Reeducación del esfínter anal en el mielomeningocele

Fernández, Gerardo Blanco; Sierra, I. Blesa; Núñez, R. Núñez; Quintana, Rolando; Muñoz, I. Vargas; Sánchez, Emilio Blesa

doi:10.1016/s1695-4033(02)78940-6

Cited by 4 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This form cannot be published but the results can [26] [27] [37]. The questionnaire will be referred to following the Guide for Administration of PedsQL tm [5] [33].…”

Section: Methodsmentioning

confidence: 99%

“…This condition implies the absence of nerves which normally inervate the structures destinated to determine vesico-urethral and ano-rectal continence [5] [6].…”

Section: Introductionmentioning

confidence: 99%

“…The treatment depends in great part on the doctor-patient relationship; that explains the variations in the percentage of success. The prevalence of fecal incontinence in patients with myelomeningocele ranges between 70% and 89%, numbers which underline the importance of searching a solution for them [5]- [24].…”

Section: Introductionmentioning

confidence: 99%

“…There are several papers about fecal incontinence of these children and its psycho-social effects, but the quality of life of these patients has been rarely analyzed [5] [33].…”

Section: Introductionmentioning

confidence: 99%

“…The recto-anal biofeedback is a simple method which allows to detect the cause of the incontinence in each patient and to obtain, in some patients, the possibility of partial or total improvement of it along the several sessions [5] [21].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Recto-Anal Biofeedback Treatment and Quality of Life in Children with Myelomeningocele

Zubiri¹,

Miculan²,

Zosi³

et al. 2019

OJEpi

View full text Add to dashboard Cite

Introduction: Myelomeningocele is one of the most complex birth defects that cause physical disability, with consequent fecal incontinence and therefore difficulty in social integration of these patients. Objective: To improve the quality of life and manometric values after biofeedback therapy. Method: Longitudinal, prospective, analytical and experimental study. Patients with myelomeningocele and fecal incontinence who were between 5 to 15 years old and their parents were included in the study. Child and parent reports of PedsQMtm generic questionnaire were collected after obtaining informed consent and assent. Anorectal manometry and first biofeedback sessions were held with each child. Following treatment completion, the PedsQMtm was applied again. Results: 17 children and their parents were included in the study. All the patients presented fecal incontinence and an inability to voluntarily evacuate rectal contents. After biofeedback, the totality of patients improved their fecal incontinence. Nine of them stop using diaper. All reported successful use of the toilet. Statistically significant differences were observed when comparing the quality of life of children and parents at the beginning and at the end of treatment. There was an improvement in quality of life after the treatment with biofeedback for both children and parents, which was more perceived by these. Conclusions: It is highly significant for the improvement both in clinic and manometric values. The improvement in quality of life is more evident in the parents.

show abstract

“…This form cannot be published but the results can [26] [27] [37]. The questionnaire will be referred to following the Guide for Administration of PedsQL tm [5] [33].…”

Section: Methodsmentioning

confidence: 99%

“…This condition implies the absence of nerves which normally inervate the structures destinated to determine vesico-urethral and ano-rectal continence [5] [6].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…There are several papers about fecal incontinence of these children and its psycho-social effects, but the quality of life of these patients has been rarely analyzed [5] [33].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations