Paradoxical Puborectalis/Anismus

  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.-rf
*keywords: anismus, constipation, botulinum toxin
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[alexdlrg]

A related discussion, Dealing with Anismus / Puborectalis Muscle Dysfunction was started.