Evaluation of patients with dyssynergic defecation after biofeedback therapy by MR defecography
- Conditions
- Chronic costipation and dyssynergic defecation.Disorder of muscle, unspecified
- Registration Number
- IRCT2015011020011N1
- Lead Sponsor
- Iran University of Medical Sciences
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 22
The Patients participate in this study, with chronic constipation who fulfill Rome diagnostic criteria” for functional constipation for at least 12 weeks: they need to strain in defecation, have lumpy or hard stools, sensation of incomplete evacuation, and need manual maneuvers to facilitate defecation in more than 1/4 of bowel movements. They have a dyssynergic pattern of defecation. The patients also have diagnostic testing evidence (anorectal manometry or defecography or balloon expulsion test) of dyssynergic defecation. The diagnosis of paradoxical contraction of puborectalis muscle during straining is established by digital rectal examination. Patients were excluded from the study if they had previous anorectal surgery, anorectal tumors, or structural anorectal disorders, which needed operation intervention. Other exclusion criteria were significant cardiovascular, respiratory, neurologic, psychiatric illnesses, sever psychological problems, or endocrine and metabolic diseases that could cause constipation
Not provided
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Muscle function((Paradox index & perinal descend index ). Timepoint: before treatment and after its completion (3 months). Method of measurement: MR defecography.
- Secondary Outcome Measures
Name Time Method Symptomatic changes. Timepoint: before tretment and after its completion. Method of measurement: costipation scoring questionnaire.;The quality of life. Timepoint: before tretment and after its completion. Method of measurement: the culturally adapted version of Short Form-36.;Severity of depression. Timepoint: before tretment and after its completion. Method of measurement: , the culturally adapted version of Beck Depression Inventory questionnaires.