Abstract

Background: According to past studies it was proved that the treatment of dyssynergic defecation was by doing treatment exercises to defecate properly with biofeedback, but recent studies have proved that using tibial nerve stimulation plays an important role in treatment and recovery of pelvic floor dysfunctions therefore this study took a look at the comparison of exercise therapy with biofeedback and posterior tibial nerve simulation in patient’s treatment.

Materials and Methods: This study was a randomized clinical trial of 42 patients who complained of hard stool, 30 patient were chosen based on RomeIII criteria and they were put into separate groups of biofeedback and PTNS. And then some factors including, volume and time of balloon expulsion, patients complaints and RomeIII criteria before and after intervention were Investigated and compared.

Finding: In both groups symptoms of dyssynergic defecation have decreased compared to before treatment but in quantitative criteria a difference was observed in fever of biofeedback. In quantitative criteria time and volume of balloon expulsion were in favor of biofeedback group (p < 0/05). In qualitative criteria including, hard stool, painful defecation, excessive strain and feeling of incomplete defecation significant changes were observed in both groups (p < 0/05 in following criteria such as, bleeding, number of defecation per week and manual maneuver there were so significant differences in groups (p > 0/05). In relation to quantitative criteria, obstructive defecation changes were significant in favor of PTNS group

Conclusion: Using PTNS in dyssynergic defecation is effective.

Keywords: Biofeedback; Posterior Tibial Nerve Stimulation; Constipation; Dyssynergic Defecation; Anorectal Dyssynergia; Anorectal

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Citation

Citation: AR Pakghalb and R Bazaz Behbahani. “Comparing the Effects of Biofeedback and Posterior Tibial Nerve Stimulation (PTNS) on Dyssynergic Defecation Sings and Symptoms". Acta Scientific Gastrointestinal Disorders 3.9 (2020): 16-20.

Copyright

Copyright: © 2020 AR Pakghalb and R Bazaz Behbahani. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.