Observation on the clinical efficacy of percutaneous tibial nerve stimulation for short-term postoperative voiding dysfunction in benign anorectal diseases
10.3969/j.issn.1001-1242.2025.06.017
- VernacularTitle:经皮胫神经刺激治疗肛肠良性疾病术后短期排尿功能障碍的临床疗效观察
- Author:
Yi XIONG
1
;
Jinlan CHEN
1
;
Cong WANG
1
Author Information
1. 浙江中医药大学附属第一医院(浙江省中医院)肛肠外科,浙江省 杭州市,310000
- Publication Type:Journal Article
- Keywords:
percutaneous tibial nerve stimulation;
voiding dysfunction;
anorectal surgery;
complications
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(6):917-923
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of percutaneous tibial nerve stimulation(PTNS)in promoting recovery from short-term urinary dysfunction following surgery for benign anorectal diseases.Method:Eighty patients experiencing urinary dysfunction following surgery for benign anorectal diseases were randomly assigned to either a control group or a PTNS group,with 40 patients in each.The control group received standard treatment,whereas the PTNS group received standard treatment plus additional PTNS therapy.The outcomes of interest included urinary sensation grading,time to first urination,and urine volume.Additionally,postoperative pain,bowel function,and overall recovery were evaluated using the visual ana-logue scale(VAS),the HEMO-FISS-QoL(a quality of life questionnaire specific to hemorrhoidal disease),time to first bowel movement,and the Bristol stool scale.Result:The proportion of patients in the PTNS group who achieved an urinary sensation grade of III or high-er was 67.5%,significantly higher than the 37.5%observed in the control group(P=0.037).Furthermore,the PTNS group exhibited statistically significant improvements in the time to first urination(P=0.030)and the vol-ume of first urination(P=0.041)compared to the control group.In the control group,20%of patients re-quired indwelling catheterization,whereas only 12.5%of patients in the PTNS group required it.Regarding pain scores,patients in the PTNS group reported significantly lower levels of pain compared to those in the control group(P=0.024).Although both groups experienced improvements in quality of life scores post-treat-ment compared to pre-surgery,the between-group difference was not statistically significant(P=0.106).Pa-tients in the PTNS group had significantly shorter hospital stays compared to those in the control group(P<0.001).In terms of postoperative bowel movements,no significant differences were observed between the two groups in the time to first bowel movement(P=0.214)or stool consistency as assessed by the Bristol stool scale(P=0.363).No adverse events were reported in either group during the study period or follow-up.Conclusion:Surgery is a standard treatment for patients with mixed hemorrhoids,and when supplemented with postoperative PTNS therapy,it effectively restores bladder function,reduces postoperative pain,shortens hospital stays,and does not increase the risk of adverse events.Thus,it represents a viable alternative to tra-ditional treatment strategies.
