Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.4905
Revised: May 12, 2024
Accepted: June 13, 2024
Published online: August 6, 2024
Processing time: 128 Days and 21 Hours
Spastic pelvic floor syndrome (SPFS) is a refractory pelvic floor disease characterized by abnormal (uncoordinated) contractions of the external anal sphincter and puborectalis muscle during defecation, resulting in rectal emptation and obstructive constipation. The clinical manifestations of SPFS are mainly characterized by difficult defecation, often accompanied by a sense of anal blockage and drooping. Manual defecation is usually needed during defecation. From physical examination, it is commonly observed that the patient's anal muscle tension is high, and it is difficult or even impossible to enter with his fingers.
To investigate the characteristics of anorectal pressure and botulinum toxin A injection combined with biofeedback in treating pelvic floor muscle spasm syndrome.
Retrospective analysis of 50 patients diagnosed with pelvic floor spasm syn
After the botulinum toxin A injection combined with two cycles of biofeedback therapy, the patient's postoperative resting and systolic blood pressure were significantly lower than before surgery (P < 0.05). Moreover, the electromy
Botulinum toxin A injection combined with biofeedback can significantly reduce pelvic floor muscle tension in treating pelvic floor muscle spasm syndrome. Anorectal manometry is an effective method to evaluate the efficacy of treatment objectively. However, randomized controlled trials are needed.
Core Tip: In this study, a retrospective analysis was conducted on 50 patients diagnosed with pelvic floor spasm syndrome who received injections of type A botulinum toxin and underwent two cycles of biofeedback therapy. After treatment, the patients' postoperative resting pressure and systolic pressure were significantly lower than those before surgery, and the electromyogram index during resting and after resting was significantly lower than before surgery. Type A botulinum toxin injection combined with biofeedback therapy can significantly reduce the tension of the pelvic floor muscles in treating pelvic floor muscle spasm syndrome.