Valenzuela PJA, Cardozo AJC, Maciel GVM, Montes LHD, Pérez LB, Gutiérrez LEG, Duran RJL

Language: Spanish
References: 10
Page: 53-62
PDF size: 453.77 Kb.

ABSTRACT

Introduction: this study determines the effectiveness of Valenzuela exercises (a modification of Kegel exercises) for the treatment of patients diagnosed with anal soiling, aiming to evaluate whether there is an improvement in their quality of life. Currently, there are no studies supporting or substantiating this proposed treatment. Material and methods: fourteen participants were included in the study from January 15 to April 15, 2023, all patients from the Coloproctology Department of the Juan I. Menchaca Hospital, presenting with symptoms of mucorrhea, burning, and pruritus. A prospective, longitudinal experimental study was conducted, involving anorectal manometry, endoanal ultrasound, the Wexner scale, and the FIQL (Fecal Incontinence Quality of Life) questionnaire over an average of four months, during which patients performed the Valenzuela Exercises. Results: it was found that 85.7% of the patients were women, with an average age of 59 years. Many of the studied variables, such as fear of leaving home, avoiding visits to friends, concerns about anal incontinence, feelings of sadness, and hopelessness, showed significant clinical improvement after the intervention, with a p-value < 0.05. There was an improvement in the Wexner Scale post-intervention (p: 0.001) and an increase in the thickness of the external anal sphincter (p: 0.003). Conclusion: the study demonstrated that performing Valenzuela exercises had a positive impact on quality of life, reduced toilet paper usage, decreased sensation of anal moisture, reduced Wexner scores, and increased external anal sphincter thickness in patients diagnosed with anal soiling.

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