Use of transanal irrigation (TAI) in the treatment of persistent bowel disorders in patients with endometriosis: A retrospective study

医学 子宫内膜异位症 生活质量(医疗保健) 便秘 盆底 患者满意度 内科学 盆底功能障碍 物理疗法 回顾性队列研究 大便失禁 肝病学 盆腔疼痛 外科 护理部
作者
Simone Orlandi,Paolo Bocus,Andrea Geccherle,Giacomo Ruffo,Marcello Ceccaroni
出处
期刊:International Journal of Colorectal Disease [Springer Nature]
卷期号:39 (1)
标识
DOI:10.1007/s00384-024-04757-x
摘要

Abstract Purpose Endometriosis has a strong impact on women’s quality of life (QoL). Pain is the main symptom of the disease, but bowel dysfunctions such as fecal incontinence, constipation and voiding difficulties are also reported. Patients could suffer from a Low Anterior Resection Syndrome (LARS)-like syndrome. Transanal irrigation (TAI), known to alleviate LARS-related symptoms, has been suggested to aid bowel dysfunction in endometriosis patients, potentially facilitating pelvic floor rehabilitation. Methods We retrospectively collected data from 60 patients with endometriosis and bowel dysfunction who had been prescribed with the Peristeen ® Plus TAI system. Patient satisfaction, pain, QoL and LARS score were evaluated before (baseline) and after TAI treatment (follow-up of approximately 12 months). Results Of the 60 patients meeting the inclusion criteria, 12 patients did not complete the questionnaires at follow-up and 16 patients discontinued treatment. Data analysis performed on 32 patients showed a mean increase of 3.6 points in patient satisfaction after TAI treatment and a mean pain reduction of 1.8 points (both, p-value < 0.001). LARS score decreased from a mean of 21.9 at baseline to a mean of 12.7 (p-value < 0.001). Accordingly, there was a notable improvement in patients’ QoL. Conclusion TAI is a useful treatment for bowel dysfunctions in patients with endometriosis. When offered to these patients, TAI seems to represent a valuable strategy to reduce pelvic floor stress. This study confirms that TAI was associated to a significantly higher patients’ satisfaction, as well as to a reduction of pain and LARS-like symptoms.

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