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Biofeedback is effective therapy for fecal incontinence and constipation
1Department of Surgery, University of California, Los Angeles, USA.
Archives of Surgery (Chicago, Ill. : 1960)
|August 1, 1997
Summary
Biofeedback therapy effectively treats fecal incontinence and constipation related to pelvic floor dysfunction. This method shows significant patient improvement, even without major changes in electromyographic readings.
Area of Science:
- Gastroenterology
- Pelvic Floor Rehabilitation
- Biofeedback Therapy
Background:
- Fecal incontinence and constipation are common conditions often linked to pelvic floor dysfunction.
- Effective treatment strategies for these conditions, particularly those involving pelvic floor retraining, are crucial.
Purpose of the Study:
- To determine the efficacy of biofeedback therapy in managing fecal incontinence and constipation.
- To evaluate the role of electromyogram-guided biofeedback in pelvic floor dysfunction.
Main Methods:
- A case series design was employed, including patients with fecal incontinence or constipation and pelvic floor dysfunction.
- The intervention involved electromyogram-guided biofeedback retraining of the pelvic floor.
- Outcomes were measured by the resolution of electromyographic abnormalities and subjective symptom improvement.
Main Results:
- 92% of patients with fecal incontinence showed significant improvement with biofeedback.
- 80% of patients with constipation and pelvic floor dysfunction experienced improvement.
- Significant subjective improvement was observed, independent of substantial changes in electromyographic values.
Conclusions:
- Biofeedback therapy is an effective treatment for selected patients suffering from fecal incontinence and constipation.
- Pelvic floor retraining using biofeedback offers a viable therapeutic option for these conditions.