Does Percutaneous Tibial Nerve Stimulation (PTNS) Improve Outcomes in Patients Presenting With Fecal Incontinence

Exclusion Criteria

• •1. Severe cardiopulmonary disease
• •2. Lesion of the Tibial Nerve
• •3. Use of a cardiac pacemaker or implantable defibrillator
• •4. History of inflammatory bowel disease
• •5. Active anal fissure, fistula, or abscess
• •6. Active rectal bleeding which has not been evaluated with appropriate testing, such as colonoscopy
• •7. Has a sphincter injury that needs sphincteroplasty
• •8. Wants to pursue aggressive surgical therapy with a colostomy or an artificial bowel sphincter
• •9. Severe distal venous insufficiency
• •10. Uncontrolled diabetes with peripheral nerve involvement
• •11. Immunosuppression
• •12. Pregnant or planning on becoming pregnant during treatment
• •13. Patients prone to bleeding