Fecal Incontinence
Conditions
Keywords
Fecal Incontinence, Bowel Incontinence
Brief summary
The purpose of this study is to determine the effectiveness of percutaneous tibial nerve stimulation (PTNS) therapy with the Urgent® PC Neuromodulation System (Uroplasty, Inc., Minnetonka, MN, USA) for the treatment of fecal incontinence (FI).
Detailed description
Pilot Study
Interventions
The Urgent PC Neuromodulation System (Uroplasty, Inc., Minnetonka, MN, USA), device, is an easily administered neuromodulation system designed to deliver retrograde access to the sacral nerve through percutaneous electrical stimulation of the tibial nerve. This method of treatment is referred to as percutaneous tibial nerve stimulation (PTNS).
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient history of chronic FI of more than staining for at least 6 months; staining defined as less than the size of a 25¢ piece (quarter) * Patient reported and/or failed ≥ 2 conservative therapies (e.g., diet/fiber modification, anti-diarrheal medication, pelvic floor muscle training, biofeedback, medical management, etc.)
Exclusion criteria
* Pregnancy or intention to become pregnant during the course of the study * Implanted electro-medical device (i.e., pacemaker, defibrillator, deep brain stimulator, etc.) * Clinically significant neurological diseases or nerve damage impacting tibial nerve or pelvic floor function * Prone to excessive bleeding or bleeding diathesis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effectiveness | 18 weeks | To assess the effectiveness of PTNS by measuring the proportion of patients with ≥50% decrease in the number of fecal incontinence episodes per week based on the results of the 14-day bowel diary at 18 weeks compared to baseline |
| Safety | 18 weeks | To characterize adverse events experienced throughout the study |
Countries
United States