Bio-feedback treatment of fecal incontinence: where are we, and where are we going?
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Published on: April 6, 2022
Giuseppe Chiarioni1, Barbara Ferri, Antonio Morelli
1Division of Gastroenterological Rehabilitation, University of Verona, Valeggio sul Mincio Hospital, Azienda Ospedaliera of Verona, Verona, Italy.
Insights
Bio-feedback therapy for fecal incontinence shows promise, with early studies reporting over 70% success. However, recent trials question these findings, highlighting the need for more research to confirm its effectiveness as a primary treatment.
Area of Science:
- Gastroenterology
- Pelvic Floor Rehabilitation
Background:
- Fecal incontinence (FI) is a disabling condition with significant psycho-social impact, particularly in younger individuals.
- Bio-feedback has been widely reported as an effective treatment for fecal incontinence, with high short-term success rates.
Purpose of the Study:
- To evaluate the efficacy of bio-feedback techniques in managing fecal incontinence.
- To address the discrepancy between reported success rates and findings from recent controlled trials.
Main Methods:
- Review of existing literature on bio-feedback for fecal incontinence.
- Analysis of data from numerous studies and recent controlled trials.
Main Results:
- Early literature suggests a success rate exceeding 70% for bio-feedback in short-term fecal incontinence treatment.
- Recent controlled trials have not consistently confirmed these high success rates, suggesting a greater role for standard care.
Conclusions:
- Despite conflicting evidence, many experts advocate for bio-feedback as a first-line therapy for fecal incontinence due to its perceived efficacy, safety, and minimal invasiveness.
- Further well-designed randomized controlled trials are essential to resolve the therapeutic dilemma surrounding bio-feedback for fecal incontinence.
Abstract:
Fecal incontinence is a disabling disease, often observed in young subjects, that may have devastating psycho-social consequences. In the last years, numerous evidences have been reported on the efficacy of bio-feedback techniques for the treatment of this disorder. Overall, the literature data claim a success rate in more than 70% of cases in the short term. However, recent controlled trials have not confirmed this optimistic view, thus emphasizing the role of standard care. Nonetheless, many authors believe that this should be the first therapeutic approach for fecal incontinence due to the efficacy, lack of side-effects, and scarce invasiveness. Well-designed randomized, controlled trial are eagerly awaited to solve this therapeutic dilemma.
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