Skip to main content
SpringerLink
Log in

Biofeedback for Constipation and Fecal Incontinence

  • Chapter
Complex Anorectal Disorders

  • 803 Accesses

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Sonnenberg A and Koch TR. Physician visits in the United States for constipation: 1958–1986. Dig Dis Sci. 1989;34:606–11.

    Article  PubMed  CAS  Google Scholar 

  2. Sonnenberg A and Koch TR. Epidemiology of constipation in the United States. Dis Colon Rectum. 1989;32:1–8.

    PubMed  CAS  Google Scholar 

  3. Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvien EJ, and Muller-lissner SA. Functional bowel disorders and functional abdominal pain. Gut. 1999;45:1143–54.

    Google Scholar 

  4. Jorge JMN and Wexner SD. Physiologic evaluation. In: Wexner SD and Vernava AM, editors. Clinical decision making in colorectal surgery. New York: IGAKU-Shoin: 1995. p. 11–22.

    Google Scholar 

  5. Wexner SD and Jorge JMN. Colorectal physiological tests: Use or abuse of technology? Eur J Surg. 1994;160:167–74.

    PubMed  CAS  Google Scholar 

  6. Rao SSC, Welcher KDP, and Leistikow JS. Obstructive defecation: a failure of rectoanal coordination. Am J Gastroenterol. 1998:93:1042–50.

    Article  PubMed  CAS  Google Scholar 

  7. Hallan RI, Williams NS, Melling J, Walron DJ, Womack NR, and Morrison J. Treatment of anismus in intractable constipation with botulinum toxin. Lancet. 1988;2:714–7.

    Article  PubMed  CAS  Google Scholar 

  8. Enck P. Biofeedback training in disordered defecation: a critical review. Dig Dis Sci. 1993;38:1953–9.

    Article  PubMed  CAS  Google Scholar 

  9. Schiller LR. Fecal incontinence. In: Feldman M, Friedman L, and Sleisenger MH, editors. Slesinger and Fordtan’s gastrointestinal and liver disease: pathophysiology/diagnosis/management. 7th ed. Philadelphia: Saunders; 2002. p.164–80.

    Google Scholar 

  10. Schwartz MS, and Associates. Biofeedback: a practitioner’s guide. 2nd ed. New York: Guilford; 1995.

    Google Scholar 

  11. Shellenberger R and Green JA. From the ghost in the box to successful biofeedback training. Greeley, CO: Health Psychology Publication; 1986.

    Google Scholar 

  12. MacLeod JH. Management of anal incontinence by biofeedback. Gastroenterology. 1987;93:291–4.

    PubMed  CAS  Google Scholar 

  13. Rao SSC. The technical aspects of biofeedback therapy for defecation disorders. The Gastroenterologist. 1998;6:96–103.

    Google Scholar 

  14. Engel AF and Kamm MA. The acute effect of straining on pelvic floor neurological function. Int J Colorectal Dis. 1994;9:8–12.

    Article  PubMed  CAS  Google Scholar 

  15. Binnie NR, Kawimbe BM, Papachrysotomou M, Clare N, and Smith AN. The importance of the orientation of the electrode plates in recording the external anal sphincter EMG by non-invasive anal plug electrodes. Int J Colorectal Dis. 1991;6(5):8–11.

    Google Scholar 

  16. Hulme JA. Beyond kegels. Phoenix: Phoenix Publishing Co.; 1997.

    Google Scholar 

  17. Lennard-Jones JE. Constipation. In: Feldman M, Friedman L, and Sleisenger MH, editors. Slesinger and Fordtan’s gastrointestinal and liver disease: pathophysiology / diagnosis / management. 7th ed. Philadelphia: Saunders; 2002. p. 181–209.

    Google Scholar 

  18. Burgio KL, Goode PS, Locher JL, Umlauf MG, Roth DL, Richter HE, Varner RE, and Lloyd LK. Behavioral training with and without biofeedback in the treatment of urge incontinence in older women. JAMA. 2002;288:2293–9.

    Article  PubMed  Google Scholar 

  19. Norton C and Kamm MA, Outcome of biofeedback for faecal incontinence. Br J Surg. 1999;86:1159–63.

    Article  PubMed  CAS  Google Scholar 

  20. Kegel A. The physiologic treatment of poor tone and function of the genital muscles and of urinary stress incontinence. West J Surg Obstet Gynecol. 1949;57:527–35.

