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Related Experiment Video

Updated: Jan 25, 2026

Isolation and Characterization of the Murine Uterosacral Ligaments and Pelvic Floor Organs
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A Practical Guide to Biofeedback Therapy for Pelvic Floor Disorders.

Susrutha Puthanmadhom Narayanan1, Adil E Bharucha2

  • 1Clinical Enteric Neuroscience Translational and Epidemiological Research Program, Division of Gastroenterology and Hepatology, Mayo Clinic, 200 1st Street, Rochester, MN, 55905, USA.

Current Gastroenterology Reports
|April 25, 2019
PubMed
Summary

Biofeedback therapy effectively manages pelvic floor disorders like fecal incontinence. Patients with lower bowel satisfaction and those using digital maneuvers show better outcomes with this treatment.

Keywords:
Biofeedback therapyDefecation disorderFecal incontinenceLevator ani syndromePelvic floor dysfunction

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Area of Science:

  • Gastroenterology
  • Pelvic Floor Health

Background:

  • Biofeedback therapy (BFT) is a recognized treatment for pelvic floor disorders, including defecatory disorders and fecal incontinence.
  • While effective, long-term improvement rates in controlled trials for defecatory disorders are around 60%.

Purpose of the Study:

  • To update practitioners on recent advancements in biofeedback therapy for pelvic floor disorders.
  • To identify practical challenges in the clinical application of biofeedback therapy.

Main Methods:

  • Review of recent studies evaluating biofeedback therapy efficacy and safety.
  • Analysis of outcomes in specific patient subpopulations and predictors of treatment response.

Main Results:

  • Biofeedback therapy demonstrates efficacy in treating defecatory disorders, fecal incontinence, and levator ani syndrome.
  • Patients with lower bowel satisfaction scores and those employing digital maneuvers tend to achieve better results.
  • Biofeedback therapy is recommended for fecal incontinence refractory to conservative management; a subset of levator ani syndrome patients with dyssynergic defecation respond well.

Conclusions:

  • Biofeedback therapy remains a valuable tool for managing various pelvic floor disorders.
  • Identifying patient predictors and addressing practical obstacles can optimize biofeedback therapy outcomes.