Surg 2012 May;255(5):922-8, doi: 10.1097/SLA.0b013e31824f1c21.
Booth J, Connelly L, Dickson S, Duncan F, Lawrence M. “The effectiveness of transcutaneous tibial nerve stimulation (TTNS) for adults with overactive bladder syndrome: A systematic review,” NeurourolUrodyn. 2018 Feb;37(2):528-541. doi: 10.1002/nau.23351. Epub 2017 Jul 21
Jure Tornic, Martina D Liechti, Stephanie A Stalder, VeronikaBirkhäuser, Stéphanie van der Lely, Lorenz Leitner, Ulrich Mehnert, Thomas M Kessler, “Transcutaneous Tibial Nerve Stimulation for Treating Neurogenic Lower Urinary Tract Dysfunction: A Pilot Study for an International Multicenter Randomized Controlled Trial”, EurUrol Focus, 2020 Sep 15;6(5):909-915, doi: 10.1016/j.euf.2019.11.008. Epub 2019 Dec 4.
Kozma B, BenceKozma, Attila Majoros, ÁkosPytel, RóbertPóka, PéterTakács “Efficacy of the percutaneous tibial nerve stimulation in the treatment of lower urinary tract symptoms”.OrvHetil, 2018 Oct;159(43):1735-1740.
Dulskas A et al, “Treatment possibilities for low anterior resection syndrome: a review of the literature”.SamalaviciusNE.Int J Colorectal Dis. 2018 Mar;33(3):251-260. doi: 10.1007/s00384-017-2954-x. Epub 20.
Vigorita V,S Rausei, P Troncoso Pereira, I Trostchansky, A RuanoPoblador, E MoncadaIribarren, C Facal Alvarez, A de San Ildefonso Pereira, E CasalNúñez “A pilot study assessing the efficacy of posterior tibial nerve stimulation in the treatment of low anterior resection syndrome”.,TechColoproctol, 2017 Apr;21(4):287-293. doi: 10.1007/s10151-017-1608-x. Epub 2017 Apr 24.
Marinello FG, Jiménez LM, Talavera E, Fraccalvieri D, Alberti P, Ostiz F, Frago R, Blanco A, Pellino G, Espín-Basany E, “Percutaneous tibial nerve stimulation in Subjects with severe low anterior resection syndrome: randomized clinical trial.”, Urodyn Surg. 2021 Apr 30;108(4):380.
Kelly SL, Radley SC, Brown SR. “Does percutaneous tibial nerve stimulation improve global pelvic function in women with fecal incontinence”Colorectal Dis. 2016 May;18(5)...
.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.