1. Percutaneous Tibial Nerve Stimulation (PTNS) – Innovation in the Treatment of Faecal Incontinence Janice Reid Continence Services Manager Western Health & Social Care Trust Linen Suite, Mossley Mill 9 th October 2013

2. Linen Suite, Mossley Mill Vision without action is dreaming… Action without vision is just passing the time of day…. BUT, combine vision with action and you change the world! Nelson Mandela

3. 9 th October 2013 Linen Suite, Mossley Mill Aim of Presentation PTNS, the Continence Nurse Specialist and the Patient…. the journey to success together ROAD TO SUCCESS

4. 9 th October 2013 Linen Suite, Mossley Mill Lets start with the problem... 6.5 million people in UK today with some kind of bowel problem

5. 9 th October 2013 Linen Suite, Mossley Mill Impact of Faecal Incontinence 20 – 30 referrals per year Limited treatment options Incontinence still taboo Social stigma

6. 9 th October 2013 Linen Suite, Mossley Mill Let me introduce PTNS… A first for Northern Ireland Urgent PC neuromodulation system - uses established technique of electrical stimulation Can be implemented by specialist nurses in a clinic setting

7. 9 th October 2013 Linen Suite, Mossley Mill PTNS TREATMENT

8. 9 th October 2013 Linen Suite, Mossley Mill Getting started Funding Training Competency framework Care pathway Evaluation strategy

9. 9 th October 2013 Linen Suite, Mossley Mill Challenges New to NI – training issues? New treatment - no long term data

10. 9 th October 2013 Linen Suite, Mossley Mill Enablers The ethos of Transforming Your Care A focused and motivated team of specialist nurses with a desire to improve the lives of patients with Faecal Incontinence

11. 9 th October 2013 Linen Suite, Mossley Mill Case history 1 58 yr old nulliparous lady – mixed urge and passive FI Very weak anal tone / Pelvic floor contraction After treatment - incidence of FI reduced by 50% Significant improvement in QoL

12. 9 th October 2013 Linen Suite, Mossley Mill Case history 2 38 yr old para 1 Faecal urgency/incontinence/flatus Weak anal tone After treatment – 40% reduction in incontinent episodes / flatus now controlled

13. 9 th October 2013 Linen Suite, Mossley Mill From the patient….. My life is transformed – thank you I was practically housebound before – I feel I have my life back

14. 9 th October 2013 Linen Suite, Mossley Mill From the patient….. For the first time in years I had the confidence to go out for a family meal

15. 9 th October 2013 Linen Suite, Mossley Mill In summary… PTNS – safe, well tolerated, minimally invasive procedure Significant reduction in Faecal Incontinence episodes Less medication, less pads Impact on Quality of Life

16. 9 th October 2013 Linen Suite, Mossley Mill Key message If there is anyone out there who still  DOUBTS their own abilities  WONDERS if it is worth making the effort in these difficult times  QUESTIONS the power and passion of committed nurses THEN

17. 9 th October 2013 Linen Suite, Mossley Mill Just Remember….. Vision without action is dreaming… Action without vision is just passing the time of day…. BUT, combine vision with action and you change the world! Nelson Mandela