Transcutaneous electrical posterior tibial nerve stimulation for chronic anal fissure: a preliminary study
Purpose Recent studies showed that sacral nerve stimulation might be an effective treatment option for chronic anal fissure. We aimed to evaluate the efficacy of transcutaneous electrical nerve stimulation as a noninvasive alternative treatment for chronic anal fissure by stimulating the sacral nerv...
Gespeichert in:
| Veröffentlicht in: | International journal of colorectal disease 2013-11, Vol.28 (11), p.1583-1589 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1589 |
|---|---|
| container_issue | 11 |
| container_start_page | 1583 |
| container_title | International journal of colorectal disease |
| container_volume | 28 |
| creator | Altunrende, Burcu Sengul, Neriman Arisoy, Ozden Yilmaz, Edip Erdal |
| description | Purpose
Recent studies showed that sacral nerve stimulation might be an effective treatment option for chronic anal fissure. We aimed to evaluate the efficacy of transcutaneous electrical nerve stimulation as a noninvasive alternative treatment for chronic anal fissure by stimulating the sacral nerve in the ankle via the posterior tibial nerve.
Method
In this prospective study, transcutaneous electrical nerve stimulation was applied for 10 days in addition to conventional medical treatment in ten patients. Wexner's constipation score, visual analog scale for pain, quality of life (Short Form-36), Hamilton anxiety and depression scores, symptom relief, compliance, fissure healing, and side effects were evaluated before and after treatment (days 0, 5, and 10).
Results
Ten patients (eight females/two males) with a mean age of 50.7 ± 18.5 years were enrolled in the study. Pain and bleeding resolved in all patients 2 days after the treatment, and mucosal healing was observed in six patients 10 days after the treatment. Wexner's constipation and visual analog scale scores for pain decreased significantly (
p
= 0.001 and
p
= 0.002, respectively). Hamilton anxiety and depression scores decreased as well (
p
= 0.001 and
p
= 0.01, respectively). Among Short Form-36 subscales, only mental health score increased significantly (
p
= 0.003). One patient underwent surgery at follow-up due to recurrence of symptoms, and rubber band ligation was applied to another patient who had internal hemorrhoidal rectal bleeding at the end of 10 days.
Conclusions
Transcutaneous electrical nerve stimulation application to the posterior tibial nerve has the potential to be an alternative treatment option for chronic anal fissure patients who seek noninvasive treatment modality. |
| doi_str_mv | 10.1007/s00384-013-1743-4 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1443998065</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A714491071</galeid><sourcerecordid>A714491071</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-bd7a3c941616c80cc4c8f763ff2c0da25901b4ae4f9c4ea495cc1cb19c9498733</originalsourceid><addsrcrecordid>eNp1kc1u1TAQhS0EopfCA7BBkdiwSfE4ThyzqyoKSJXYlLXlTOziq8S-2AlS375zScufQF5YnvnOsceHsZfAz4Bz9bZw3vSy5tDUoGRTy0dsB7IRNYhOPGY7DkrXoNv-hD0rZc_p3Cn5lJ0IknUtdDu2v842FlwXG11aS-Umh0sOaKfqkMricki5WsIQqBBd_u6qsoR5newSUqw8NfFrTjFgZSMhPpSyZveustUhuynMIdp8S5p1vH3Onng7Fffifj9lXy7fX198rK8-f_h0cX5Vo2z0Ug-jsg1qCR102HNEib1XXeO9QD5a0WoOg7ROeo3SWalbRMABNGl0r5rmlL3ZfA85fVtdWcwcCrpp2kY0IOke3fOuJfT1X-g-rZkG-UEJLZTuxS_qxk7OhOjTki0eTc25Ik4DV0DU2T8oWqObA6bofKD6HwLYBJhTKdl5c8hhpu8ywM0xX7Playhfc8zXSNK8un_wOsxu_Kl4CJQAsQGFWvHG5d8m-q_rHXWQsEQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1442927982</pqid></control><display><type>article</type><title>Transcutaneous electrical posterior tibial nerve stimulation for chronic anal fissure: a preliminary study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Altunrende, Burcu ; Sengul, Neriman ; Arisoy, Ozden ; Yilmaz, Edip Erdal</creator><creatorcontrib>Altunrende, Burcu ; Sengul, Neriman ; Arisoy, Ozden ; Yilmaz, Edip Erdal</creatorcontrib><description>Purpose
Recent studies showed that sacral nerve stimulation might be an effective treatment option for chronic anal fissure. We aimed to evaluate the efficacy of transcutaneous electrical nerve stimulation as a noninvasive alternative treatment for chronic anal fissure by stimulating the sacral nerve in the ankle via the posterior tibial nerve.