    PubMed  CAS  Google Scholar 

  21. Bump RC, Hurt WG, Fantl JA, and Wyman JF. Assessment of kegel pelvic muscle exercise performance after brief verbal instruction. Am J Obstet Gynecol. 1991;165:322–9.

    PubMed  CAS  Google Scholar 

  22. Basmajian JV. Biofeedback: principles and practice for clinicians. Baltimore: Williams & Wilkins; 1989.

    Google Scholar 

  23. Charlesworth EA and Nathan RG. Stress management: A comprehensive guide to wellness. New York: Ballantine; 1985.

    Google Scholar 

  24. Rao SSC, Welcher KD, and Happel J. Can biofeedback therapy improve anorectal function in fecal incontinence? Am J Gastroenterol. 1996;91:2360–5.

    PubMed  CAS  Google Scholar 

  25. Emmanuel AV and Kamm MA. Response to a behavioral treatment, biofeedback in constipated patients is associated with improved gut transit and autonomic innervation. Gut. 2001;49:214–9.

    Article  PubMed  CAS  Google Scholar 

  26. Miner PB, Donnelly TC, and Read NW. Investigation of mode of action of biofeedback in treatment of fecal incontinence. Dig Dis Sci. 1990;35:1291–8.

    Article  PubMed  CAS  Google Scholar 

  27. Chiarioni G, Bassotti G, Stegagnini S, Vantini I, and Whitehead WE. Sensory retraining is key to biofeedback therapy for formed stool fecal incontinence. Am J Gastroenterol. 2002;97:109–17.

    Article  PubMed  CAS  Google Scholar 

  28. Hyman S, Jones KR, Ringel Y, Scarlett Y, and Whitehead WE. Biofeedback treatment of fecal incontinence. Dis Colon Rectum. 2001;44:728–36.

    Article  Google Scholar 

  29. Gilliland R, Heymen S, Altomare DF, Park UC, Vickers D, and Wexner SD. Outcome and predictors of success of biofeedback for constipation. Br J Surg. 1997;84:1123–6.

    Article  PubMed  CAS  Google Scholar 

  30. Dahl J, Lindquist BL, Leissner P, Philipson L, and Jarnerot G. Behavioral medicine treatment in chronic constipation with paradoxical anal sphincter contraction. Dis Colon Rectum. 1991;34:769–76.

    Article  PubMed  CAS  Google Scholar 

  31. Enck P and Musial F. Biofeedback in pelvic floor disorders. In: Pemberton JH, Swasch M and Henry MM, editors. The pelvic floor: its function and disorders. London: W.B. Saunders; 2002. p. 393–404.

    Google Scholar 

  32. Park UC, Choi SK, Piccirillo MF, Brezaro R, and Wexner SD. Patterns of anismus and the relation to biofeedback therapy. Dis Colon Rectum. 1996; 39:768–73.

    Article  PubMed  CAS  Google Scholar 

  33. McKee RF, McEnroe L, Anderson JH, and Finaly IG. Identification of patients likely to benefit from biofeedback for outlet obstruction constipation. Br J Surg. 1999;86:355–9.

    Article  PubMed  CAS  Google Scholar 

  34. Chiotakakou-Faliakou E, Kamm MA, Roy AJ, Storrie JB, and Turner IC. Biofeedback provides long term benefit for patients with intractable slow and normal transit constipation. Gut. 1998;6:517–21.

    Article  Google Scholar 

  35. Rieger NA, Wattchow DA, Sarre RG, et al. Prospective study of biofeedback for treatment of constipation. Dis Colon Rectum. 1997;40:1143–8.

    Article  PubMed  CAS  Google Scholar 

  36. Wexner SD. Biofeeback for constipation. Dis Colon Rectum. 1998;41:670–1.

    Article  PubMed  CAS  Google Scholar 

  37. Smith B. Effect of irritant purgatives on the myenteric plexus in man and the mouse. Gut. 1968;9:139–43.

    PubMed  CAS  Google Scholar 

  38. Rao SSC, Welcher KD, and Pelsan RE. Effects of biofeedback therapy on anorectal function in obstructive defecation. Dig Dis Sci. 1997;42:2197–205.

    Article  PubMed  CAS  Google Scholar 

  39. Latimer PR, Campbell D, and Dasperski J. A component analysis of biofeedback in the treatment of fecal incontinence. Biofeedback Self Regul. 1984;9:311–24.

