Simone Orlandi, Paolo Bocus, Andrea Geccherle, Giacomo Ruffo, Marcello Ceccaroni
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Patient satisfaction, pain, QoL and LARS score were evaluated before (baseline) and after TAI treatment (follow-up of approximately 12 months).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":13789,"journal":{"name":"International Journal of Colorectal Disease","volume":"39 1","pages":"182"},"PeriodicalIF":2.5000,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561022/pdf/","citationCount":"0","resultStr":"{\"title\":\"Use of transanal irrigation (TAI) in the treatment of persistent bowel disorders in patients with endometriosis: A retrospective study.\",\"authors\":\"Simone Orlandi, Paolo Bocus, Andrea Geccherle, Giacomo Ruffo, Marcello Ceccaroni\",\"doi\":\"10.1007/s00384-024-04757-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>We retrospectively collected data from 60 patients with endometriosis and bowel dysfunction who had been prescribed with the Peristeen<sup>®</sup> Plus TAI system. Patient satisfaction, pain, QoL and LARS score were evaluated before (baseline) and after TAI treatment (follow-up of approximately 12 months).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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. 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引用次数: 0
摘要
目的:子宫内膜异位症对妇女的生活质量(QoL)有很大影响。疼痛是该病的主要症状,但大便失禁、便秘和排尿困难等排便功能障碍也时有报道。患者可能会出现类似低位前切除综合征(LARS)的症状。经肛门灌洗(TAI)可减轻 LARS 相关症状,被认为可缓解子宫内膜异位症患者的排便功能障碍,从而促进盆底康复:我们回顾性地收集了 60 名子宫内膜异位症和排便功能障碍患者的数据,这些患者都曾使用过 Peristeen® Plus TAI 系统。在TAI治疗前(基线)和治疗后(约12个月的随访)对患者的满意度、疼痛、QoL和LARS评分进行了评估:结果:在符合纳入标准的 60 名患者中,12 名患者在随访时未完成问卷调查,16 名患者中断了治疗。对 32 名患者进行的数据分析显示,TAI 治疗后患者满意度平均提高了 3.6 分,疼痛平均减轻了 1.8 分(均为 p 值 结论:TAI 是一种有效的肠道疾病治疗方法:TAI 是治疗子宫内膜异位症患者肠道功能障碍的有效方法。如果向这些患者提供 TAI,它似乎是减少盆底压力的一种有价值的策略。这项研究证实,TAI 能显著提高患者的满意度,减轻疼痛和 LARS 类症状。
Use of transanal irrigation (TAI) in the treatment of persistent bowel disorders in patients with endometriosis: A retrospective study.
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.
期刊介绍:
The International Journal of Colorectal Disease, Clinical and Molecular Gastroenterology and Surgery aims to publish novel and state-of-the-art papers which deal with the physiology and pathophysiology of diseases involving the entire gastrointestinal tract. In addition to original research articles, the following categories will be included: reviews (usually commissioned but may also be submitted), case reports, letters to the editor, and protocols on clinical studies.
The journal offers its readers an interdisciplinary forum for clinical science and molecular research related to gastrointestinal disease.