Method
In this prospective study, transcutaneous electrical nerve stimulation was applied for 10 days in addition to conventional medical treatment in ten patients. Wexner's constipation score, visual analog scale for pain, quality of life (Short Form-36), Hamilton anxiety and depression scores, symptom relief, compliance, fissure healing, and side effects were evaluated before and after treatment (days 0, 5, and 10).
Results
Ten patients (eight females/two males) with a mean age of 50.7 ± 18.5 years were enrolled in the study. Pain and bleeding resolved in all patients 2 days after the treatment, and mucosal healing was observed in six patients 10 days after the treatment. Wexner's constipation and visual analog scale scores for pain decreased significantly (
p
= 0.001 and
p
= 0.002, respectively). Hamilton anxiety and depression scores decreased as well (
p
= 0.001 and
p
= 0.01, respectively). Among Short Form-36 subscales, only mental health score increased significantly (
p
= 0.003). One patient underwent surgery at follow-up due to recurrence of symptoms, and rubber band ligation was applied to another patient who had internal hemorrhoidal rectal bleeding at the end of 10 days.
Conclusions
Transcutaneous electrical nerve stimulation application to the posterior tibial nerve has the potential to be an alternative treatment option for chronic anal fissure patients who seek noninvasive treatment modality.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-013-1743-4</identifier><identifier>PMID: 23846516</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Anal fissure ; Care and treatment ; Constipation - complications ; Constipation - physiopathology ; Constipation - therapy ; Demography ; Depression, Mental ; Female ; Fissure in Ano - complications ; Fissure in Ano - physiopathology ; Fissure in Ano - therapy ; Gastroenterology ; Hepatology ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Proctology ; Surgery ; Surveys and Questionnaires ; Tibial Nerve - physiopathology ; Transcutaneous Electric Nerve Stimulation ; Visual Analog Scale ; Young Adult</subject><ispartof>International journal of colorectal disease, 2013-11, Vol.28 (11), p.1583-1589</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>COPYRIGHT 2013 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-bd7a3c941616c80cc4c8f763ff2c0da25901b4ae4f9c4ea495cc1cb19c9498733</citedby><cites>FETCH-LOGICAL-c439t-bd7a3c941616c80cc4c8f763ff2c0da25901b4ae4f9c4ea495cc1cb19c9498733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00384-013-1743-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00384-013-1743-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23846516$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Altunrende, Burcu</creatorcontrib><creatorcontrib>Sengul, Neriman</creatorcontrib><creatorcontrib>Arisoy, Ozden</creatorcontrib><creatorcontrib>Yilmaz, Edip Erdal</creatorcontrib><title>Transcutaneous electrical posterior tibial nerve stimulation for chronic anal fissure: a preliminary study</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>Purpose
Recent studies showed that sacral nerve stimulation might be an effective treatment option for chronic anal fissure. We aimed to evaluate the efficacy of transcutaneous electrical nerve stimulation as a noninvasive alternative treatment for chronic anal fissure by stimulating the sacral nerve in the ankle via the posterior tibial nerve.
Method
In this prospective study, transcutaneous electrical nerve stimulation was applied for 10 days in addition to conventional medical treatment in ten patients. Wexner's constipation score, visual analog scale for pain, quality of life (Short Form-36), Hamilton anxiety and depression scores, symptom relief, compliance, fissure healing, and side effects were evaluated before and after treatment (days 0, 5, and 10).
