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Arch Surg. 1997 Aug;132(8):829-33; discussion 833-4.

Biofeedback is effective therapy for fecal incontinence and constipation.

Author information

1
Department of Surgery, University of California, Los Angeles, USA.

Abstract

OBJECTIVE:

To define the role of biofeedback in fecal incontinence and constipation.

DESIGN:

A case series of patients with fecal incontinence or constipation with pelvic floor dysfunction.

SETTING:

Tertiary care center with an anorectal physiology laboratory.

PATIENTS:

Patients with 1 of the following: (1) chronic or acute fecal incontinence, (2) fecal incontinence and neurologic injury, or (3) constipation with pelvic floor dysfunction.

INTERVENTION:

Electromyogram-guided biofeedback retraining of the pelvic floor.

MAIN OUTCOME MEASURES:

Resolution of electromyographic abnormalities and subjective resolution of fecal incontinence or constipation.

RESULTS:

Of the patients with fecal incontinence, 92% experienced significant improvement with biofeedback without significant improvement in electromyographic values. Of the patients with constipation and pelvic floor dysfunction 80% experienced improvement with biofeedback without significant change in electromyographic values.

CONCLUSION:

Biofeedback is effective in selected patients with fecal incontinence and constipation with pelvic floor dysfunction.

PMID:
9267265
[Indexed for MEDLINE]

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