The Efficacy of Biofeedback Treatment in Patients with Fecal Incontinence
| Autor: | Yasemin Ozin, Mahmut Yüksel, Özlem Akdoğan, Volkan Gökbulut, İlyas Tenlik, Z. M. Yalinkilic, Derya Ari, Ferhat Bacaksız, Omer Ozturk, Bayram Yeşil |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Manometry medicine.medical_treatment Colonoscopy Biofeedback Young Adult medicine Fecal incontinence Humans In patient Aged Retrospective Studies Ultrasonography Pelvic floor Medical treatment medicine.diagnostic_test business.industry Electromyography Anorectal manometry Gastroenterology Toilet Training Biofeedback Psychology Middle Aged Exercise Therapy medicine.anatomical_structure Treatment Outcome Physical therapy Tears Female Original Article medicine.symptom business Fecal Incontinence |
| Zdroj: | Turk J Gastroenterol |
| ISSN: | 2148-5607 |
| Popis: | Background The initial treatment for fecal incontinence (FI) includes supportive treatment and medical treatment. If the initial treatment fails, biofeedback therapy (BFT) is recommended. However, there are limited and conflicting results in the literature supporting the beneficial effect of BFT for FI. The aim of the study is to analyze the efficacy of BFT in 126 patients who have FI due to several causes. Methods The data of 126 patients (88 females (69.8%) and 38 males (30.2%)) were collected retrospectively. Colonoscopy, anorectal manometry (ARM), and 3D-Endoanal ultrasonography (EAUS) were performed for all patients before applying BFT. In addition, all patients received toilet training instruction and training in Kegel and other pelvic floor strengthening exercises from an experienced nurse, before BFT. Results The median age of participants was 54 years (range 18-75 years). While 80 patients (63.5%) had clinical and manometric benefit from BFT, 46 patients (36.5%) did not respond to BFT. According to the EAUS and ARM findings, BFT was beneficial in patients who had partial external sphincter failure, and was unsuccessful in patients who had both internal and external sphincter failure, both internal and external sphincter tears, and external sphincter tear rates of more than 25%. After BFT, significant increases in squeeze pressures were observed, with this increase being higher in the positive-response group. Conclusion The results suggest that BFT is effective in the treatment of FI for specific patient populations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|