Results
Ten patients (eight females/two males) with a mean age of 50.7 ± 18.5 years were enrolled in the study. Pain and bleeding resolved in all patients 2 days after the treatment, and mucosal healing was observed in six patients 10 days after the treatment. Wexner's constipation and visual analog scale scores for pain decreased significantly (
p
= 0.001 and
p
= 0.002, respectively). Hamilton anxiety and depression scores decreased as well (
p
= 0.001 and
p
= 0.01, respectively). Among Short Form-36 subscales, only mental health score increased significantly (
p
= 0.003). One patient underwent surgery at follow-up due to recurrence of symptoms, and rubber band ligation was applied to another patient who had internal hemorrhoidal rectal bleeding at the end of 10 days.
Conclusions
Transcutaneous electrical nerve stimulation application to the posterior tibial nerve has the potential to be an alternative treatment option for chronic anal fissure patients who seek noninvasive treatment modality.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anal fissure</subject><subject>Care and treatment</subject><subject>Constipation - complications</subject><subject>Constipation - physiopathology</subject><subject>Constipation - therapy</subject><subject>Demography</subject><subject>Depression, Mental</subject><subject>Female</subject><subject>Fissure in Ano - complications</subject><subject>Fissure in Ano - physiopathology</subject><subject>Fissure in Ano - therapy</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Proctology</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Tibial Nerve - physiopathology</subject><subject>Transcutaneous Electric Nerve Stimulation</subject><subject>Visual Analog Scale</subject><subject>Young Adult</subject><issn>0179-1958</issn><issn>1432-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc1u1TAQhS0EopfCA7BBkdiwSfE4ThyzqyoKSJXYlLXlTOziq8S-2AlS375zScufQF5YnvnOsceHsZfAz4Bz9bZw3vSy5tDUoGRTy0dsB7IRNYhOPGY7DkrXoNv-hD0rZc_p3Cn5lJ0IknUtdDu2v842FlwXG11aS-Umh0sOaKfqkMricki5WsIQqBBd_u6qsoR5newSUqw8NfFrTjFgZSMhPpSyZveustUhuynMIdp8S5p1vH3Onng7Fffifj9lXy7fX198rK8-f_h0cX5Vo2z0Ug-jsg1qCR102HNEib1XXeO9QD5a0WoOg7ROeo3SWalbRMABNGl0r5rmlL3ZfA85fVtdWcwcCrpp2kY0IOke3fOuJfT1X-g-rZkG-UEJLZTuxS_qxk7OhOjTki0eTc25Ik4DV0DU2T8oWqObA6bofKD6HwLYBJhTKdl5c8hhpu8ywM0xX7Playhfc8zXSNK8un_wOsxu_Kl4CJQAsQGFWvHG5d8m-q_rHXWQsEQ</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Altunrende, Burcu</creator><creator>Sengul, Neriman</creator><creator>Arisoy, Ozden</creator><creator>Yilmaz, Edip Erdal</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20131101</creationdate><title>Transcutaneous electrical posterior tibial nerve stimulation for chronic anal fissure: a preliminary study</title><author>Altunrende, Burcu ; Sengul, Neriman ; Arisoy, Ozden ; Yilmaz, Edip Erdal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-bd7a3c941616c80cc4c8f763ff2c0da25901b4ae4f9c4ea495cc1cb19c9498733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anal fissure</topic><topic>Care and treatment</topic><topic>Constipation - complications</topic><topic>Constipation - physiopathology</topic><topic>Constipation - therapy</topic><topic>Demography</topic><topic>Depression, Mental</topic><topic>Female</topic><topic>Fissure in Ano - complications</topic><topic>Fissure in Ano - physiopathology</topic><topic>Fissure in Ano - therapy</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Proctology</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Tibial Nerve - physiopathology</topic><topic>Transcutaneous Electric Nerve Stimulation</topic><topic>Visual Analog Scale</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Altunrende, Burcu</creatorcontrib><creatorcontrib>Sengul, Neriman</creatorcontrib><creatorcontrib>Arisoy, Ozden</creatorcontrib><creatorcontrib>Yilmaz, Edip Erdal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Altunrende, Burcu</au><au>Sengul, Neriman</au><au>Arisoy, Ozden</au><au>Yilmaz, Edip Erdal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcutaneous electrical posterior tibial nerve stimulation for chronic anal fissure: a preliminary study</atitle><jtitle>International journal of colorectal disease</jtitle><stitle>Int J Colorectal Dis</stitle><addtitle>Int J Colorectal Dis</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>28</volume><issue>11</issue><spage>1583</spage><epage>1589</epage><pages>1583-1589</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><abstract>Purpose
Recent studies showed that sacral nerve stimulation might be an effective treatment option for chronic anal fissure. We aimed to evaluate the efficacy of transcutaneous electrical nerve stimulation as a noninvasive alternative treatment for chronic anal fissure by stimulating the sacral nerve in the ankle via the posterior tibial nerve.
