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

Document Type : Original Article

Authors

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

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 .

Keywords

Files

Share

How to cite

Statistics