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Biofeedback therapy in the colon and rectal practice.

Abstract

In coloproctology, biofeedback has been used for more than 20 years to treat patients with fecal incontinence, constipation, and rectal pain. It can be performed in a number of conditions with minimal risk and discomfort. However, it does require the presence of some degree of sphincter contraction and rectal sensitivity. Biofeedback can be time-consuming and demands motivation. The purpose of this paper is to review the indications, methodology, and results of anorectal biofeedback in the treatment of these disorders. Mean success rates for biofeedback range from 72.3% for fecal incontinence of diverse etiology, 68.5% for constipation attributable to paradoxical puborectalis syndrome, and 41.2% for idiopathic rectal pain. However, criteria to define success vary tremendously among researchers and there is a tendency to indicate biofeedback in a myriad of conditions when other therapeutic options, including surgery, fail or are inappropriate. These factors make comparison of the results difficult and reinforce the need for randomized controlled trials and studies assessing long-term follow-up. In summary, biofeedback is a simple, cost-effective, and morbidity-free technique and remains an attractive option, especially considering the complexity of the functional disorders of the colon, rectum, anus, and pelvic floor.

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  • Authors+Show Affiliations

    ,

    Department of Coloproctology, University of São Paulo, São Paulo, Brazil.

    ,

    Source

    MeSH

    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Biofeedback, Psychology
    Child
    Constipation
    Exercise Therapy
    Fecal Incontinence
    Female
    Humans
    Male
    Middle Aged
    Treatment Outcome

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    12737096

    Citation

    Jorge, Jose Marcio N., et al. "Biofeedback Therapy in the Colon and Rectal Practice." Applied Psychophysiology and Biofeedback, vol. 28, no. 1, 2003, pp. 47-61.
    Jorge JM, Habr-Gama A, Wexner SD. Biofeedback therapy in the colon and rectal practice. Appl Psychophysiol Biofeedback. 2003;28(1):47-61.
    Jorge, J. M., Habr-Gama, A., & Wexner, S. D. (2003). Biofeedback therapy in the colon and rectal practice. Applied Psychophysiology and Biofeedback, 28(1), pp. 47-61.
    Jorge JM, Habr-Gama A, Wexner SD. Biofeedback Therapy in the Colon and Rectal Practice. Appl Psychophysiol Biofeedback. 2003;28(1):47-61. PubMed PMID: 12737096.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Biofeedback therapy in the colon and rectal practice. AU - Jorge,Jose Marcio N, AU - Habr-Gama,Angelita, AU - Wexner,Steven D, PY - 2003/5/10/pubmed PY - 2003/7/30/medline PY - 2003/5/10/entrez SP - 47 EP - 61 JF - Applied psychophysiology and biofeedback JO - Appl Psychophysiol Biofeedback VL - 28 IS - 1 N2 - In coloproctology, biofeedback has been used for more than 20 years to treat patients with fecal incontinence, constipation, and rectal pain. It can be performed in a number of conditions with minimal risk and discomfort. However, it does require the presence of some degree of sphincter contraction and rectal sensitivity. Biofeedback can be time-consuming and demands motivation. The purpose of this paper is to review the indications, methodology, and results of anorectal biofeedback in the treatment of these disorders. Mean success rates for biofeedback range from 72.3% for fecal incontinence of diverse etiology, 68.5% for constipation attributable to paradoxical puborectalis syndrome, and 41.2% for idiopathic rectal pain. However, criteria to define success vary tremendously among researchers and there is a tendency to indicate biofeedback in a myriad of conditions when other therapeutic options, including surgery, fail or are inappropriate. These factors make comparison of the results difficult and reinforce the need for randomized controlled trials and studies assessing long-term follow-up. In summary, biofeedback is a simple, cost-effective, and morbidity-free technique and remains an attractive option, especially considering the complexity of the functional disorders of the colon, rectum, anus, and pelvic floor. SN - 1090-0586 UR - https://www.unboundmedicine.com/medline/citation/12737096/Biofeedback_therapy_in_the_colon_and_rectal_practice_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=12737096.ui DB - PRIME DP - Unbound Medicine ER -