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Biofeedback is effective therapy for fecal incontinence and constipation.
Arch Surg 1997; 132(8):829-33; discussion 833-4AS

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.

Authors+Show Affiliations

Department of Surgery, University of California, Los Angeles, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

9267265

Citation

Ko, C Y., et al. "Biofeedback Is Effective Therapy for Fecal Incontinence and Constipation." Archives of Surgery (Chicago, Ill. : 1960), vol. 132, no. 8, 1997, pp. 829-33; discussion 833-4.
Ko CY, Tong J, Lehman RE, et al. Biofeedback is effective therapy for fecal incontinence and constipation. Arch Surg. 1997;132(8):829-33; discussion 833-4.
Ko, C. Y., Tong, J., Lehman, R. E., Shelton, A. A., Schrock, T. R., & Welton, M. L. (1997). Biofeedback is effective therapy for fecal incontinence and constipation. Archives of Surgery (Chicago, Ill. : 1960), 132(8), pp. 829-33; discussion 833-4.
Ko CY, et al. Biofeedback Is Effective Therapy for Fecal Incontinence and Constipation. Arch Surg. 1997;132(8):829-33; discussion 833-4. PubMed PMID: 9267265.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Biofeedback is effective therapy for fecal incontinence and constipation. AU - Ko,C Y, AU - Tong,J, AU - Lehman,R E, AU - Shelton,A A, AU - Schrock,T R, AU - Welton,M L, PY - 1997/8/1/pubmed PY - 1997/8/1/medline PY - 1997/8/1/entrez SP - 829-33; discussion 833-4 JF - Archives of surgery (Chicago, Ill. : 1960) JO - Arch Surg VL - 132 IS - 8 N2 - 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. SN - 0004-0010 UR - https://www.unboundmedicine.com/medline/citation/9267265/Biofeedback_is_effective_therapy_for_fecal_incontinence_and_constipation_ L2 - https://jamanetwork.com/journals/jamasurgery/fullarticle/vol/132/pg/829 DB - PRIME DP - Unbound Medicine ER -