anal gap
Conditions
Interventions
Rectal toucher/exam and biofeedback with an anal probe.
Sponsors
Proctos Kliniek Bilthoven
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: all patients above 18 years old with a chronic anal fissure with pelvic floor dysfunction
Exclusion criteria
Exclusion criteria: Patients presenting with perianal abces or fistula Patients presenting with Chrohns disease or colitis ulcerosa Patients who received prior anal radiation therapy Patients with anorectal malignancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - The tone at rest during EMG registration of the pelvic floor before and after therapy | — |
Secondary
| Measure | Time frame |
|---|---|
| - Prevalence of pelvic floor dysfunction in chronic anal fissure measured by physical examination, balloon expulsion test - Relation between anal fissure and other pelvic floor dysfunctions - Proctoprom at the start of the study, after 8 weeks, 20 weeks and one year follow up - Difference in EMG signals of the pelvic floor after pelvic floor physiotherapy for tone at rest, MVC and Endurance at the start of the study, after weeks, 20 weeks and one year follow up - Quality of life as measured by scores of the domains of the RAND-36 questionnaire, at the start of the study, after 8 weeks, 20 weeks and one year follow up - The efficacy of PFPT with biofeedback and/or electro stimulation - VAS- pain score at the start of the study, after 8 weeks, 20 weeks and one year follow up | — |
Countries
Netherlands
Outcome results
None listed