NCT04652024

Effect of Anorectal Biofeedback on Encopresis in School Aged Girls After Sexual Assault

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 30 (actual)
• Sponsor: Badr University · Academic / Other
• Sex: Female
• Age: 5 Years – 11 Years
• Healthy volunteers: Accepted

Summary

Females who have been sexually abused anally, have a disturbed anorectal motility. They have an increased resting pressure at the lower part of the anal canal. When their rectum is suddenly distended, they tend not to have an initially increased pressure in the anal canal, and the recto-anal inhibitory reflex is markedly decreased amplitude which is caused by reflex contraction of the pelvic floor during the relaxation of the internal anal sphincter.

Detailed description

The cause of fecal incontinence after sexual abuse is the improper functioning of anal sphincter muscles, as a result of their damage and/or neurological changes including the disturbance perception of sensory stimuli from the anal canal. Biofeedback therapy using visual and verbal feedback techniques has emerged as an useful option in managing fecal incontinence and levator ani syndrome. The goal of biofeedback training is to improve bowel function by restoring a normal pattern of defecation.

Conditions

• Fecal Incontinence

Interventions

Type	Name	Description
DEVICE	Anorectal manometry	, patients are instructed to isolate the anal sphincter and puborectalis muscles and improve its strength by using modified Kegel exercises in lying position with a probe in situ. Visual and verbal feedback techniques are used to reinforce the maneuvers, as they are being performed. The anal and rectal pressure changes displayed on the monitor provides visual feedback to the patient.

Timeline

• Start date: 2020-11-01
• Primary completion: 2021-03-01
• Completion: 2021-03-01
• First posted: 2020-12-03
• Last updated: 2021-09-14

Locations

1 site across 1 country: Egypt