Anal Pressure Biofeedback Training in a Patient with Diverting Colostomy after Blunt and Penetrating Anorectal Injury: A Case Report

Azhari, Benni; Kusumawardani, Martha Kurnia

doi:10.5220/0007316901150119

Cited by 1 publication

(1 citation statement)

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“…The goal of biofeedback is to increase voluntary control over the physiological processes that are otherwise outside one's awareness, by using information about them in the form of an external signal or cue [41]. Biofeedback improved anal sphincter contraction and can be considered as an adjunctive therapy to help restore proper anorectal function [42]. The study was limited for unavailability of computerized biofeedback provides games for children and inability to follow the children for a period longer than 4 months.…”

Section: Discussionmentioning

confidence: 99%

Biofeedback on Faecal Incontinence After Anorectal Malformations Repair: Effects Through Four Months: A Randomized Controlled Trial

Elshafey

Serag

Abdrabo

2020

Fiz Pol

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Background. Surgical repair for anorectal malformation in children had post-operative unsatisfactory results as children still suffering from faecal incontinence. Objective. The effect of Biofeedback in treating children fecal incontinence after anorectal malformations repair was investigated. Methodology. A randomized controlled trial design was conducted in the Pediatric hospital, Mansoura University. Forty-eight children with postsurgical anorectal malformations repair were assessed for eligibility. Forty children (twenty-two boys and eighteen girls) underwent simple randomization into two matched groups, control and study group. The anal function was assessed by Anorectal manometry and faecal incontinence was evaluated by Baylor social continence scale. Measurements were done before and after two months of intervention, and after four months of follow-up. Result. There was statistically significant improvement in maximal resting anal pressure, maximal voluntary contraction pressure, voluntary contraction time, the threshold of rectal sensation, maximal tolerable rectal volume and Baylor social continence scale (P < 0.05) for biofeedback group after two months of intervention and four months of follow-up in comparison with conservative treatment. Conclusion. Biofeedback improved faecal incontinence after ARM repair and had an intermediate follow up effect in conjunction with conservative interventions.

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Section: Discussionmentioning

confidence: 99%