Method
In this prospective study, transcutaneous electrical nerve stimulation was applied for 10 days in addition to conventional medical treatment in ten patients. Wexner's constipation score, visual analog scale for pain, quality of life (Short Form-36), Hamilton anxiety and depression scores, symptom relief, compliance, fissure healing, and side effects were evaluated before and after treatment (days 0, 5, and 10).
Results
Ten patients (eight females/two males) with a mean age of 50.7 ± 18.5 years were enrolled in the study. Pain and bleeding resolved in all patients 2 days after the treatment, and mucosal healing was observed in six patients 10 days after the treatment. Wexner's constipation and visual analog scale scores for pain decreased significantly (
p
= 0.001 and
p
= 0.002, respectively). Hamilton anxiety and depression scores decreased as well (
p
= 0.001 and
p
= 0.01, respectively). Among Short Form-36 subscales, only mental health score increased significantly (
p
= 0.003). One patient underwent surgery at follow-up due to recurrence of symptoms, and rubber band ligation was applied to another patient who had internal hemorrhoidal rectal bleeding at the end of 10 days.
Conclusions
Transcutaneous electrical nerve stimulation application to the posterior tibial nerve has the potential to be an alternative treatment option for chronic anal fissure patients who seek noninvasive treatment modality.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23846516</pmid><doi>10.1007/s00384-013-1743-4</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0179-1958 |
| ispartof | International journal of colorectal disease, 2013-11, Vol.28 (11), p.1583-1589 |
| issn | 0179-1958 1432-1262 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1443998065 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Adolescent Adult Aged Anal fissure Care and treatment Constipation - complications Constipation - physiopathology Constipation - therapy Demography Depression, Mental Female Fissure in Ano - complications Fissure in Ano - physiopathology Fissure in Ano - therapy Gastroenterology Hepatology Humans Internal Medicine Male Medicine Medicine & Public Health Middle Aged Original Article Proctology Surgery Surveys and Questionnaires Tibial Nerve - physiopathology Transcutaneous Electric Nerve Stimulation Visual Analog Scale Young Adult |
| title | Transcutaneous electrical posterior tibial nerve stimulation for chronic anal fissure: a preliminary study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T01%3A50%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Transcutaneous%20electrical%20posterior%20tibial%20nerve%20stimulation%20for%20chronic%20anal%20fissure:%20a%20preliminary%20study&rft.jtitle=International%20journal%20of%20colorectal%20disease&rft.au=Altunrende,%20Burcu&rft.date=2013-11-01&rft.volume=28&rft.issue=11&rft.spage=1583&rft.epage=1589&rft.pages=1583-1589&rft.issn=0179-1958&rft.eissn=1432-1262&rft_id=info:doi/10.1007/s00384-013-1743-4&rft_dat=%3Cgale_proqu%3EA714491071%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1442927982&rft_id=info:pmid/23846516&rft_galeid=A714491071&rfr_iscdi=true |