Intervention Review

Electrical stimulation for faecal incontinence in adults

  1. Gordon Hosker1,*,
  2. June D Cody2,
  3. Christine C Norton3

Editorial Group: Cochrane Incontinence Group

Published Online: 18 JUL 2007

Assessed as up-to-date: 17 MAY 2007

DOI: 10.1002/14651858.CD001310.pub2


How to Cite

Hosker G, Cody JD, Norton CC. Electrical stimulation for faecal incontinence in adults. Cochrane Database of Systematic Reviews 2007, Issue 3. Art. No.: CD001310. DOI: 10.1002/14651858.CD001310.pub2.

Author Information

  1. 1

    St Mary's Hospital, The Warrell Unit, Manchester, UK

  2. 2

    University of Aberdeen, Cochrane Incontinence Review Group, Foresterhill, Aberdeen, UK

  3. 3

    St Mark's Hospital, Physiology Unit, Harrow, Middlesex, UK

*Gordon Hosker, The Warrell Unit, St Mary's Hospital, Hathersage Road, Manchester, M13 OJH, UK. Gordon.Hosker@CMMC.nhs.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 18 JUL 2007

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Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Background

Faecal incontinence is a particularly embarrassing and distressing condition with significant medical, social and economic implications. Electrical stimulation has been used with apparent success in the treatment of faecal incontinence. However, standards of treatment are still lacking and the magnitude of alleged benefits has yet to be established.

Objectives

To determine the effects of electrical stimulation for the treatment of faecal incontinence in adults.

Search methods

We searched the Cochrane Incontinence Group Specialised Trials Register (searched 13 March 2007) and reference lists of potentially eligible articles.

Selection criteria

All randomised or quasi-randomised trials evaluating electrical stimulation in adults with faecal incontinence.

Data collection and analysis

Two reviewers assessed the methodological quality of potentially eligible trials and independently extracted data from the included trials. A wide range of outcome measures were considered.

Main results

Four eligible trials with 260 participants were identified. Findings from one trial suggest that electrical stimulation with anal biofeedback and exercises provides more short-term benefits than vaginal biofeedback and exercises for women with obstetric-related faecal incontinence. Another study found contradictory results, with no added benefit from electrical stimulation over biofeedback and exercises alone. Although all trials report that patient's symptoms are generally improved, it is not clear that this is the effect of electrical stimulation. No further conclusions could be drawn from the data available.

Authors' conclusions

At present, there are insufficient data to allow reliable conclusions to be drawn on the effects of electrical stimulation in the management of faecal incontinence. There is a suggestion that electrical stimulation may have a therapeutic effect, but this is not certain. Larger, more generalisable trials are needed.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

Electrical stimulation for faecal incontinence in adults

Faecal incontinence (inability to control bowel movements or leaking stool from the anus) can be a very embarrassing and socially restricting problem. There are many possible causes, including childbirth damage to the muscles which control bowel movements. Direct electrical stimulation of these muscles has been used to try to help people with faecal incontinence. The review found that there is not enough evidence from trials to judge whether electrical stimulation is helpful. Exercises and electrical stimulation used in the anus may be more helpful than vaginal exercises for women with faecal incontinence after childbirth.

 

摘要

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. 摘要

背景

電刺激用於成人大便失禁

大便失禁是一個令人非常尷尬及困擾的狀況,涉及醫學、社會及經濟上的問題。電刺激已被應用於治療大便失禁且呈現顯著療效。然而,目前仍缺乏治療標準以及所宣稱的療效程度仍有待確立。

目標

確立電刺激應用在排便失禁成人的療效

搜尋策略

我們搜尋Cochrane Incontinence Group Specialised Trials Register(搜尋日期為2007年3月13日)及可能合適論文的參考文獻列表。

選擇標準

所有評估電刺激用於成人大便失禁之隨機或半隨機試驗。

資料收集與分析

兩位評論者評估可能合適論文的方法學品質及從涵蓋的試驗中獨立地抽出的數據。並考量大範圍的結果評量。

主要結論

四個被選定為合適的試驗共有260位參與者。其中一項試驗的發現指出,對生產造成大便失禁的婦女,電刺激加上肛門生物回饋及運動較陰道生物回饋及運動更能提供短期的效益。另一項試驗則有相反的結果,電刺激對生物回饋及運動並沒有附加的效益。雖然所有試驗均報導病人的症狀一般都獲得改善,但並不清楚這些是否為電刺激的效應。從現有資料中無法獲得進一步的結論

作者結論

目前沒有充分數據得以對電刺激治療成人大便失禁作出可靠的結論。雖有建議電刺激可能具有療效,但卻仍不確定。需有較大規模及更全面的試驗。

翻譯人

本摘要由中國醫藥大學附設醫院王馨霈翻譯。

此翻譯計畫由臺灣國家衛生研究院(National Health Research Institutes, Taiwan)統籌。

總結

電刺激用於成人大便失禁。大便失禁(無法控制排便或大便自肛門漏出)是一個令人十分尷尬而造成社交受到侷限的問題。導致的原因有許多,包括生產時控制排便的肌肉受損。對這些肌肉的直接電刺激曾試用於治療大便失禁者。回顧所有試驗並無足夠證據判斷電刺激是否有幫助。對婦女在產後的大便失禁,肛門運動和電刺激可能較陰道運動更有幫助。