Juan Pablo Muñoz

Sa2047 Effectiveness of a Therapeutic Algorithm for Functional Anorectal Pain: Experience in a Private Ambulatory Coloproctology Center in Buenos Aires, Argentina

G A A b st ra ct s assessed by surface electromyography (EMG). Results: A total of 36 women with FI were randomized to HES or SBT (18 in each treatment group). Groups were matched by mean age: 65.5±13.5 years, mean BMI (kg/m2): 26.2±3.9, mean disease duration: 1.42±0.8 yrs, mean number of births: 2.7±1.3 and reports of obstetric trauma (25%). Only patients that received HES reported a significant improvement of FIGS (p=0.0015) and a significant drop in the number of leaked solid and liquid stool (p=0.012, p= 0.07, respectively). SF-36 scores were not affected significantly by treatment in both groups. A significant improvement of PEM contraction was achieved in 89 % of patients from both groups. Conclusions: Home electric stimulation only was found to be more efficient than standardized biofeedback training only if assessed by both subjective and objective measures.