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Related Experiment Videos

Biofeedback therapy for rectal intussusception.

Y H Hwang1, B Person, J S Choi

  • 1Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL 33331, USA.

Techniques in Coloproctology
|March 11, 2006
PubMed
Summary
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Biofeedback therapy offers a safe and effective alternative for rectal intussusception, improving constipation and fecal incontinence. Success is higher for shorter constipation durations.

Area of Science:

  • Gastroenterology and Colorectal Surgery
  • Pelvic Floor Rehabilitation

Background:

  • Surgical treatment for internal rectal intussusception carries significant morbidity.
  • Alternative safe and effective treatments are sought for rectal intussusception.
  • Biofeedback therapy is explored as a non-surgical option.

Purpose of the Study:

  • To evaluate the outcomes of biofeedback therapy in patients with rectal intussusception.
  • To identify predictors of successful biofeedback treatment for rectal intussusception.

Main Methods:

  • Retrospective evaluation of 34 patients with rectal intussusception.
  • Electromyography (EMG)-based biofeedback was administered.
  • Patients had no other major pelvic floor or colonic disorders.

Related Experiment Videos

Main Results:

  • Significant improvement in bowel movement frequency and reduced need for assistance in constipated patients (p<0.05).
  • Reduced sensation of incomplete evacuation (63% to 33%, p<0.05).
  • Improved fecal incontinence episodes and scores in incontinent patients (p<0.05).
  • Overall success rates: 33% complete resolution, 19% partial improvement.
  • Constipation duration <9 years predicted higher success rates (78% vs 13%, p<0.01).

Conclusions:

  • Biofeedback is a safe and effective treatment for constipation and fecal incontinence associated with rectal intussusception.
  • Patient adherence to the treatment course is crucial for success.
  • Long-standing constipation (>9 years) shows reduced efficacy with biofeedback.