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[Improving anal continence performance by intensive continence training].

A Herold1, H P Bruch, B Höcht

  • 1Chirurgische Universitätsklinik Würzburg.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|October 1, 1989
PubMed
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This study shows that intensive continence training significantly improves anal incontinence in children with anal atresia. The program enhanced pelvic muscle function and coordination, leading to better control.

Area of Science:

  • Pediatric Surgery
  • Rehabilitation Medicine
  • Gastroenterology

Context:

  • Anal atresia can lead to significant anal incontinence in children.
  • Conservative management is crucial for improving functional outcomes.
  • Continence training offers a non-invasive approach to address these challenges.

Purpose:

  • To evaluate the effectiveness of an intensive continence training program for children with anal incontinence secondary to anal atresia.
  • To assess improvements in pelvic muscle function, sensory perception, and neural coordination.

Summary:

  • Ten children (6-16 years) with anal incontinence post-anal atresia underwent 6-18 months of intensive continence training.
  • The program incorporated biofeedback, electrostimulation, physical examination, sensory training, and contraction exercises.

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  • Significant improvements in continence efficiency, including short-time continence, were observed in both low and high anal atresia cases.

    • Impact:

    • The training program demonstrated substantial improvements in muscle strength, contraction duration, sensory perception, and neural coordination.
    • 90% of maximum improvement was achieved within two weeks, enabling early success evaluation.
    • This approach serves as an effective adjunct to surgical interventions and is indicated even when other therapies have failed.