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Related Experiment Video

Updated: Jun 20, 2026

Detrusor Underactivity Model in Rats by Conus Medullaris Transection
03:26

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

Published on: August 28, 2020

Biofeedback Therapy for Incontinence in a Post-Duhamel Hirschsprung Patient: A Case Report.

Woon Teen Sia, Hidaryati Md Bamuchi, Jih Huei Tan

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |June 19, 2026
    PubMed
    Summary

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    Biofeedback therapy effectively treated retentive fecal incontinence in a patient with Hirschsprung disease (HD). This approach resolved symptoms of fecal soiling and constipation after a Duhamel pull-through surgery.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Rehabilitation Medicine

    Background:

    • Fecal incontinence is an underreported complication post-Hirschsprung disease (HD) surgery.
    • Retentive fecal incontinence can stem from stool retention, altered rectal sensation, or dyssynergic defecation.
    • Patients with total colonic aganglionosis (TCA) undergoing Duhamel pull-through are at risk.

    Purpose of the Study:

    • To report the successful use of biofeedback therapy (BFT) for retentive fecal incontinence.
    • To evaluate BFT's efficacy in a patient with a history of HD and TCA.

    Main Methods:

    • A 17-year-old male with HD, TCA, and post-Duhamel pull-through fecal incontinence was treated.
    • The patient underwent eight sessions of biofeedback therapy.
    Keywords:
    Encopresishirschsprung diseaseoverflow incontinencepostsurgical bowel syndromepseudoincontinence

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    Last Updated: Jun 20, 2026

    Detrusor Underactivity Model in Rats by Conus Medullaris Transection
    03:26

    Detrusor Underactivity Model in Rats by Conus Medullaris Transection

    Published on: August 28, 2020

  • Clinical assessment included evaluation of stool retention, sensation, and sphincter tone.

    • Main Results:

    • The patient presented with recurrent fecal soiling and constipation.
    • Pre-treatment Revised Fecal Incontinence Score (RFIS) was 16/20.
    • Post-treatment RFIS improved to 1/20, indicating complete symptom resolution.

    Conclusions:

    • Biofeedback therapy is a viable treatment for retentive fecal incontinence in patients with Hirschsprung disease.
    • BFT can significantly improve quality of life by resolving fecal incontinence symptoms.
    • This case highlights BFT's potential in managing complex functional defecation disorders post-HD surgery.