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One-year follow-up study on the effects of electrogalvanic stimulation in chronic idiopathic constipation with pelvic floor dyssynergia.

Abstract

BACKGROUND

Constipation is a commonly reported symptom, and pelvic floor dyssynergia is frequently documented in constipated patients. The standard therapeutic approach for pelvic floor dyssynergia is biofeedback training, but long-term studies show that a significant percentage of patients remain symptomatic. Alternative or adjunctive therapeutic options are needed.

AIMS

The purpose of this study was to evaluate the long-term effects of electrogalvanic stimulation in patients with pelvic floor dyssynergia and severe constipation, to see whether this treatment may be of some benefit.

PATIENTS AND METHODS

Thirty consecutive constipated patients with clinical and instrumental evidence of pelvic floor dyssynergia entered the study and were treated with a standard high-frequency galvanic electrostimulation protocol. Clinical and instrumental (colon transit time, anorectal manometry, defecography, rectal balloon expulsion) assessment evaluations were performed basally and one year after the treatment.

RESULTS

Overall, approximately 50 percent of patients showed significant improvement after electrogalvanic treatment, from both a clinical and an instrumental point of view, as shown by the objective measurements obtained through manometry, defecography, and the balloon expulsion test. The benefit was limited to normal transit constipation patients.

CONCLUSIONS

Because of the relatively simple, painless and effective nature of electrogalvanic stimulation, we concluded that it may represent a useful adjunct to the therapeutic armamentarium for pelvic floor dyssynergia in normal transit constipation.

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  • Authors+Show Affiliations

    ,

    Gastrointestinal Rehabilitation Division, Valeggio sul Mincio Hospital, Azienda Ospedaliera, University of Verona, Verona, Italy. chiarioni@tin.it

    , , , , ,

    Source

    Diseases of the colon and rectum 47:3 2004 Mar pg 346-53

    MeSH

    Adult
    Anal Canal
    Ataxia
    Cathartics
    Chronic Disease
    Constipation
    Defecation
    Electric Stimulation Therapy
    Female
    Follow-Up Studies
    Humans
    Male
    Manometry
    Middle Aged
    Pain
    Pain Management
    Pelvic Floor
    Rectum
    Treatment Outcome

    Pub Type(s)

    Evaluation Studies
    Journal Article

    Language

    eng

    PubMed ID

    14991497

    Citation

    Chiarioni, Giuseppe, et al. "One-year Follow-up Study On the Effects of Electrogalvanic Stimulation in Chronic Idiopathic Constipation With Pelvic Floor Dyssynergia." Diseases of the Colon and Rectum, vol. 47, no. 3, 2004, pp. 346-53.
    Chiarioni G, Chistolini F, Menegotti M, et al. One-year follow-up study on the effects of electrogalvanic stimulation in chronic idiopathic constipation with pelvic floor dyssynergia. Dis Colon Rectum. 2004;47(3):346-53.
    Chiarioni, G., Chistolini, F., Menegotti, M., Salandini, L., Vantini, I., Morelli, A., & Bassotti, G. (2004). One-year follow-up study on the effects of electrogalvanic stimulation in chronic idiopathic constipation with pelvic floor dyssynergia. Diseases of the Colon and Rectum, 47(3), pp. 346-53.
    Chiarioni G, et al. One-year Follow-up Study On the Effects of Electrogalvanic Stimulation in Chronic Idiopathic Constipation With Pelvic Floor Dyssynergia. Dis Colon Rectum. 2004;47(3):346-53. PubMed PMID: 14991497.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - One-year follow-up study on the effects of electrogalvanic stimulation in chronic idiopathic constipation with pelvic floor dyssynergia. AU - Chiarioni,Giuseppe, AU - Chistolini,Fabio, AU - Menegotti,Monica, AU - Salandini,Lara, AU - Vantini,Italo, AU - Morelli,Antonio, AU - Bassotti,Gabrio, PY - 2004/3/3/pubmed PY - 2004/4/14/medline PY - 2004/3/3/entrez SP - 346 EP - 53 JF - Diseases of the colon and rectum JO - Dis. Colon Rectum VL - 47 IS - 3 N2 - BACKGROUND: Constipation is a commonly reported symptom, and pelvic floor dyssynergia is frequently documented in constipated patients. The standard therapeutic approach for pelvic floor dyssynergia is biofeedback training, but long-term studies show that a significant percentage of patients remain symptomatic. Alternative or adjunctive therapeutic options are needed. AIMS: The purpose of this study was to evaluate the long-term effects of electrogalvanic stimulation in patients with pelvic floor dyssynergia and severe constipation, to see whether this treatment may be of some benefit. PATIENTS AND METHODS: Thirty consecutive constipated patients with clinical and instrumental evidence of pelvic floor dyssynergia entered the study and were treated with a standard high-frequency galvanic electrostimulation protocol. Clinical and instrumental (colon transit time, anorectal manometry, defecography, rectal balloon expulsion) assessment evaluations were performed basally and one year after the treatment. RESULTS: Overall, approximately 50 percent of patients showed significant improvement after electrogalvanic treatment, from both a clinical and an instrumental point of view, as shown by the objective measurements obtained through manometry, defecography, and the balloon expulsion test. The benefit was limited to normal transit constipation patients. CONCLUSIONS: Because of the relatively simple, painless and effective nature of electrogalvanic stimulation, we concluded that it may represent a useful adjunct to the therapeutic armamentarium for pelvic floor dyssynergia in normal transit constipation. SN - 0012-3706 UR - https://www.unboundmedicine.com/medline/citation/14991497/One_year_follow_up_study_on_the_effects_of_electrogalvanic_stimulation_in_chronic_idiopathic_constipation_with_pelvic_floor_dyssynergia_ L2 - http://link.springer.com/article/10.1007/s10350-003-0047-1 DB - PRIME DP - Unbound Medicine ER -