Abstract:

The aim of the study was to investigate the effects of extracorporal magnetic stimulation (ExMS) combined with pelvic-based muscle training (PTKE) in male patients with internal anal sfinkter deficiency associated with fecal incontinence (FI) on the FI symptoms. A 26-year-old man was involved in the work. The perception of subjective healing with the Likert-type scale, the incontinence severity with the Wexner Incontinence Rating Scale; the quality of life was evaluated with the Visual Analog Scale (VAS). Anal perineometric measurements were made to assess the muscle strength and endurance of the pelvic base. All measurements of results were evaluated at the beginning, 8 weeks after treatment and 6 months. PTKE began with 5 sets of exercise per day in the first week. Increased by 5 sets every week. 20 sets per week were removed and 20 sets per day were implemented in the form of a home program for 6 months. ExMS was applied for 3 sessions per week for 8 weeks, each session was 20 min (10 min 10Hz, 10 min 50Hz). In the 8th week and 6th month, the perception of subjective recovery was as "better" compared to the initial condition. The pelvic base muscle strength and endurance were found at the beginning, immediately after treatment and in the sixth month following, respectively; 2,06-4,2-4,1 kPa and 1-3,7-3.5 s. Wexner and VAS scores improved to be 7-3-3 and 3,7-0,5-0,6 respectively. The patient's exercise consistency in the 8th week and 6th month was 5.9-4.7 cm when evaluated with VAS. This case report has shown that PTKE and ExMS have an effective treatment in this patient with the FI. It requires greater sampling and long-term follow-up advanced random-controlled studies.

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