Nayan Agarwal, Mr, Satish Saluja, MD, Brij B Agarwal, MD, Shruti Sharma, Dr, Kamran Ali, Dr, Karan Goyal, Dr, Himanshu Pandey, MD
University College of Medical Sciences, Sir Ganga Ram Hospital,and Dr. Agarwal’s Surgery
INTRODUCTION – To study the beneficial or harmful impact of continuing Yoga practice on Adverse patient reported outcomes (APROs) following Staples Trans-Anal Resection of the Rectum (STARR) procedure done on patients with Obstructed Defecation Syndrome (ODS).
METHODS AND PROCEDURES –A prospective cohort study (April 2008 –June 2009) of APROs of Post-Operative Pain (POP) and Fecal Urge Incontinence (FUI)- following STARR in consenting ODS patients selected and operated following standard diagnostic/ imaging and pre-postoperative protocols respectively. The patients were divided into control (not practicing Yoga) and study (practicing Yoga >3months) groups. Data for POP(100 point visual analogue scale) & FUI (20 point Wexner score) were entered into excel sheet during postoperative evaluation at day-1(D1), day-2(D2), day-3 (D3), week-1(W1), week-3 (W3), month-3 (M3), year-1 (Y1) & year-3 (Y3), for analysis using SPSS17.0. Student’s t-test & chi square test were used for continuous and categorical variables respectively.
RESULTS–
| No Yoga(n=35) | Yoga (n=32) | p value | |
| Gender,n(%) Male Female | 28 (80) | 18 (58.6) | 0.036 |
| Age,mean(SD)yrs | 54.1 (12.5) | 56.7(14.6) | 0.421 |
| Preop.ODS score | 18.5 (3.1) | 18.1 (3.5) | 0.583 |
| Outcome | Control | Study | p- value |
| POP, mean(SD) | |||
| D1 | 33.5(8.5) | 30.7(12.4) | 0.276 |
| D2 | 69.2(10.8) | 70.0(11.7) | 0.780 |
| D3 | 51.6(11.8) | 51.7(11.2) | 0.967 |
| W1 | 30.6(10.1) | 29.6(8.4) | 0.653 |
| W3 | 25.3(7.0) | 22.6(7.5) | 0.135 |
| M3 | 8.5(7.9) | 8.1(8.2) | 0.822 |
| Y1 | 6.3(6.4) | 6.5(6.7) | 0.864 |
| Y3 | 5.26(6.05) | 5.5(6.4) | 0.874 |
| FUI,mean(SD) | |||
| W1 | 5.11(2.4) | 5.19(1.6) | 0.886 |
| W3 to Y1 | 4.23(1.78) | 4.78(1.45) | 0.172 |
| Y3 | 2.71(1.65) | 0.63(1.15) | 0.000 |
All female patients reported a fear of incontinence while sitting in a cross-legged squatting position leading to a felt need to change their traditional working position from a squat to sitting on a chair.
CONCLUSION-Continuing the practice of yoga by patients undergoing STARR has no harmful or beneficial effect on APROs except for FUI related benefit after 3 years.
Session: Poster Presentation
Program Number: P033
