Aim:the objective of our study was to assess the clinical effects and anal pressures variations after extracorporeal magnetic stimulation in patients with fecal incontinence.Methods:26 patients affected by fecal incontinence (18 female and 8 male) were enrolled. The patients underwent a five-week corse of twice weekly, 20-minutes sessions. At the beginning and at the end of the treatment, Wexner’s test for incontinence and anorectal manometry were performed. All patients were re-evaluated 6 and 12 months after treatment to assess long-term results.Results:the patients’ mean age was 55.55 years (range 43-67). All patients completed treatment with no adverse reactions. The Wexner scores showed to be reduced from 12.70 a 5.7; anal pressures increased in comparison to resting from 47.2 cm H20 to 52.12; squeeze pressures increased from 85.32 to 105.3 cm H2O and cough pressures changed from 96 to 115.3 cm H2O.Conclusions:Analysis of our data showed a significant decrease of incontinence’s score and a improvement of quality of life in most patients treated. We observed a clinical improvement but not an increase of basal anal pressure; we reported a positive correlation between the clinical improvement and the increase of maximal squeeze pressure and cough pressure.
La Stimolazione magnetica extracorporea del pavimento pelvico nel trattamento dell’incontinenza fecale(2010 Feb 12).
La Stimolazione magnetica extracorporea del pavimento pelvico nel trattamento dell’incontinenza fecale
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2010-02-12
Abstract
Aim:the objective of our study was to assess the clinical effects and anal pressures variations after extracorporeal magnetic stimulation in patients with fecal incontinence.Methods:26 patients affected by fecal incontinence (18 female and 8 male) were enrolled. The patients underwent a five-week corse of twice weekly, 20-minutes sessions. At the beginning and at the end of the treatment, Wexner’s test for incontinence and anorectal manometry were performed. All patients were re-evaluated 6 and 12 months after treatment to assess long-term results.Results:the patients’ mean age was 55.55 years (range 43-67). All patients completed treatment with no adverse reactions. The Wexner scores showed to be reduced from 12.70 a 5.7; anal pressures increased in comparison to resting from 47.2 cm H20 to 52.12; squeeze pressures increased from 85.32 to 105.3 cm H2O and cough pressures changed from 96 to 115.3 cm H2O.Conclusions:Analysis of our data showed a significant decrease of incontinence’s score and a improvement of quality of life in most patients treated. We observed a clinical improvement but not an increase of basal anal pressure; we reported a positive correlation between the clinical improvement and the increase of maximal squeeze pressure and cough pressure.File | Dimensione | Formato | |
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