Long-term outcomes of radiofrequency treatment for fecal incontinence: are the results maintainable?

AbstractPurposeTemperature-controlled radiofrequency (RF) energy delivery to the sphincter complex has been proposed as an option for those patients not susceptible to a major surgical procedure for fecal incontinence (FI). The aim of the study was to evaluate the long-term (15  years) functional outcomes obtained after RF procedure for FI.MethodsThis was a retrospective analysis of our prospectively collected database of patients that underwent RF procedure for FI. Primary outcomes measured were the Cleveland Clinic Florida Fecal Incontinence scale (CCF-FI), Fecal Incontinence-related Quality of Life Score (FIQLS), the 36-Item Short Form survey (SF-36), endoanal ultrasound, and anorectal manometry. Evaluations were compared at baseline and at 15  years of follow-up.ResultsTen patients were followed up 15  years after RF procedure. There was no significant improvement in the CCF-FI score (13.8 vs. 12.4,p = 0.24). No significant changes in the FIQLS were observed including lifestyle (2.39 vs. 2.13,p = 0.23), coping (1.91 vs. 1.92,p = 0.96), and embarrassment (1.66 vs. 1.86;p = 0.43). However, significant worsening was found in the depression category (2.47 vs. 1.60,p = 0.001). The SF-36 showed significant worsening in the mental (36.7 vs. 25.8,p 
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research

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CONCLUSION: Surgical treatment is effective and superior to pelvic floor muscle training in relieving symptoms related to a poorly healed second-degree perineal tear in women presenting at least 6 months postpartum. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov, NCT02545218. PMID: 31923073 [PubMed - as supplied by publisher]
Source: Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Obstet Gynecol Source Type: research
  Incontinence While Sleeping — or “pooping” the bed — isn’t as uncommon as you may think. While this unexpected night time activity may be embarrassing, it doesn’t have to completely derail your mental health.  There can be many causes for sleeping incontinence but you’ll never discover what they are if you’re unable to move past the psychological trauma. This week we’re sharing honest, personal experiences discussing how to cope without dying of embarrassment. Listen Now! (Transcript Available Below) SUBSCRIBE &REVIEW About The Not Crazy Podcast Hosts ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Not Crazy Podcast Sleep Source Type: blogs
AbstractBackgroundSexual dysfunction (SD) is a stressful and common symptom in women with multiple sclerosis (MS) and affects different aspects of their life,seriously. The purpose of this study was to determine the prevalence, dimensions, and predictor factors of SD in Iranian women with MS.MethodsThis cross-sectional study was conducted in Iran MS Society. Participants were 260 married women who had definite MS. Data were collected using self-report questionnaires, including Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19); Fatigue Severity Scale (FSS); Depression, Anxiety, and Stress Scale-21 (DASS-...
Source: Neurological Sciences - Category: Neurology Source Type: research
Conditions:   Health Services for the Aged;   Frailty;   Cognitive Impairment;   Depression;   Disability Physical;   Urinary Incontinence;   Malnutrition Interventions:   Diagnostic Test: e-GAB;   Diagnostic Test: standard physician performed CGA Sponsor:   Ain Shams University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractIntroduction and hypothesisTo explore the feasibility of three-dimensional (3D) transperineal tomographic ultrasound in evaluating pelvic floor support of the urethra in women.MethodsThree-dimensional transperineal ultrasound volume data sets of 50 women with stress urinary incontinence (SUI) and 25 women without SUI were obtained for analysis. Pelvic floor support of the urethra was evaluated by studying the relationship between the urethra and vagina in vaginal cross section and quantified by estimating the urethral depression (UD) rate. The extent of paravaginal support at level II was also evaluated in tomograp...
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
Abstract Introduction and hypothesis The aim of this study was to assess pelvic floor muscle (PFM) function using transabdominal ultrasound (TAUS) in women attending group exercise classes. Specific aims were to: (1) identify the ability to perform a correct elevating PFM contraction and (2) assess bladder-base movement during an abdominal curl exercise. Methods Ninety women participating in group exercise were recruited to complete a survey and TAUS assessment performed by two qualified Continence and Women’s Health physiotherapists with cl...
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
Authors: Mundet L, Ribas Y, Arco S, Clavé P Abstract Background/Aims: To explore and compare quality of life (QoL) differences in female and male patients with fecal incontinence. Methods: Ninety-one patients with fecal incontinence (60 women, mean (SD) age 64.13 (9.72) years; 31 men, mean (SD) age 63.61 (13.33) years) were assessed for pathophysiology (anorectal manometry and ultrasound), clinical severity (Wexner and Vaizey scales), QoL (Fecal Incontinence Quality of Life Score [FIQL]) and health status (EQ-5D). Results: External and internal anal sphincter impairment rates were 96.5% and 70.2%, re...
Source: Journal of Neurogastroenterology and Motility - Category: Gastroenterology Tags: J Neurogastroenterol Motil Source Type: research
This study was conducted at an academic tertiary center and at a private center specializing in proctologic surgery. PATIENTS: All patients who underwent preoperative endoanal ultrasound for cryptoglandular fistula between 2002 and 2012. MAIN OUTCOME MEASURES: A questionnaire was sent out in October 2013 to evaluate incontinence (Wexner-score) and its impact on quality of life (FIQL). Variables tested for association were patient demographics, fistula type, number of incised abscesses (0, 1,>1), number of fistulotomies (0, 1,>1) and number of sphincter-sparing procedures (0, 1,>1). RESULTS: Of the 141 patients par...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Current Status Source Type: research
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