[Biofeedback training and functional electrostimulation for improving incontinence in children with anal atresia].
Eleven children with anal incontinence following a pull-through operation for anorectal agenesis (4 low, 7 high anomalies) were treated with a conservative continence training program (optic/acoustic biofeedback, transcutaneous electrical stimulation, physical therapy, contraction exercises and sensibility training). All patients with one exception showed subjective and objective improvement of continence. Sphincter contraction increased by 80% in high and by 40% in low anomalies. For a short time electrostimulation provided an improvement of up to 20% in sphincter pressure. One additional success was improved coordination. Beside surgical therapy and other methods continence training is always indicated.
Herold
A
A
Chirurgische Universitätsklinik Würzburg.
Bruch
H P
HP
Höcht
B
B
Müller
G
G
D000293:Adolescent; D001006:Anus, Imperforate / Q000534:rehabilitation*; D001676:Biofeedback, Psychology / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005242:Fecal Incontinence / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods*
Biofeedback-Training und funktionelle Elektrostimulation zur Verbesserung der Inkontinenz bei Kindern mit Analatresie.