Efficacy of Pelvic Floor Muscle Training for the Treatment of Fecal Incontinence after Soave Procedure for Hirschsprung Disease

Sun, Xu; Wang, Ruoyi; Zhang, Li; Li, Dianguo; Li, Yanhua

doi:10.1055/s-0032-1313351

Cited by 23 publications

(13 citation statements)

References 12 publications

(13 reference statements)

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“…Some authors suggest Botox injections to relax the sphincter muscle and promote defecation [15]. Single-center studies have also shown improvement in bowel function post-Soave with pelvic floor exercises [16] or Malone antegrade enemas [17]. All these interventions aim to achieve social continence.…”

Section: Resultsmentioning

confidence: 99%

Identifying Information Needs for Hirschsprung Disease Through Caregiver Involvement via Social Media: A Prioritization Study and Literature Review

Wittmeier¹,

Hobbs-Murison²,

Holland³

et al. 2018

J Med Internet Res

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BackgroundPatient and public involvement in health research is important to produce relevant and impactful results.ObjectiveThis paper aimed to prioritize and summarize Hirschsprung disease (HD)–related information needs among caregivers of children with HD and pediatric surgeons through partnership with a parent-initiated social media campaign.MethodsWe conducted a Web-based survey with the 2 stakeholder groups to identify information needs. The caregiver survey was conducted through a global Web-based community, and the surgeon survey was distributed to members of the Canadian Association of Paediatric Surgeons (CAPS). We conducted a literature review to identify evidence on the prioritized topics.ResultsOur findings showed that 54.9% (89/162) of the individuals completed the caregiver survey and 23.8% (52/218 listed members) of the pediatric surgeons completed the survey distributed through CAPS. Only 20% (18/89) of the caregivers reported being very satisfied or satisfied with the current HD-related resources. A final prioritized list of information needs included bowel management, nutrition and growth, infection, perianal irritation, gastrointestinal pain, surgical diagnostics, and surgical complications. In total, 87 studies were included in the literature review, which included the following: 8 reviews, 2 randomized controlled trials, 74 cohort studies, and 3 practice guidelines. Two priority issues identified by caregivers had only a single study that met the inclusion criteria, whereas 1 topic had none.ConclusionsWith caregiver and surgeon input, we identified 7 information priority areas related to HD. A review of the literature on the priorities found little evidence to support the development of high-quality guidelines. More research is necessary to meet the information needs related to HD as identified by stakeholders.

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Section: Resultsmentioning

confidence: 99%

Identifying Information Needs for Hirschsprung Disease Through Caregiver Involvement via Social Media: A Prioritization Study and Literature Review

Wittmeier¹,

Hobbs-Murison²,

Holland³

et al. 2018

J Med Internet Res

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“…Sun et al showed in their work that pelvic floor muscle training is a procedure of choice for treating this complaint. They revealed that incontinent children had lower anal canal pressures at rest, and that after pelvic floor muscle training, there was no improvement in clinical outcomes ( 7 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Urotherapy is successful for the treatment of nonmonosymtomatic enuresis, achieving 42% of cases completely dry ( 6 ) . Resting pressure of the incontinent children was significantly improved by pelvic floor muscle exercise ( 7 ) .…”

Section: Introductionmentioning

confidence: 99%

Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence

Campos

Gugliotta

Ikari

et al. 2013

Einstein (São Paulo)

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Objective:To verify and compare the results of behavioral modification plus pelvic floor muscle training and behavioral modifications plus oxybutynin chloride in children with nonmonosymptomatic enuresis.Methods:A total of 47 children were randomized using opaque and sealed envelopes sequentially numbered. Group I was composed of 21 children who underwent antimuscarinic treatment (oxybutynin), and Group II was composed of 26 patients who underwent pelvic floor muscle training. Both groups were instructed as to behavioral modifications.Results:The voiding diary results were compared each month between Groups I and II. In the first month of treatment, children in Group I presented 12.2 dry nights, 13.4 in the second month, and 15.9 in the last month. In Group II, the results were: 14.9 dry nights in the first month, 20.8 dry nights in the second and 24.0 dry nights in the last month. There was a significant difference between the groups in second and third months.Conclusion:Pelvic floor exercises associated with behavioral changes were more effective than pharmacological treatment in children with urinary incontinence.

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“…In contrast, there have been many nonrandomized trials and retrospective reviews which have reported significant benefit to BFT and pelvic floor rehabilitation after surgery. [43][44][45][46][47] More RCTs in this area are obviously needed.…”

Section: Pelvic Floor Rehabilitation Following Surgerymentioning

confidence: 99%

Pelvic Floor Rehabilitation in the Treatment of Fecal Incontinence

Scott

2014

Clinics in Colon and Rectal Surgery

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Fecal incontinence (FI) is a prevalent problem that can drastically affect quality of life. Pelvic floor rehabilitation is an important first-line treatment for patients with FI, and many published case reports and a small number of randomized controlled trials (RCTs) provide limited evidence for its efficacy. Pelvic floor rehabilitation approaches to the treatment of FI include pelvic floor muscle training, biofeedback, and volumetric training with rectal balloon catheters. Various forms of external electrical stimulation have also been described and may be of added benefit. Behavioral bowel retraining is an important part of a good rehabilitative approach as well. Pelvic floor rehabilitation treatment for FI is thought to be effective and safe, with reported success rates in a majority of studies at 50 to 80%. Many more high-quality RCTs are needed to define optimal treatment protocols.

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Efficacy of Pelvic Floor Muscle Training for the Treatment of Fecal Incontinence after Soave Procedure for Hirschsprung Disease

Cited by 23 publications

References 12 publications

Identifying Information Needs for Hirschsprung Disease Through Caregiver Involvement via Social Media: A Prioritization Study and Literature Review

Identifying Information Needs for Hirschsprung Disease Through Caregiver Involvement via Social Media: A Prioritization Study and Literature Review

Comparative, prospective, and randomized study between urotherapy and the pharmacological treatment of children with urinary incontinence

Pelvic Floor Rehabilitation in the Treatment of Fecal Incontinence

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