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371208

COMPARATIVE STUDY BETWEEN BIOFEEDBACK RETRAINING AND BOTULINUM NEUROTOXIN IN TREATMENT OF ANISMUS PATIENTS

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Last updated: 29 Dec 2024

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Abstract

Aim: Anismus is a significant cause of chronic constipation. This study came to revive the results of biofeedback BFB 
retraining and botulinum toxin A BTX- A injection in treatment of anismus patients. 
Methods: Forty eight patients with history of constipation underwent anorectal manometry, balloon expulsion, 
defecography, and electromyography. All patients had a non relaxing puoborectalis muscle. The patients were randomized into 2 groups. Group I patients receive biofeedback, two times per week for one month. Group II patients were injected with BTX- A. Follow up was conducted weekly in the first month then monthly for one year. 
Results: In BFB training group 3 patients quite before the end of sessions with no improvement, initial improvement was 
recorded in 12 patients (50%) while long term success was recorded in 6 patients (25%). In BTX-A group, initial improvement recorded in 17 patients (70.83%) with long term improvement in 8 patients (33.3%) There is a significant difference between BTX-A group and BFB group as regarding the initial success, but this significant difference disappeared at the end of follow up. 
Conclusions: Biofeedback retraining has therapeutic effect on patients suffering from anismus also, BTX-A injection is 
successful for temporary treatment of anismus and need repeated injection. Initial improvement is better after BTX-A 
injection .

DOI

10.21608/ejsur.2008.371208

Keywords

Obstructed defecation, constipation, Puborectalis

Authors

First Name

Waled

Last Name

Omer

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

-

City

-

Orcid

-

First Name

Ayman

Last Name

El Nakeeb

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

-

City

-

Orcid

-

First Name

Amir

Last Name

Fikry

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

amrikry@yahoo.com

City

-

Orcid

0000-0003-4166-2396

First Name

Hosam

Last Name

Ghazy

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

hosamelbanna@hotmail.com

City

-

Orcid

-

First Name

Sabry

Last Name

Ahmed

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

-

City

-

Orcid

-

First Name

Elyamani

Last Name

Fouda

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Yousef

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

-

City

-

Orcid

-

First Name

Hisham

Last Name

Abd El Monem

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

-

City

-

Orcid

-

First Name

Wael

Last Name

Khafagy

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

wkhafagy@mans.edu.eg

City

-

Orcid

-

First Name

Mosaad

Last Name

Morshed

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Farid

MiddleName

-

Affiliation

Department of General Surgery, Colorectal Unit, Mansoura University Hospital, Egypt

Email

mfshzk@gmail.com

City

-

Orcid

-

Volume

27

Article Issue

3

Related Issue

49448

Issue Date

2008-07-01

Receive Date

2024-08-01

Publish Date

2008-07-01

Page Start

141

Page End

147

Print ISSN

1110-1121

Online ISSN

1687-7624

Article File

EJSUR_Volume 27_Issue 3_Pages 141-147.pdf

PDF . 160.3kB

Link

https://ejsur.journals.ekb.eg/article_371208.html

Detail API

https://ejsur.journals.ekb.eg/service?article_code=371208

Order

371,208

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

COMPARATIVE STUDY BETWEEN BIOFEEDBACK RETRAINING AND BOTULINUM NEUROTOXIN IN TREATMENT OF ANISMUS PATIENTS

Details

Type

Article

Created At

21 Dec 2024