1.The effect of low-level laser therapy on external anal sphincter repair and treatment of fecal incontinence: A double-blind randomized controlled clinical trial
Mahmoud YOUSEFIFARD ; Farnad IMANI ; Bahar MAHJOUBI ; Jebreil SHAMSEDDIN ; Shahriar SARVEAZAD ; Mohammadhossein VAZIRIZADEH-MAHABADI ; Mobina YARAHMADI ; Arash SARVEAZAD
International Journal of Gastrointestinal Intervention 2024;13(4):114-121
Background:
Fecal incontinence (FI) results from damage to the external anal sphincter (EAS), significantly affecting quality of life. This clinical trial evaluated the impact of low-level laser (LLL) therapy on EAS repair and the treatment of FI.
Methods:
Thirty FI patients with EAS deficiency were divided into two groups (n = 15): a control group receiving sphincteroplasty alone and a laser group undergoing sphincteroplasty plus laser therapy. Following surgery, the laser group received daily laser therapy for 2 weeks. Outcomes were assessed using Wexner scores, electromyography (EMG), and endorectal sonography.
Results:
The laser group exhibited a significant increase in muscle bulk (P = 0.008) and a lower Wexner index (P < 0.0001) compared to the control group. EMG confirmed muscle contractility in the laser group.
Conclusions
Two weeks of LLL therapy effectively increased muscle at the EAS injury site, leading to significant, lasting improvements in FI.
2.The effect of low-level laser therapy on external anal sphincter repair and treatment of fecal incontinence: A double-blind randomized controlled clinical trial
Mahmoud YOUSEFIFARD ; Farnad IMANI ; Bahar MAHJOUBI ; Jebreil SHAMSEDDIN ; Shahriar SARVEAZAD ; Mohammadhossein VAZIRIZADEH-MAHABADI ; Mobina YARAHMADI ; Arash SARVEAZAD
International Journal of Gastrointestinal Intervention 2024;13(4):114-121
Background:
Fecal incontinence (FI) results from damage to the external anal sphincter (EAS), significantly affecting quality of life. This clinical trial evaluated the impact of low-level laser (LLL) therapy on EAS repair and the treatment of FI.
Methods:
Thirty FI patients with EAS deficiency were divided into two groups (n = 15): a control group receiving sphincteroplasty alone and a laser group undergoing sphincteroplasty plus laser therapy. Following surgery, the laser group received daily laser therapy for 2 weeks. Outcomes were assessed using Wexner scores, electromyography (EMG), and endorectal sonography.
Results:
The laser group exhibited a significant increase in muscle bulk (P = 0.008) and a lower Wexner index (P < 0.0001) compared to the control group. EMG confirmed muscle contractility in the laser group.
Conclusions
Two weeks of LLL therapy effectively increased muscle at the EAS injury site, leading to significant, lasting improvements in FI.
3.The effect of low-level laser therapy on external anal sphincter repair and treatment of fecal incontinence: A double-blind randomized controlled clinical trial
Mahmoud YOUSEFIFARD ; Farnad IMANI ; Bahar MAHJOUBI ; Jebreil SHAMSEDDIN ; Shahriar SARVEAZAD ; Mohammadhossein VAZIRIZADEH-MAHABADI ; Mobina YARAHMADI ; Arash SARVEAZAD
International Journal of Gastrointestinal Intervention 2024;13(4):114-121
Background:
Fecal incontinence (FI) results from damage to the external anal sphincter (EAS), significantly affecting quality of life. This clinical trial evaluated the impact of low-level laser (LLL) therapy on EAS repair and the treatment of FI.
Methods:
Thirty FI patients with EAS deficiency were divided into two groups (n = 15): a control group receiving sphincteroplasty alone and a laser group undergoing sphincteroplasty plus laser therapy. Following surgery, the laser group received daily laser therapy for 2 weeks. Outcomes were assessed using Wexner scores, electromyography (EMG), and endorectal sonography.
Results:
The laser group exhibited a significant increase in muscle bulk (P = 0.008) and a lower Wexner index (P < 0.0001) compared to the control group. EMG confirmed muscle contractility in the laser group.
Conclusions
Two weeks of LLL therapy effectively increased muscle at the EAS injury site, leading to significant, lasting improvements in FI.