Biofeedback Vs Electrical Stimulation in Treatment of Fecal Incontinence

Last updated: May 5, 2020
Sponsor: Cairo University
Overall Status: Completed

Phase

N/A

Condition

Fecal Incontinence

Bowel Dysfunction

Rectal Disorders

Treatment

N/A

Clinical Study ID

NCT04380571
Fecal incontinence
  • Ages 5-15
  • All Genders

Study Summary

Fecal incontinence is one of the most psychological frustrating problems. It occurs in children due to many causes. There is a wide range of non-invasive therapeutic approaches like Kegel exercise, Biofeedback, and posterior tibial nerve stimulation. However, up till now, there are no established guidelines for treatment.

the objective of this study is to evaluate and compare the early effect of Biofeedback therapy versus bilateral transcutaneous posterior tibial nerve stimulation (TPNS) as non-invasive methods in the treatment of functional non-retentive fecal incontinence (FNRFI) in children.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • FecaI incontinence

  • Normal defecation frequency,

  • Normal bowel habits and

  • Normal stool consistency

Exclusion

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,

Study Design

Total Participants: 93
Study Start date:
March 04, 2018
Estimated Completion Date:
February 28, 2019

Study Description

Functional non-retentive fecal incontinence (FNRFI) requires prolonged treatment with a wide range of non-invasive therapeutic approaches like Kegel exercise, Biofeedback, and posterior tibial nerve stimulation (PTNS). However, up till now, there are no established guidelines for treatment.1 The aim of this study is to evaluate and compare the early effect of Biofeedback therapy versus bilateral transcutaneous posterior tibial nerve stimulation (TPTNS) as non-invasive methods in the treatment of (FNRFI) in children.

Methodology: The current prospective randomized controlled study included 93 children with FNRFI who were randomly divided and allocated into three groups. Group A treated by conventional methods through dietetic regulation and Kegal exercises. Group B treated by biofeedback therapy while group C received bilateral (TPTNS). Initial manometric findings including resting pressure, squeeze pressure, 1st sensation, 1st urge, and intense urge were recorded and repeated after 3 and 6 months together with incontinence score recorded in using St' Mark's (Varizey) with the primary endpoint of improvement of the incontinence score more than 50%.

Connect with a study center

  • Banha University

    Banhā, Banha 13518
    Egypt

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.