OUTCOME & PREDICTORS OF SUCCESS OF BIOFEEDBACK FOR PATIENTS WITH SPASTIC PELVIC FLOOR SYNDROME | ||||
The Egyptian Journal of Surgery | ||||
Volume 31, Issue 4, October 2012, Page 148-154 PDF (706.02 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejsur.2012.367249 | ||||
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Authors | ||||
Nabil Gad El Hak; Mohamed El-Hemaly* ; Aymen El-Nakeeb; Tarek Salah; Emad Hamdy; Ehab El-Hanafy; Ahmad Soultan; Ehab Atef; Helmy Ezzat; Magdy Haleem; Hala Hamed | ||||
Gastroenterology Surgical Center, Mansoura University, Egypt | ||||
Abstract | ||||
Aim: The study was undertaken to determine outcome and to identify predictors of success of biofeedback for patients with spastic pelvic floor syndrome. Patients & Methods: The study was done on 50 patients (35 females & 15 males) with a mean age of 30 ± 10 years & a mean duration of constipation of 5 years. History, physical examination & barium enema excluded constipation secondary to organic causes. Then a series of tests of colonic & pelvic floor functions were performed before & after biofeedback treatment: colon- transit time, anorectal manometry ± EMG & defecography. Patients were treated on a weekly basis (average of 7 ± 2 sessions). Parameters included use of cathartics, number of spontaneous bowel movements per week, number of biofeedback sessions, results of anorectal physiology testing & patient satisfaction. Results: The median number of spontaneous bowel movements per week before treatment was zero. Thirty five patients had complete success, 11 patients showed partial success and 4 patients had no improvement. Neither patient age, sex, symptom at initial assessment, nor duration of symptoms significantly affected outcome. Good indicators of success were ability to expel the balloon & to relax the pelvic floor early in the sessions. Also, the motivated patient who wants to continue the sessions, to cooperate & to spend time with the therapist was the most important predictive factor of success. Conclusion: Biofeedback is an attractive treatment option as other therapies are associated with considerable morbidity for patients with spastic pelvic floor syndrome. | ||||
Keywords | ||||
Anorectal manometry; defecography; colon transit; biofeedback | ||||
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