Effectiveness of treatment using fecal incontinence biofeedback isolated or associated with electrical stimulation This study was conducted at Coloproctology Outpatient Clinic, Hospital São Lucas, Cascavel, PR, Brazil.

Eficácia do tratamento de incontinência fecal utilizando o biofeedback isolado ou associado a eletroestimulação

Melão Suelen Maria dos Reis Lima Doryane Ferreira Ratin Raphael Kurachi Gustavo Rizzardi Kelli Schuster Marcieli Etsuo Sagae Univaldo About the authors

Introduction

The prevalence of fecal incontinence (FI) has increased in recent decades, due to an aging population; and result in negative impacts on quality of life. Therefore, it is essential to search for an effective treatment in order to minimize the morbidity caused by incontinence.

Objective

To evaluate the effect of perineal training in the treatment of patients with fecal incontinence by biofeedback.

Method

This is a prospective study which evaluated 85 patients with FI from January 2009 to January 2014, at the Coloproctology outpatient clinic of the Hospital São Lucas/Cascavel, Paraná.

Results

Mean age was 47 years and the duration of treatment ranged from 5 to 25 sessions (mean, 13 sessions). From the women involved in the study, 70% (50) had vaginal deliveries and 34 (40%) participants were submitted to some orificial surgery. The FI score at baseline was 10.79 (6-17) and post-treatment FI was 2 (0-14) (p< 0.001). In the population studied, 49.4% (42) of the patients had an associated pre-BFT UI; and only 8.2% (7) had post-BFT UI (p< 0.001).

Conclusions

The data presented in this study confirm that perineal training through biofeedback was effective in the treatment of patients with fecal incontinence without immediate indication for surgery, still ensuring for this technique the advantages of being effective, painless and of low cost.

Fecal incontinence; Biofeedback; Anismus


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