Biofeedback Vs Electrical Stimulation in Treatment of Fecal Incontinence
Fecal Incontinence, Encopresis, Fecal Soiling
About this trial
This is an interventional treatment trial for Fecal Incontinence focused on measuring Fecal incontinence, Biofeedback, Transcutaneous posterior tibial nerve stimulation, Childern
Eligibility Criteria
Inclusion Criteria:
- FecaI incontinence
- Normal defecation frequency,
- Normal bowel habits and
- Normal stool consistency
Exclusion Criteria:
- Children who are not cooperative,
- Children with traumatic sphincter injury,
- Children with fecal impaction,
- Children with spinal diseases causing incontinence,
- Children with anorectal malformation,
Sites / Locations
- Banha University
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Biofeedback
Electrical Stimulation
Control group
Biofeedback therapy in addition to the conventional measures done in the control Group. It was performed in the same position used for baseline manometry. The used protocol included strength and sensory training, twice weekly for 3 months. Strength training was performed by a double-lumen rectal PVC balloon clothed catheter (MMS U-72210).
Bilateral (TPTNS); was applied with an electrode above the medial malleolus A second electrode) was applied just below the same malleolus. Electrical stimulation with a low-frequency current (10 Hz), and adjustable intensity. The procedure was done for 20-30 minutes, three times per week for 3 months together with the conventional maneuvers applied in the control group.
were managed by conventional methods through Kegal exercises and dietetic regulation where they had received bulky food including vegetables, fruits bran and cereals. Fast foods, spicy drinks and caffeine should be limited in child's diet. Local hygiene and zinc oxide application to the perianal skin were advised to prevent skin excoriation.