Digestive System
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: functional obstructed defecation unresponsive to conservative treatment for at least 3 months. older than 18 years
Exclusion criteria
Exclusion criteria: pregnancy diabetes mellitus endocrine disorders metabolic disorders slow transit syndrome congenital anomalies in the anus or rectum inflammatory bowel disorders irritable bowel disorder previous abdominal and/or pelvic surgeries mechanical OD due to organic lesions as rectocele and rectal intussusception neurogenic bowel disorders patients not willing to participate in the study. contraindications for BF training as mental health problem affecting the ability for concentration and learning contraindications for PTNS as neurological disorders affecting the lower limbs as peripheral neuropathy and lumbosacral plexopathy, current skin or soft tissue infection at ornear the site of application of the transcutaneous PTNS and patients with cardiac pacemaker
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome comparison between improvement of modified obstructed defecation score | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient Assessment of Constipation-Quality of Life , time of toileting and maximum anal pressure during straining to evacuate | — |
Countries
Egypt
Contacts
Assistant professor Physical Medicine Rheumatology and Rehabilitation Department Faculty of Medicine Alexandria University