DOES ELECTRICAL-STIMULATION OF THE PELVIC FLOOR ALTER THE PROCTOGRAPHIC PARAMETERS IN FECAL INCONTINENCE

被引：0
作者：
PAPACHRYSOSTOMOU, MC [1 ]
SMITH, AN [1 ]
STEVENSON, AJM [1 ]
机构：
[1] WESTERN GEN HOSP,DEPT SURG,EDINBURGH EH4 2XU,MIDLOTHIAN,SCOTLAND
来源：
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY | 1994年 / 6卷 / 02期
关键词：
STIMULATION; PELVIC FLOOR; PROCTOGRAPHY; INCONTINENCE;
D O I：
10.1097/00042737-199402000-00009
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Objective: To evaluate the effects of electrical stimulation of the pelvic floor on proctographic parameters in patients with faecal incontinence. Design: Patients with faecal incontinence, resistant to medical or surgical management, were randomly selected for anorectal studies. Patients: The study included 24 patients suffering from idiopathic faecal incontinence with anal sphincter weakness and detectable pudendal neuropathy randomly selected for treatment with a pudendo-anal reflex electrical stimulator. Interventions: Manometric studies, electrophysiological tests and X-ray videoproctography were performed before and after chronic intermittent application of a pudendo-anal reflex electrical stimulator over 8 weeks. Main outcome measure: Improvement in the parameters relating to continence control. Results: The intra-anal pressures showed an increase in the cough (P<0.0001), voluntary contraction (P<0.03) and maximum resting (P<0.004) pressures. The functional length of the anal canal was also enhanced (P<0.004). The anorectal angles remained unchanged; however, there was a significant increase in the pelvic floor ascent (P<0.02), with no change in descent. The poststimulator group had fewer patent anal canals (P<0.04). Conclusions: Chronic neuro-stimulation of the pelvic floor can be used to restore continence.
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页码：139 / 144
页数：6
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