Anismus and Botox

Several questions about an October 1998 posting:

~ Has there been any update to this year-old information about the affect of botox on anismus?

~ Where can one find the literature quoted in this arhcive posting, so I can refer my gastroenterologist to this?

Here is last year's posting; thank you.

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Subject: Re: Paradoxical Puborectalis/Anismus
Forum: The Gastroenterology and Liver Diseases Forum
Topic Area: Constipation
Posted by HFHSM.D.-rf on October 20, 1998 at 16:57:28:
In Reply to: Paradoxical Puborectalis/Anismus posted by AM on October 14, 1998 at 08:58:57:


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: I have been diagnosed with Paradoxical Puborectalis / Anismus and was told that biofeedback was the only treatment. I have been through 12 sessions without any type of change in my BM. I have heard about a new treatment involving injections of Botulim type A. Any info on this would be great. Also I would like to hear from any other people who have been diagnosed with Anismus / PP.
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Dear AM,
Aliterature search regarding the use of Botulinum toxin for the treatment of constipation yielded little information. There is a case report of a patient with Oparkinson's Disease and severe constipation who had improvement with BoTox. REgarding the use of Botox for Anismus, there was 1 study (uncontrolled) that reported the results of 4 treated patients. There was improvement in symptoms and 2 patients had a prolonged effect (3-12 months).

This information is presented for educational purposes. Always consult with your personal physician for specific medical questions.

If you want to obtain a second opinion regarding the utility of this treatment, I suugest that you arrange an appoinment with Dr. Eggenburger of our Division of Colorecxtal Surgery. You can arrange an appoinmetn with him by calling our Physician Referral Line at [phone].

[HFHSm.D.-Gastro-rf]

nothing to add at this time.  To find the article mentioned in the posting, it would be necessary to go to the National medical Library (Medline) and do a search using the keywords of botilinum toxin and rectum