Faecal Incontinence or Faecal Urgency occurs when the arrival of faeces in the rectum causes strong contractions and unexpected anal relaxation.
It is particularly common in patients with ‘irritable’ bowels, because the rectum is more sensitive to distension.
If the sphincter is weak, this may cause incontinence.
Treatments for Faecal Incontinence
When there is clear damage to the anal sphincter muscle and a wide gap in the muscle the surgeon may recommend an anal sphincter repair in the first instance.
Where there isn’t a big gap in the sphincter muscle and/ or symptoms cannot be controlled with
drugs such as loperamide and physiotherapy, percutaneous tibial nerve stimulation (PTNS - a type of neuromodulation) may be recommended.
Urgent PC system is a low-risk, treatment for faecal incontinence. It delivers percutaneous tibial nerve stimulation via the use of a small slim needle electrode temporarily, inserted near the ankle, that is connected to a battery-operated stimulator.
This treatment is usually well-tolerated by patients, is less time-consuming than rectal irrigation, and may be combined with other therapies.
Urgent PC treatments initially consists of 12 treatments, scheduled a week apart and if you respond, once a month to maintain improvements.