Document Detail


Biofeedback for fecal incontinence using transanal ultrasonography: novel approach.
MedLine Citation:
PMID:  10859078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Neosphincter procedures may prove to be the treatment of choice for patients with neuropathic fecal incontinence but are rarely proposed for milder forms of the disease. Biofeedback may prove beneficial to these patients but is yet unproven. The objectives of this study were to develop a method of performing biofeedback using transanal ultrasound to teach the patient to contract repetitively and to determine biologic measures of sphincter function using transanal ultrasound in healthy and incontinent patients. METHODS: Initial uncontrolled studies were performed to determine the compliance, normal values, biologic measures of external sphincter strength (isotonic and isometric fatigue times), and early efficacy data using continence scores and visual analog scale scores. RESULTS: Forty-four patients were assessed during three months, with relative improvements in continence scores (St. Mark's Hospital, 40 percent; Pescatori, 20 percent) and patient and investigator visual analog scale scores (38 percent for both) and measurable increase in biologic fatigue times measured by transanal ultrasound. CONCLUSIONS: Transanal ultrasound seems to be a method of teaching external sphincter contraction and measuring sphincter strength with good initial compliance. Clinically and statistically significant improvements in incontinence scores, visual analog scale scores, and biologic strength of the external sphincter were detected in the short-term follow-up with uncontrolled data. The randomized, controlled trial that we have begun will either confirm or refute these results.
Authors:
M J Solomon; J Rex; A A Eyers; P Stewart; R Roberts
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  43     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-06-27     Completed Date:  2000-06-27     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  788-92     Citation Subset:  IM    
Affiliation:
Department of Colorectal Surgery, University of Sydney and Central Sydney Area, New South Wales, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Biofeedback, Psychology*
Fecal Incontinence / therapy*,  ultrasonography*
Humans
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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