    Article  PubMed  CAS  Google Scholar 

  40. Whitehead WE, Burgio KL, and Engel BT. Biofeedback treatment of fecal incontinence in geriatric patients. J Am Geriatr Soc. 1985;33:320–4.

    PubMed  CAS  Google Scholar 

  41. Dailianas A, Skandalis N, Rimikis MN, Koutsomanis D, Kardasi M, and Archimandritis A. Pelvic floor study in patients with obstructive defecation. J Clin Gastroenterol. 2000;30(2):176–80.

    Article  PubMed  CAS  Google Scholar 

  42. Lau C, Heymen S, Albaz O, Iroatulam AJN, and Wexner SD. Prognostic significance of rectocele, intussusception, and abnormal perineal descent in biofeedback treatment for constipated patients with paradoxical puborectalis contraction. Dis Colon Rectum. 2000;43:478–82.

    Article  PubMed  CAS  Google Scholar 

  43. Mollen RMHG, Salvioli B, Camilleri M, Burton D, Kost L, Phillips SF, and Pemberton JH. The effects of biofeedback on rectal sensation and distal colonic motility in patients with disorders of rectal evacuation: Evidence of an inhibitory rectocolonic reflex in humans. Am J Gastroenterol. 1999;94:751–6.

    PubMed  CAS  Google Scholar 

  44. Gila A, Gylin M, Gullberg K, and Lindberg G. Biofeedback retraining in patients with functional constipation and paradoxical puborectalis contraction. Dis Colon Rectum. 1997;40:889–95.

    Article  Google Scholar 

  45. Ko CY, Tong J, Lehman RE, Shelton AA, Schrock TR, and Welton ML. Biofeedback is effective therapy for fecal incontinence and constipation. Arch Surg. 1997;132:829–34.

    PubMed  CAS  Google Scholar 

  46. Patankar SK, Ferrara A, Larach SW, et al. Electromyographic assessment of biofeedback training for fecal incontinence and chronic constipation. Dis Colon Rectum. 1997;40:907–11.

    Article  PubMed  CAS  Google Scholar 

  47. Karlbohm U, Hallden M, Eeg-Olofssson, Pahlman L, and Graf W. Result of biofeedback in constipated patients. A prospective study. Dis Colon Rectum. 1997;40:1149–55.

    Article  Google Scholar 

  48. Patankar SK, Ferrara A, Levy JR, Larach SW, Williamson PR, and Perozo SE. Biofeedback in colorectal practice. A multi center, statewide, three-year experience. Dis Colon Rectum. 1997;40:827–31.

    Article  PubMed  CAS  Google Scholar 

  49. Ho YH, Tan M, and Goh HS. Clinical and physiologic effects of biofeedback in outlet obstruction defecation. Dis Colon Rectum. 1996;39:520–4.

    Article  PubMed  CAS  Google Scholar 

  50. Leroi AM, Duval V, Roussignol C, Berkelmans I, Reninque P, and Denis P. Biofeedback for anismus in 15 sexually abused women. Int J Colorectal Dis. 1996;11:187–90.

    Article  PubMed  CAS  Google Scholar 

  51. Siproudhis L, Dautreme S, Ropert A, et al. Anismus and biofeedback: who benefits? Eur J Gastroenterol Hepatol. 1995;7:547–52.

    PubMed  CAS  Google Scholar 

  52. Koutsomanis D, Lennard-Jones JE, Roy AJ, and Kamm MA. Controlled randomized trial of visual biofeedback versus muscle training without a visual display for intractable constipation. Gut. 1995;37:95–9.

    PubMed  CAS  Google Scholar 

  53. Koutsomanis D, Lennard-Jones JE, and Kamm MA. Prospective study of biofeedback treatment for patients with slow and normal transit constipation. Eur J Gastroenterol Hepatol. 1994;6:131–7.

    Google Scholar 

  54. Bleijenberg G and Kuijpers HC. Biofeedback treatment of constipation: Comparison of two methods. Am J Gastroenterol. 1995;89:1021–6.

    Google Scholar 

  55. Papachrysostomou M and Smith AN. Effects of biofeedback on obstructed defecation—reconditioning of the defecation reflex. Gut. 1994;35:252–6.

    PubMed  CAS  Google Scholar 

  56. Keck JO, Staniunas RJ, Coller JA, et al. Biofeedback training is useful in fecal incontinence but disappointing in constipation. Dis Colon Rectum. 1995; 37:1271–6.

