Comparison of biofeedback therapy and posterior tibial nerve stimulation alone versus combined treatment on improving pelvic floor muscle activity, sign and quality of life in femals with chronic dyssynergic constipation and stress urinary incontinence: asingle blind randomized controlled trial

Ahvaz University of Medical Sciences0 个研究点目标入组 87 人开始时间: 待定最近更新: 2023年5月29日

试验速览

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•Women aged 18 to 60
•Concomitant presence of constipation and stress urinary incontinence
•At least 12 months have passed since symptoms
•Have not responded to standard medical treatments for constipation and adherence to diet
•not receiveing treatment regarding these two disorders.
•Having at least two Criterion of the Rome IV criteria

•Unsuccessful history of biofeedback therapy
•Uncontrolled cardiovascular, kidney and liver diseases
•Back, hip and/or hip joint dysfunction
•Chronic obstructive pulmonary disease
•Sexual problems
•Use of medications (diuretics, sympathomimetics/sympatholytic), parasympathomimetic / parasympatholytic)
•Spinal cord injury
•Patients with a history of mental illness
•Drug-induced constipation
•Metabolic, endocrine, neurological disorders
•History of pelvic surgery
•Active intestinal disease and fissure
•Neurological diseases (such as multiple sclerosis, stroke)
•Urine test and positive urine culture
•History of radiation therapy or hormone therapy in the last six months
•Prolapse of the pelvic organs more than grade 2 (more than 1 cm below Hyman's membrane during the examination in the stretched state of the pelvic floor. Grading will be done through the quantitative system of pelvic organ prolapse and by a gynecologist or pelvic floor physiotherapist. This The method has 5 grades from grade 0 to 4, grade 0 indicates the absence of prolapse, grade 1 is less than 1 cm below Hyman's curtain, grade 2 is more than 1 cm below Hyman's curtain, grade 3 is more than 1 cm. below the hymen, but does not protrude more than 2 cm from the entire length of the vagina, and in grade 4, the lower genital system is completely deviated
•They were not able to contract the pelvic floor muscles during finger examination
•Active or recurrent urinary tract infection

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