الفهرس 
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Abstract
Background: postoperative faecal incontinence in Down’s syndrome associated Hirschsprung disease is reported as a major health problem world wide.
The purpose of the current study was to investigate the effect of electrical stimulation versus pelvic floor exercises in postoperative faecal incontinence in Down’s syndrome associated Hirschsprung disease.
Thirty Down’s syndrome children ( 18 male& 12 female) associated Hirschsprung disease had faecal incontinence followed surgical treatment were included in current study. Their ages ranged from 6-9 years. They were assigned randomly into two equal groups. The first group (A) received electrical stimulation , 3 times per week for one month. The second group (B) received pelvic floor exercises 3 times per week for one month, both groups received the same medications, dietary regime and toilet training. Assessment was performed before treatment (pre treatment), after 6 sessions (post test 1) and after 12 sessions (post test 2).The assessment included the frequency of incontinence using Kelly’s score and anal pressure using anal pressure device. Results showed significant differences in Kelly’s score between groups after 6 sessions (P< 0.004) and after 12 sessions (P< 0.0001). Furthermore, anal pressure results showed a significant difference after 6 sessions (P< 0.0009) and after 12 sessions (P<0.0001).Conclusion: electrical stimulation and pelvic floor exercises respectively proved to be a beneficial in the treatment of postoperative faecal incontinence in Down’s syndrome associated Hirschsprung disease.