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Biofeedback is effective therapy for fecal incontinence and constipation.

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.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

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

    , , , ,

    Source

    Archives of surgery (Chicago, Ill. : 1960) 132:8 1997 Aug pg 829-33; discussion 833-4

    MeSH

    Acute Disease
    Adult
    Aged
    Aged, 80 and over
    Biofeedback, Psychology
    Chronic Disease
    Constipation
    Fecal Incontinence
    Female
    Follow-Up Studies
    Humans
    Male
    Manometry
    Middle Aged
    Pelvic Floor

    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 -