To evaluate factors which might contribute to treatment failure in children with chronic constipation and soiling, we evaluated the history, physical findings, defecation dynamics, and anorectal function in 97 patients. We treated them with milk of magnesia, high fibre diet, and bowel training techniques and evaluated outcome at one year when 43% had recovered. Recovery rates were similar for b...

To examine the effectiveness of a short-term behavioral treatment of encopresis, 52 encopretic children were evaluated and treated according to a standardized protocol. The treatment was highly effective, with a significant decrease in soiling during the first month (P < 0.01). Of the children who began treatment, 84.6% successfully reached the criterion of 2 consecutive weeks with no soiling a...

treatment of patient with high anal fistulas has become complicated and post-operative complications are common. the aim of this study was to evaluate post-operative complications of primary sphincter’s repair technique in patients with high anal fistula. an interventional quasi-experimental study was conducted on 60 patients(42 male & 14 female) with high anal fistula. the most frequent age gr...

There is massive enteric bacterial colonization in the periurethral region during infancy. Fecal soiling is considered to be responsible for this colonization. We hypothesized that baby wet wipes containing chemical cleansing compounds, which are used for the cleaning of babies after diaper soiling, could be a contributing factor in this colonization. Thus, the effect on periurethral flora of t...

UNLABELLED Continence disturbances, especially fecal soiling, are difficult to treat. Irrigation of the distal part of the large bowel might be considered as a nonsurgical alternative for patients with impaired continence. PURPOSE This study is aimed at evaluating the clinical value of colonic irrigation. METHODS Thirty-two patients (16 females; median age, 47 (range, 23-72) years) were off...

AIM As transcutaneous electrical stimulation (TES) increased defecation in children and adults with Slow-Transit Constipation (STC), we performed a pilot study to test if TES can improve symptoms (defecation and soiling) in children with chronic constipation without STC and transit delay in the anorectum. METHODS Children with treatment-resistant constipation presenting to a tertiary hospital...

to access the surgical progress of patients with long segment aganglionosis and long-term evaluation. during the past 15 years, we reviewed the therapy and outcome of 15 patients with long-segment agangelionosis (lsa) in mofid children's hospital. 2 with agangelionosis to the midtransvers colon (mta(, 8 to the ascendant and cecum (a/ca), 4 with total colonic and distal ileum involvement (tca), ...

The efficacy of biofeedback treatment on faecal incontinence and anorectal function was evaluated in eight patients with faecal incontinence treated with biofeedback training and medical therapy. Outcome and anorectal function were compared with nine faecal incontinent patients who received medical therapy alone. Three month follow up showed that 50% of patients in the biofeedback plus conventi...

We have evaluated the reinforced laryngeal mask airway (LMA) for use during dento-alveolar surgery in 100 ASA I and II day-case patients allocated randomly to receive either a nasotracheal tube or reinforced LMA. We recorded ease of airway insertion, airway complications, quality of recovery and replies to a 24-h postoperative questionnaire. In addition, a fibreoptic assessment was made of lary...