{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T12:16:40Z","timestamp":1778242600049,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,5,3]],"date-time":"2016-05-03T00:00:00Z","timestamp":1462233600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Percutaneous tibial nerve stimulation (<jats:styled-content style=\"fixed-case\">PTNS<\/jats:styled-content>) is a minimally invasive treatment for faecal incontinence. Many patients with faecal incontinence have coexisting pelvic floor disorders such as urinary incontinence and vaginal symptoms. We utilized a pelvic floor assessment tool to analyse any effect of <jats:styled-content style=\"fixed-case\">PTNS<\/jats:styled-content> on global pelvic floor function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with faecal incontinence attending our institution who had failed to respond sufficiently to biofeedback were offered a course of <jats:styled-content style=\"fixed-case\">PTNS<\/jats:styled-content>. Patients underwent pre\u2010 and post\u2010stimulation assessment with a validated electronic Personal Assessment Questionnaire \u2013 Pelvic Floor (<jats:styled-content style=\"fixed-case\">ePAQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content>) for pelvic floor disorders. Scores were compared to assess the effect of treatment on global pelvic floor function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period pre\u2010 and post\u2010stimulation <jats:styled-content style=\"fixed-case\">ePAQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PF<\/jats:styled-content> data were available for 60 patients (55% of all patients starting <jats:styled-content style=\"fixed-case\">PTNS<\/jats:styled-content>). In this cohort there was a significant improvement in bowel continence, bowel related quality of life, irritable bowel syndrome and bowel evacuation with a large effect size for continence and bowel related quality of life. There was also a significant improvement in non\u2010bowel related symptoms, including urinary pain and stress incontinence, urinary related quality of life and bowel related sexual function. Sixty\u2010five per cent of those who answered the question reported improvement in global health after stimulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For patients presenting with faecal incontinence, <jats:styled-content style=\"fixed-case\">PTNS<\/jats:styled-content> appears to have a positive effect on bowel related function in approximately two\u2010thirds of patients. However, for treatment responders, improvement appears to relate mainly to improvement in bowel related function rather than a global pelvic floor effect.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13329","type":"journal-article","created":{"date-parts":[[2016,3,12]],"date-time":"2016-03-12T19:56:35Z","timestamp":1457812595000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Does percutaneous tibial nerve stimulation improve global pelvic function in women with faecal incontinence?"],"prefix":"10.1111","volume":"18","author":[{"given":"S. L.","family":"Kelly","sequence":"first","affiliation":[{"name":"Northern General Hospital Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. C.","family":"Radley","sequence":"additional","affiliation":[{"name":"Royal Hallamshire Hospital Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. R.","family":"Brown","sequence":"additional","affiliation":[{"name":"Northern General Hospital Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-0593-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-009-1053-9"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02235476"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2005.00815.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12181"},{"key":"e_1_2_6_7_1","volume-title":"Faecal Incontinence: The Management of Faecal Incontinence in Adults","author":"National Institute for Health and Care Excellence","year":"2007"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9391"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9000"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12680"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-014-0898-0"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOU.0000000000000180"},{"key":"e_1_2_6_13_1","first-page":"196","article-title":"Percutaneous tibial nerve stimulation (PTNS) effects on urge incontinence patients are not caused by a placebo effect: a double blind, placebo controlled study","volume":"20","author":"Finazzi\u2010Agr\u03cc E","year":"2009","journal-title":"Int Urogynecol J"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.05.045"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.12.036"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.11.175"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0655-2"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00820.x"},{"key":"e_1_2_6_19_1","first-page":"1","article-title":"Quality of life measurement and electronic assessment in urogynaecology","volume":"13","author":"Dua A","year":"2011","journal-title":"Obstetrician Gynaecologist"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0790-9"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181c75274"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9255-y"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22322"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v13.i25.3425"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60314-2"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcodi.13329","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.13329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T04:08:29Z","timestamp":1694664509000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.13329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["10.1111\/codi.13329"],"URL":"https:\/\/doi.org\/10.1111\/codi.13329","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5]]},"assertion":[{"value":"2015-10-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-02-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-05-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}