Fecobionics Evaluation of Biofeedback Therapy in Patients With Fecal Incontinence

Futaba, Kaori; Chen, Ssu-Chi; Leung, Wing Wa; Wong, Carlos K. H.; Mak, Terrence; Ng, Simon; Gregersen, Hans

doi:10.14309/ctg.0000000000000491

Cited by 7 publications

(2 citation statements)

References 42 publications

(93 reference statements)

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“…The problem of faecal and urinary incontinence is a debilitating condition, both physically and psychologically, that has a significant negative impact on quality of life [17].…”

Section: The Problem Of Faecal and Urinary Incontinencementioning

confidence: 99%

Pelvic floor muscle morphology and its impact on urinary incontinence and faecal incontinence

Lazarchuk¹,

Barzak²,

Woźniak³

2022

Medical Journal of Cell Biology

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Health problems related to pelvic floor muscles, as faecal incontinence (FI), urinary incontinence (UI) and constipation have a significant negative impact on a person’s life. The disease is accompanied by a serious symptoms, which exclude the patient from the local community. It is noteworthy that FI and UI involve increased financial outlays for the treatment of these disorders. Definition of the faecal incontinence is an uncontrolled passage of faecal materials that has occurred at least two to four times within four weeks of the last six months. Anatomy of pelvic fundus is strictly corelated with those diseases, because ability to contract and relax the muscles of the pelvic floor helps with the body’s daily basic functions. Risk factors of FI/UI include age, gender, comorbidities such as diabetes and irritable bowel syndrome, and obstetric factors. It could be treated with physiotherapy, pharmacotherapy or invasive treatment. A review of the literature indicates that the problem of FI/UI is a significant clinical issue of concern to clinicians due to very limited treatment techniques. There is a lack of primary research covering this issue in the world literature. The authors of this paper therefore believe that a holistic view of the subject based on the latest scientific data is necessary.

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“…The problem of faecal and urinary incontinence is a debilitating condition, both physically and psychologically, that has a significant negative impact on quality of life [17].…”

Section: The Problem Of Faecal and Urinary Incontinencementioning

confidence: 99%

Pelvic floor muscle morphology and its impact on urinary incontinence and faecal incontinence

Lazarchuk¹,

Barzak²,

Woźniak³

2022

Medical Journal of Cell Biology

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“…It was demonstrated that the axial pressure signatures, preload-afterload analysis, and computation of defecation indices (DIs) with Fecobionics provide useful endpoints 17 , 25 . Studies have also been published on patients with fecal incontinence and obstructed defecation 18 , 21 , 23 , 26 , since these symptoms play a crucial role in the clinic 1 , 12 , 15 , 27 , 28 . However, only few studies have been published with technology that allows integrated measurements of the various mechanisms controlling continence and defecation.…”

Section: Introductionmentioning

confidence: 99%

The rectum, anal sphincter and puborectalis muscle show different contraction wave forms during prolonged measurement with a simulated feces

Sun,

Lo,

Chen

et al. 2024

Sci Rep

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Contractile patterns in rectum, puborectalis muscle and anal sphincter must be studied to understand defecation. Six subjects had contractile waveforms studied with Fecobionics. Symptom questionnaires, balloon expulsion test and anorectal manometry were done for reference. The Fecobionics bag was filled in rectum to urge-to-defecate volume and measurements were done for 4 h before the subjects attempted to evacuate the device. Pressures and bend angle (BA) variations were analyzed with Fast Fourier Transformation. Four normal subjects exhibited low frequency waves (< 0.06 Hz) for pressures and BA. The waves were uncoordinated between recordings, except for rear and bag pressures. Peak wave amplitudes occurred at 0.02–0.04 Hz. Pressures and the BA differed for peak 1 (p < 0.001) and peak 2 amplitudes (p < 0.005). The front pressure amplitude was bigger than the others (rear and BA, p < 0.05; bag, p < 0.005) for peak 1, and bigger than bag pressure (p < 0.005) and BA (p < 0.05) for peak 2. One subject was considered constipated with lower front pressure amplitudes compared to normal subjects and increased amplitudes for other parameters. The sixth subject was hyperreactive and differed from the other subjects. In conclusion, the rectum, anal sphincter and puborectalis muscle showed different contraction waves during prolonged measurements. The data call for larger studies to better understand normal defecation, feces-withholding patterns, and the implications on anorectal disorders.

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Fecobionics in proctology: review and perspectives

Gregersen,

Sun,

Field

et al. 2023

Surgery Open Digestive Advance

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Fecobionics Evaluation of Biofeedback Therapy in Patients With Fecal Incontinence

Cited by 7 publications

References 42 publications

Pelvic floor muscle morphology and its impact on urinary incontinence and faecal incontinence

Pelvic floor muscle morphology and its impact on urinary incontinence and faecal incontinence

The rectum, anal sphincter and puborectalis muscle show different contraction wave forms during prolonged measurement with a simulated feces

Fecobionics in proctology: review and perspectives

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