The importance of a high rectal pressure on strain in constipated patients: implications for biofeedback therapy

2016 ◽  
Vol 29 (3) ◽  
pp. e12940 ◽  
Author(s):  
Y. Mazor ◽  
R. Hansen ◽  
G. Prott ◽  
J. Kellow ◽  
A. Malcolm
Keyword(s):  
Biofeedback Therapy ◽  
Rectal Pressure

scholarly journals Novel insights into fecal incontinence in men

2017 ◽  
Vol 312 (1) ◽  
pp. G46-G51 ◽  
Author(s):  
Yoav Mazor ◽  
Michael Jones ◽  
Alison Andrews ◽  
John E. Kellow ◽  
Allison Malcolm
Keyword(s):  
Sex Differences ◽  
Fecal Incontinence ◽  
Clinical Features ◽  
Successful Outcome ◽  
Biofeedback Therapy ◽  
Tertiary Referral ◽  
Future Studies ◽  
Tertiary Referral Center ◽  
Rectal Pressure

Fecal incontinence (FI) in men is common, yet data on sex differences in clinical features, physiology, and treatment are scarce. Our aim was to provide insights into FI in males compared with females. Prospectively collected data from 73 men and 596 women with FI in a tertiary referral center were analyzed. Anorectal physiology, clinical characteristics, and outcome of instrumented biofeedback (BF) were recorded. Thirty-one men with FI proceeded to BF and were matched with 62 age-matched women with FI who underwent BF. Men with FI had higher resting, squeeze, and cough anal sphincter pressures ( P < 0.001) and were more able to hold a sustained squeeze compared with women ( P = 0.04). Men with FI had higher rectal pressure and less inadequate rectal pressure on strain and higher sensory thresholds ( P < 0.05). Men, but not women, with isolated soiling had higher anal resting and squeeze pressures compared with those with overt FI ( P < 0.05). Men were less likely to undergo BF when offered compared with women. Baseline symptom severity did not differ between the groups. In men, the absence of an organic cause for the FI and the presence of overt FI, but not isolated soiling, were correlated with improvement in patient satisfaction following BF. The outcomes of 50% reduction in FI episodes, physician assessment, symptoms, and quality of life scores after BF all significantly improved in men similarly to women. We conclude that men, compared with women, with FI have unique clinical features and physiology and are less likely to have investigations and treatment despite successful outcome with BF. Future studies to customize treatment in males and determine barriers to therapy are warranted. NEW & NOTEWORTHY Fecal incontinence in men is common, yet data on sex differences in clinical features, physiology, and treatment are scarce. We provide evidence that men, compared with women, with fecal incontinence have unique clinical features and physiology and are less likely to have investigations and treatment despite successful outcome with anorectal biofeedback therapy.

Effect of biofeedback therapy on anorectal functions of patients with fecal incontinence

2006 ◽  
Vol 44 (05) ◽  
Author(s):  
A Illés ◽  
C Csizmadia ◽  
L Nagy ◽  
B Pordány ◽  
S Undi ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Biofeedback Therapy

scholarly journals Efficacy of Adaptive Biofeedback Training in Treating Constipation-Related Symptoms

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Jing Tang ◽  
Zhihui Huang ◽  
Yan Tan ◽  
Nina Zhang ◽  
Anping Tan ◽  
...  
Keyword(s):  
Therapy Group ◽  
Intensive Therapy ◽  
Poor Compliance ◽  
Biofeedback Training ◽  
Primary Efficacy ◽  
Primary Efficacy Endpoint ◽  
Biofeedback Therapy ◽  
Therapeutic Treatment ◽  
Bowel Movements

Biofeedback therapy is a well-known and effective therapeutic treatment for constipation. A previous study suggested that adaptive biofeedback (ABF) training was more effective than traditional (fixed training parameters) biofeedback training. The aim of this study was to verify the effectiveness of ABF in relieving constipation-related symptoms. We noticed that in traditional biofeedback training, a patient usually receives the training twice per week. The long training sessions usually led to poor compliance. This study proposes an intensive biofeedback therapy and compares intensive therapy with nonintensive therapy in patients with constipation-related symptoms.Methods.63 patients with constipation-related symptoms were treated with ABF between 2012 and 2013. These patients were further divided into the intensive therapy and nonintensive therapy groups.Results.A total of 63 patients were enrolled in the study, including 24 in the nonintensive therapy group and 39 in the intensive therapy group. 100%(N=21)of constipation patients achieved the primary efficacy endpoint (≥3 bowel movements/week). There was significant improvement in constipation-related symptoms after adaptive biofeedback. The intensive biofeedback therapy did not show better performance compared to nonintensive biofeedback therapy.Conclusions.This investigation provides support for the efficacy of biofeedback for constipation-related symptoms. The efficacy of intensive therapy is similar to nonintensive therapy.

Oculomotor biofeedback therapy

1983 ◽  
Vol 5 (3) ◽  
pp. 111-117 ◽  
Author(s):  
Kenneth J. Ciuffreda ◽  
Stanley G. Goldrich
Keyword(s):  
Biofeedback Therapy
Sign in / Sign up

Export Citation Format

Share Document