The Efficacy of Biofeedback Treatment in Patients with Fecal Incontinence

Öztürk, Ömer; Özın, Yasemin; Bacaksız, Ferhat; Tenlik, İlyas; Arı, Derya; Gökbulut, Volkan; Akdoğan, Özlem; Yüksel, Mahmut; Yeşil, Bayram; Yalınkılıç, Zeki Mesut

doi:10.5152/tjg.2021.20430

Cited by 7 publications

(6 citation statements)

References 31 publications

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“…Our cohort experienced both symptomatic reduction and improved QOL after completing BFT, with a response rate of 68.6% and 65%, respectively, and were overall satisfied with treatment. These findings are mirrored by several studies: one reported success in 63.5%, 16 while a randomized trial of 108 patients from the United States found 76% had adequate response 20 . There is, however, large variability in response rates published, with figures between 18% and 100% described 21 .…”

Section: Discussionmentioning

confidence: 79%

“…9 While BFT for FI has been well described in the West, literature on its efficacy in Asian populations remains limited to a handful of studies with mostly small sample sizes. [10][11][12][13][14][15][16][17] The primary aim of our study is to evaluate the impact of BFT in Asians with FI, in terms of symptom severity and QOL. Secondary aims are to understand the association between symptomatic improvement, QOL and overall satisfaction.…”

Section: Introductionmentioning

confidence: 99%

“…While BFT for FI has been well described in the West, literature on its efficacy in Asian populations remains limited to a handful of studies with mostly small sample sizes 10–17 . The primary aim of our study is to evaluate the impact of BFT in Asians with FI, in terms of symptom severity and QOL.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of biofeedback therapy for faecal incontinence in an Asian population

Chok

et al. 2022

ANZ Journal of Surgery

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Background Faecal incontinence (FI) is a debilitating condition which reduces quality of life (QOL). Conservative management with education, pelvic floor exercise and pharmacological agents are first‐line treatment. Following which, biofeedback therapy (BFT) is recommended. Although well described in the West, existing literature on its efficacy in Asian populations remains sparse. The primary aim of our study is to evaluate the efficacy of BFT in improvement of symptoms, QOL and overall satisfaction in our Asian population. Methods Patients with moderate FI in Singapore General Hospital between 2012 and 2016 were enrolled. Rockwood FI quality of life scale (FIQL) and Wexner scale were used to evaluate QOL across four domains, and symptom severity respectively. They were scored at baseline and again after four sessions of BFT, with an additional overall satisfaction score (OSS). Results A total of 137 patients were included. Mean age was 62 years and 72.3% were female. Majority demonstrated improvement in Wexner score (68.6%) and FIQL (65%). Sixty‐five patients (47.4%) reported improvement in both. Positive correlation was found between Wexner score and OSS (r = 0.206), and Wexner score and FIQL across all four domains. Only one FIQL domain—coping/behaviour, showed statistically significant correlation with OSS (r = 0.263). Conclusion BFT is effective in our Asian population in both symptom reduction and improving QOL. Wexner score demonstrated low correlation with FIQL and OSS—suggesting that FI requires a multi‐dimensional approach beyond symptom treatment, of which ability to cope appears crucial. BFT, consistent with the biopsychosocial model, shows benefit in this regard.

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Section: Discussionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

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Efficacy of biofeedback therapy for faecal incontinence in an Asian population

Chok

et al. 2022

ANZ Journal of Surgery

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“…The study results were like other researches that assessed the efficacy of BF versus PTNS in FI and in overactive bladder in spite of different pelvic floor medical problems [ 29 , 30 , 55 ]. The higher success rate of BF group could be due to the active correction of the functional disturbance in the EAS and PR muscles associated with the high motivation in the participated patients [ 13 , 56 , 57 ]. Good cooperation between the patients and the performing physician is critical for the success of BF [ 58 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

Biofeedback pelvic floor muscle training versus posterior tibial nerve electrostimulation in treatment of functional obstructed defecation: a prospective randomized clinical trial

