Optimising the outcome of neuromodulation for faecal incontinence and constipation
File(s)
Author(s)
Thomas, Gregory
Type
Thesis
Abstract
This thesis begins with a summary of the general management of faecal incontinence and constipation. This is followed by a review of the literature to support the use of neuromodulation for these conditions. The first study reports the effect of alteration of pulse width and frequency on sacral nerve stimulation for constipation. The next study investigates the outcome of transcutaneous stimulation of the sacrum for faecal incontinence. The outcome of pudendal nerve stimulation is reported for those who have failed to improve with sacral nerve stimulation. Lastly the effect of unilateral transcutaneous posterior tibial nerve stimulation is studied and applied to bilateral stimulation.
Version
Open Access
Date Issued
2014-02
Date Awarded
2014-11
Copyright Statement
Attribution NoDerivatives 4.0 International Licence (CC BY-ND)
Advisor
Vaizey, Carolynne
Nicholls, Ralph
Hart, Ailsa
Sponsor
St. Mark's Hospital for Diseases of the Rectum and Colon (London, England)
Publisher Department
Surgery and Cancer
Publisher Institution
Imperial College London
Qualification Level
Doctoral
Qualification Name
Doctor of Medicine (Research) MD (Res)