Pelvic floor biofeedback therapy is safe and effective in chronic constipation urinary incontinence fecal incontinence and pelvic floor pain whereas the heterogeneous indication affects the efficacy evaluation and technical communication.
Biofeedback pelvic floor dysfunction constipation.
In a study of biofeedback for pelvic floor dysfunction compared to laxatives the usual treatment for constipation nearly 80 of people undergoing biofeedback had improvement in constipation compared to 22 in the laxative group.
The effect also seems to improve over time up to two years.
One study of patients with pelvic floor dyssynergia reported that 90 of those treated by intra anal electromyographic biofeedback improved compared with 60 of those given balloon defecation training 18 a second study of constipated patients two thirds with pelvic floor dyssynergia compared electromyographic biofeedback training to defecate a balloon with balloon defecation training without visual feedback and showed no differencein efficacy between treatments 69 v 64 19.
Biofeedback therapy bft is effective for managing pelvic floor disorders i e defecatory disorders and fecal incontinence.
The review serves to update practitioners on recent advances and to identify practical obstacles to providing biofeedback therapy.
Majority of patients with constipation referred to our centre were related to pelvic floor dyssynergia and patients were satisfied with biofeedback in the long term.
Biofeedback therapy bft is effective for managing pelvic floor disorders i e defecatory disorders and fecal incontinence.
The best indications are as follows.
Biofeedback is a successful treatment for patients with pelvic floor dyssynergia unresponsive to other treatment options.
One study of patients with pelvic floor dyssynergia reported that 90 of those treated by intra anal electromyographic biofeedback improved compared with 60 of those given balloon defecation training.
18 a second study of constipated patients two thirds with pelvic floor dyssynergia compared electromyographic biofeedback training to defecate a balloon with balloon defecation training without visual feedback and showed no difference in efficacy between treatments 69 v 64.
Biofeedback for pelvic floor dysfunction in constipation g bassotti f chistolini f sietchiping nzepa g de rober to a morelli g chiar ioni p elvic floor dyssynergia is one of the commonest.
When i learned in late 2011 following a very uncomfortable but survivable test called anorectal manometry that i would need to start biofeedback therapy for pelvic floor retraining to treat my difficulty with bowel movements chronic constipation and rectal dyssynergia i really didn t know what to expect.