Comparative Study Between Surgical and Non Surgical Treatment of Anismus in Patients
Comparative study between surgical and non surgical treatment of anismus in patients with symptoms of obstructed defecation.
Anismus is a significant cause of chronic constipation. This study came to compare the results of BFB training , BTX-A injection and PDPR in the treatment of anismus patients. Patients and methods: Seventy two anismus patients fulfilled Rome II criteria for functional constipation were included in this study. All patients underwent anorectal manometry, balloon expulsion test, defecography, and electromyography activity of the EAS. All patients had non relaxing puborectalis muscle.. The patients were randomized into three groups. Group I patients received biofeedback therapy, two times per week for about 1 month. Group II patients were injected with BTX- A. Group 111 partial division of puborectalis was done. Follow up was conducted weekly in the first month then monthly for about 1 year.
Obstructed defecation, chronic constipation, puborectalis, pelvic floor
Allocation: Randomized, Control: Active Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
BFD, PDPR, BTX A
Results (where available)
- Source: http://clinicaltrials.gov/show/NCT00735605
- Information obtained from ClinicalTrials.gov on July 15, 2010
Medical and Biotech [MESH] Definitions
The normal process of elimination of fecal material from the RECTUM.
Radiographic examination of the process of defecation after the instillation of a CONTRAST MEDIA into the rectum.
A fluid-filled VAGINA that is obstructed.
A blood-filled VAGINA that is obstructed.
The degree to which BLOOD VESSELS are not blocked or obstructed.
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