Modern methods of conservative treatment of anal incontinence

  • Rudakov I
  • Lyadov K
  • Shapovalenko T
  • et al.
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Abstract

Introduction and objective.- Study was aimed to evaluate the efficiency of biofeedback, vortex magnetic currents and electrical stimulation for the treatment of patients with faecal incontinence. Methods.- Twenty-eight patients aged 57 + 12 years with anal incontinence were included. Patients were randomized into three groups: First - 13 patients with moderate anal retention of feces, 2nd - 8 patients with complete anal incontinence, the 3rd - 7 patients with denervated anal sphincter and complete anal incontinence.Wexner Scale was administered at the 1st and 10th day of therapy. Daily treatment (day 1 to 10) included: two-channel electrical stimulator "Cefar Peristim Pro", biofeedback complex"UROSTYM",electromagnetic stimulation on "BIOCON-2000W". Results.- Patients of 1st and 2nd groups showed an increase in the compression force of the anal sphincter by 80-95% (average 88%). Seven patients achieved complete anal holding, the remaining 14 patients were able to significantly reduce the number of acts of defecation per day. Three patients showed an increase in the compression force of the anal sphincter by 10-25% and achieved the possibility of containing short time dense faeces. Discussion.- The proposed treatment in the early recovery period after surgery for colon cancer is a highly effective method of faecal retention recovery.

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Rudakov, I., Lyadov, K., Shapovalenko, T., & Rudakov, B. (2014). Modern methods of conservative treatment of anal incontinence. Annals of Physical and Rehabilitation Medicine, 57, e373. https://doi.org/10.1016/j.rehab.2014.03.1363

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