Biofeedback versus bilateral transcutaneous posterior tibial nerve stimulation in the treatment of functional non-retentive fecal incontinence in children: a randomized controlled trial
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Sep 2020 · 1 min read
In brief
In brief
Randomized trial of 93 children with functional non-retentive fecal incontinence compared biofeedback, transcutaneous posterior tibial nerve stimulation, and conservative management. Biofeedback showed superior outcomes at 3 and 6 months, with significant improvements in incontinence scores and anorectal manometry parameters compared to nerve stimulation or Kegel exercises alone.
Written by the GCMD Library team from the article.
Abstract
Background
Biofeedback and transcutaneous posterior tibial nerve stimulation (TPTNS) can be used in treatment of Functional non-retentive fecal incontinence (FNRFI).
Aim of this study was to evaluate the early effect of Biofeedback versus (TPTNS) and treatment by Kegal exercises and dietetic regulations in management of (FNRFI) in children.
Methodology
The current prospective randomized controlled study included 93 children with FNRFI who were randomly allocated into the 3 groups. Group A (n = 28) were treated by dietetic regulation and Kegal exercises. Group B (n = 34) received biofeedback while group C (n = 31) received (TPTNS) for 3 months. Follow up using St' Mark's incontinence score and high resolution manometry was done at 3 and 6 months and compared to the initial records.
Results
There was statistically significant decrease in the incontinence score in Group B and C compared to Group A at 3 and 6 months (p ˂ 0.001). Resting and squeeze pressures showed significant increase group B and C (p ˂ 0.001). Patients in Group B and C showed significant decrease volume of balloon required for 1st sensation (p ˂ 0.001 and 0.034) respectively.
Conclusion
Biofeedback is more effective than TPTNS, Kegal exercises and dietetic regulations in treatment of FNRFI in children for short term follow-up.
Level of Evidence
Level I.
Type of Study
Treatment Study.