1Dr Naseer Ahmad Memon
1Associate Professor, Department of Paediatrics, Peoples University of medical and health sciences for women, Nawabshah, Sindh
2Dr Azizullah Langah
2Associate Professor, Department of Paediatrics, Peoples University of medical and health sciences for women, Nawab shah, Sindh
Abstract
Objective: This review investigates the effectiveness of and potential adjunctive use for secondary conservative management strategies in patients with bladder bowel dysfunction (BBD). It is designed to evaluate an overview of alternative approaches outside first-line strategies, illustrate their impact, and make concrete recommendations for practitioners.
Methods: Utilizing the review, we conducted an integrated search of secondary conservative management methods studied for BBD such as biofeedback therapy, electrical stimulation therapies, pharmacological interventions and psychological dietary supplements. Real-life case studies demonstrate the implementation of these techniques in clinical practice, describing historical patient information, a treatment proposal and final results with long-term follow-up data.
Results: Less invasive treatment alternatives (biofeedback therapy, electrical stimulation) and conservative management options have demonstrated positive results with BBD-symptom reduction by addressing both the neurological substrates for polygonum in combination to muscular- and psychological-related factors. Such approaches are complemented by pharmacological interventions and psychological therapies to the increase treatment efficacy overall. Discussing case studies also help learn individualised management and the need to implement these strategies in clinical practice for better patient outcomes.
Keywords: Bladder Dysfunction , Bowel Dysfunction , Biofeedback Therapy , Electrical Stimulation.