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[Biofeedback training in fecal incontinence].

P Enck1, U Kränzle, J Schwiese

  • 1Universität Düsseldorf, Abteilung für Gastroenterologie.

Deutsche Medizinische Wochenschrift (1946)
|November 18, 1988
PubMed
Summary

Biofeedback training for anal incontinence significantly improved external anal sphincter muscle strength. This led to continence in 12 patients, demonstrating its effectiveness, particularly for those with organic causes.

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Area of Science:

  • Gastroenterology
  • Pelvic Floor Rehabilitation

Background:

  • Anal incontinence affects numerous patients, impacting quality of life.
  • Various causes contribute to anal incontinence, necessitating effective treatment strategies.

Purpose of the Study:

  • To evaluate the efficacy of biofeedback training in enhancing external anal sphincter (EAS) contractility.
  • To assess the impact of biofeedback on fecal incontinence symptoms and patient continence.
  • To determine the role of anorectal manometry in diagnosing and monitoring treatment response.

Main Methods:

  • A treatment program involving biofeedback training was implemented for 19 patients with incontinence.
  • Patients learned to increase EAS contraction in response to rectal balloon distension.
  • Anorectal manometry was used to objectively measure incontinence severity before, after, and during follow-up (3-6 months).

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Main Results:

  • The biofeedback program significantly increased EAS and pelvic floor muscle contraction force.
  • Twelve out of 19 patients achieved and maintained continence at follow-up.
  • The treatment was particularly successful in patients with organic incontinence causes and high motivation.

Conclusions:

  • Biofeedback training is an effective treatment for anal incontinence, improving sphincter function and patient continence.
  • Anorectal manometry is a valuable tool for assessing anal incontinence and monitoring treatment outcomes.
  • Patient motivation and organic etiology are key factors for successful biofeedback therapy in anal incontinence.