Comparative Study Between Surgical and Non Surgical Treatment of Anismus in Patients
Summary
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.
Description
Key words:
Obstructed defecation, chronic constipation, puborectalis, pelvic floor
Study Design
Allocation: Randomized, Control: Active Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
Conditions
Obstructed Defecation
Intervention
BFD, PDPR, BTX A
Location
Ayman Elnakeeb
Mansoura
Egypt
Status
Completed
Source
Mansoura University
Results (where available)
Links
- Source: http://clinicaltrials.gov/show/NCT00735605
- Information obtained from ClinicalTrials.gov on July 15, 2010
Medical and Biotech [MESH] Definitions
Defecation
The normal process of elimination of fecal material from the RECTUM.
Defecography
Radiographic examination of the process of defecation after the instillation of a CONTRAST MEDIA into the rectum.
Hydrocolpos
A fluid-filled VAGINA that is obstructed.
Hematocolpos
A blood-filled VAGINA that is obstructed.
Vascular Patency
The degree to which BLOOD VESSELS are not blocked or obstructed.
Clinical Trials
Stapled TransAnal Rectal Resection (STARR) With Contour® TranstarTM
The stapled transanal rectal resection (STARR procedure) is an effective treatment for obstructed defecation syndrome (ODS) caused by intussusception and rectocele. Recently a new techniqu...
International Transtar Registry
Obstructed Defecation Syndrome (ODS) describes a condition which is characterized by chronic constipation. The symptoms of ODS include abdominal pain or cramping, irregular bowel frequency...
What Benefit With a New Stapler Device in the Surgical Treatment of Obstructed Defecation?
This randomized study was designed to compare the 2 year clinical and functional results with the STARR procedure using a new curved cutter stapler or the same operation done with 2 tradit...
Randomized Controlled Trial of Biofeedback Therapy for Dyssynergic Defecation
Constipation is a common disorder and current treatments are unsatisfactory. Biofeedback may help patients with constipation and dyssynergic defecation, but its efficacy is unproven and wh...
Dysfunctional Voiding and Lower Urinary Tract Symptoms With Baclofen
Dysfunctional voiding is often associated with constipation. The association of constipation with urologic pathologic processes has previously been described since the 1950's, but it was...
PubMed Articles
Background There are several causes of obstructed defecation one of which is thought to be internal rectal prolapse. Operations directed at internal prolapse, such as laparoscopic ventral rectopexy...
Usefulness of psyllium in rehabilitation of obstructed defecation.
BACKGROUND: Rehabilitation is the first therapeutic step of obstructed defecation, after failure of conservative therapy with high-fiber diet and laxatives. This study evaluates the usefulness of psyl...
Obstructed defecation: the role of anorectal manometry.
BACKGROUND: The aim of the study was to evaluate the clinical usefulness of anorectal manometry (AM) in patients affected by obstructed defecation (OD)....
Imaging in patients with obstructed defecation.
Obstructed defecation, rectocele, recurrent hemorrhoids, and rectal diverticulum following the PPH.