Saba

Elsawy

2022

Egypt Rheumatol Rehabil

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Background Functional obstructed defecation is a common anorectal problem among adult population. The objective was to compare the short-term efficacy of biofeedback pelvic floor muscle training versus transcutaneous posterior tibial nerve electrostimulation in treatment of patients with functional obstructed defecation. Results There were 41 patients completed the study. There were no statistical significant differences between biofeedback pelvic floor muscle training group and transcutaneous posterior tibial nerve electrostimulation group regarding different clinical characteristics, as well as, electrophysiological findings. There was statistically significant reduction in all outcome measures after intervention in both groups. The primary outcome measure was Modified obstructed defecation score. Secondary outcome measures were Patient Assessment of Constipation-Quality of Life questionnaire, time of toileting, and maximum anal pressure during straining to evacuate. No significant differences were present between both groups regarding different outcome measures in the pretreatment and post-treatment assessments. Successful outcome was reported in 81% of patients in biofeedback pelvic floor muscle training group in comparison to 40% of patients in the posterior tibial nerve electrostimulation group according to the Modified obstructed defecation score which was the primary outcome measure. Conclusions Both biofeedback pelvic floor muscle training and posterior tibial nerve electrostimulation are considered effective methods in the treatment of functional obstructed defecation. However, biofeedback pelvic floor muscle training seems to be more effective and superior in comparison to posterior tibial nerve electrostimulation. Posterior tibial nerve electrostimulation could be combined with biofeedback pelvic floor muscle training or considered as a second line therapy after failure of biofeedback pelvic floor muscle training. Trial registration Pan African Clinical Trials Registry, PACTR202009762113535. Registered 2 September 2020—retrospectively registered, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=12321.

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“…Na tentativa de objetivar os sintomas e avaliar a evolução tanto da doença, como do tratamento, utilizam-se escalas. A mais usualmente utilizada é a escala de Jorge Wexner (Escala de graduação da incontinência de Wexner), que é composta por seis itens, com pontuação de 0 a 20 pontos, que classifica a IF em leve (1-7) moderada (8)(9)(10)(11)(12)(13)(14) grave (15)(16)(17)(18)(19)(20). Leva em consideração a frequência das perdas (fezes sólidas, líquidas ou gases), o uso ou não de fraldas ou absorventes e o impacto na vida do indivíduo, sua aplicação se refere à frequência dos acontecimentos dentro de um mês 1 .…”

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Avaliação da qualidade de vida em pacientes submetidos a neuromodulação sacral para incontinência fecal

Camargo

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Ao Prof. Dr. Omar Feres, do departamento de Cirurgia e Anatomia da FMRP-USP, um professor que nos inspira por sua inteligência e facilidade de transmitir todo seu conhecimento, uma pessoa que demonstra felicidade de viver a vida. Agradeço pela acolhida na divisão de Coloproctologia, pela oportunidade de realizar esse trabalho e toda contribuição que foram fundamentais para a conclusão deste trabalho. Ao Prof. Dr. José Joaquim Ribeiro da Rocha, chefe da Divisão de Coloproctologia da FMRP-USP, um professor bondoso, carinhoso com todos à sua volta, querido pelos alunos e por seus pacientes. Agradeço a acolhida na Divisão de Coloproctologia, e por toda a contribuição para a conclusão deste trabalho. Ao Dr. Rogério Serafim Parra, do Departamento de Cirurgia e Anatomia da FMRP-USP, orientador atento aos detalhes, efetivo nas tarefas, objetivo e ético, agradeço a oportunidade de participar do grupo de pesquisa, a amizade e por toda a contribuição para a conclusão deste trabalho. Ao Dr. Marley Ribeiro Feitosa, do Departamento de Cirurgia e Anatomia da FMRP-USP, fundamental desde o início no desenvolvimento deste trabalho, sempre disposto a contribuir e agregar conhecimento, agradeço a oportunidade de participar do grupo de pesquisa, amizade e por toda a contribuição para a conclusão deste trabalho. À Dra. Vanessa Foresto Machado, do Departamento de Cirurgia e Anatomia da FMRP-USP, Coloproctologista referência no tratamento para incontinência fecal, contribuindo na constituição da amostra, na coleta de dados e na construção deste estudo, agradeço a amizade e por toda a contribuição para a conclusão deste trabalho. À Profa. Dra. Sthela Maria Murad Regadas, professora e Coloproctologista da Universidade Federal do Ceará, CE, sempre disposta a ajudar, fundamental para a constituição da amostra e participação na coleta de dados, agradeço por toda a contribuição para a conclusão deste trabalho.

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The Efficacy of Biofeedback Treatment in Patients with Fecal Incontinence

Cited by 7 publications

References 31 publications

Efficacy of biofeedback therapy for faecal incontinence in an Asian population

Efficacy of biofeedback therapy for faecal incontinence in an Asian population

Biofeedback pelvic floor muscle training versus posterior tibial nerve electrostimulation in treatment of functional obstructed defecation: a prospective randomized clinical trial

Avaliação da qualidade de vida em pacientes submetidos a neuromodulação sacral para incontinência fecal

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