METHOD OF TREATING ANAL SPHINCTER INSUFFICIENCY OF 1 AND 2 DEGREES Russian patent published in 2024 - IPC A61N2/00 A61B5/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to coloproctology, and can be used in complex treatment of patients with anal sphincter insufficiency of 1 and 2 degrees. Before and during extracorporeal magnetic stimulation, the patients are measured for anal sphincter insufficiency: average pressure in the anal canal at rest (mm Hg), maximum pressure in the anal canal during volitional contraction (mm Hg), mean pressure in anal canal during volitional contraction (mm Hg), gradient in anal canal during volitional contraction (mm Hg). If observing a reduced average resting pressure below 36 mm Hg, article, drop of maximum reduction pressure below 97 mm Hg, reducing the average contraction pressure below 68 mm Hg, reducing the gradient of volitional contraction below 58.0 mm Hg for women and reduction of average rest pressure less than 32 mm Hg, reducing the maximum contraction pressure below 115 mm Hg, the average contraction pressure drop of less than 89 mm Hg, reducing the gradient of volitional contraction of less than 77 mm Hg. for males, the extracorporeal magnetic stimulation in the first three sessions is started with a stimulation frequency of 10 Hz. Pulse exposure is performed intermittently: stimulation 6 s – pause 3 s – stimulation 6 s, total stimulation period is 25 min. After 3 sessions, repeated instrumental examination of the same indicators of anal sphincter insufficiency is performed, and with an increase in each analysed value of not less than 3 mm Hg irrespective of patient’s sex, stimulation frequency is increased to 25 Hz. Exposure to pulses is carried out intermittently: 9 s – pause 3 s – stimulation 9 s, total stimulation period 35 min. This mode of magnetic stimulation is continued until the analysed manometric values increase by at least 3 mm Hg regardless of patient’s sex. Thereafter, the stimulation frequency is increased to 50 Hz. Exposure to pulses is carried out intermittently: 12 s – pause 3 s – stimulation 12 s, total stimulation period 45 min. This regimen is carried out until reaching manometric values corresponding to the norm in a healthy person.

EFFECT: method provides improvement and formation of functions of tonic and volitional retention of intestinal contents by muscles of anal sphincter, reduction of symptoms and degree of manifestation of anal sphincter insufficiency of 1 and 2 degrees, improvement of quality of life of patients.

1 cl, 3 ex