Fecal Incontinence Clinical Trial
Official title:
Biofeedback Versus Bilateral Transcutaneous Electrical Nerve Stimulation in the Treatment of Functional Non-retentive Fecal Incontinence
Fecal incontinence is one of the most psychological frustrating problems. It occurs in
children due to many causes. There is a wide range of non-invasive therapeutic approaches
like Kegel exercise, Biofeedback, and posterior tibial nerve stimulation. However, up till
now, there are no established guidelines for treatment.
the objective of this study is to evaluate and compare the early effect of Biofeedback
therapy versus bilateral transcutaneous posterior tibial nerve stimulation (TPNS) as
non-invasive methods in the treatment of functional non-retentive fecal incontinence (FNRFI)
in children.
Functional non-retentive fecal incontinence (FNRFI) requires prolonged treatment with a wide
range of non-invasive therapeutic approaches like Kegel exercise, Biofeedback, and posterior
tibial nerve stimulation (PTNS). However, up till now, there are no established guidelines
for treatment.1 The aim of this study is to evaluate and compare the early effect of
Biofeedback therapy versus bilateral transcutaneous posterior tibial nerve stimulation
(TPTNS) as non-invasive methods in the treatment of (FNRFI) in children.
Methodology: The current prospective randomized controlled study included 93 children with
FNRFI who were randomly divided and allocated into three groups. Group A treated by
conventional methods through dietetic regulation and Kegal exercises. Group B treated by
biofeedback therapy while group C received bilateral (TPTNS). Initial manometric findings
including resting pressure, squeeze pressure, 1st sensation, 1st urge, and intense urge were
recorded and repeated after 3 and 6 months together with incontinence score recorded in using
St' Mark's (Varizey) with the primary endpoint of improvement of the incontinence score more
than 50%.
;
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