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.
|No Yoga(n=35)||Yoga (n=32)||p value|
|Preop.ODS score||18.5 (3.1)||18.1 (3.5)||0.583|
|W3 to Y1||4.23(1.78)||4.78(1.45)||0.172|
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