    Article  Google Scholar 

  57. Turnbull GK and Ritivo PG. Anal sphincter biofeedback relaxation treatment for women with intractable constipation symptoms. Dis Colon Rectum. 1992; 35:530–6.

    Article  PubMed  CAS  Google Scholar 

  58. Fleshman JW, Dreznik Z, Meyer K, Fry RD, Carney R, and Kodner IJ. Outpatient protocol for biofeedback therapy of pelvic floor outlet obstruction. Dis Colon Rectum. 1992;35:1–7.

    Article  PubMed  CAS  Google Scholar 

  59. Wexner SD, Cheape JD, Jorge JMN, Heyman SR, and Jagelman DG. Prospective assessment of biofeedback for the treatment of paradoxical puborectalis contraction. Dis Colon Rectum. 1992;35:145–50.

    Article  PubMed  CAS  Google Scholar 

  60. Kawimbe BM, Papachrysostomou M, Clare N, and Smith AN. Outlet obstruction constipation (anismus) managed by biofeedback. Gut. 1991;32:1175–9.

    PubMed  CAS  Google Scholar 

  61. Lestar B, Penninckx F, and Kerremans R. Biofeedback defecation training for anismus. Int J Colorectal Dis. 1991;6:202–7.

    Article  PubMed  CAS  Google Scholar 

  62. Weber J, Ducrotte P, Touchais JY, Roussignol C, and Denis P. biofeedback training for constipation in adults and children. Dis Colon Rectum. 1987;30:844–6.

    PubMed  CAS  Google Scholar 

  63. Bleijenberg G and Kuijpers HC. Treatment of the spastic pelvic floor syndrome with biofeedback. Dis Colon Rectum. 1987;30;108–11.

    PubMed  CAS  Google Scholar 

  64. Engel BT, Nikoomanesh P, and Shcuster MM. Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. N Engl J Med. 1974;290:646–9.

    Article  PubMed  CAS  Google Scholar 

  65. Cerullli M, Nikoomanesh P, and Schuster MM. Progress in biofeedback conditioning for fecal incontinence. Gastroenterology. 1979;76:742–6.

    Google Scholar 

  66. Goldenberg DA, Hodges K, Hersh T, and Jinich H. Biofeedback therapy for fecal incontinence. Am J Gastroenterol. 1980;74:342–5.

    PubMed  CAS  Google Scholar 

  67. Wald A. Biofeedback therapy for fecal incontinence. Ann Intern Med. 1981; 95:146–9.

    PubMed  CAS  Google Scholar 

  68. Whitehead WE, Burgio KL, and Engel BT. Biofeedback treatment of fecal incontinence in geriatric patients. J Am Geriatr Soc. 1985;33:320–4.

    PubMed  CAS  Google Scholar 

  69. Buser WE and Miner PB. Delayed rectal sensation with fecal incontinence. Gastroenterology. 1986;91:1186–91.

    PubMed  CAS  Google Scholar 

  70. Enck P, Kranzle U, Schwiese J, et al. Biofeedback training in fecal incontinence. Dtsch Med Wochenschr. 1988;113:1789–94.

    Article  PubMed  CAS  Google Scholar 

  71. Riboli EB, Frascio MD, Pitto G, Reboa G, and Zanola R. Biofeedback conditioning for fecal incontinence. Arch Phys Med Rehabil. 1988;69:29–31.

    Google Scholar 

  72. Loening-Baucke V, Desch L, and Wolraich M. Biofeedback training for patients with myelomeningocele and fecal incontinence. Dev Med Child Neurol. 1988; 30:781–90.

    Article  PubMed  CAS  Google Scholar 

  73. Guillemot F, Bouche B, Gower-Rousseau C, et al. Biofeedback for the treatment of fecal incontinence: long-term clinical results. Dis Colon Rectum. 1995; 38:393–7.

    Article  PubMed  CAS  Google Scholar 

  74. Sangwan YP, Coller JA, Barrett RC, Roberts PL, Murray JJ, and Schoetz DJ Jr. Can manometric parameters predict response to biofeedback therapy in fecal incontinence? Dis Colon Rectum. 1995;38:1021–5.

    Article  PubMed  CAS  Google Scholar 

  75. Ho YH and Tan M. Biofeedback therapy for bowel dysfunction following low anterior resection. Ann Acad Med Singapore. 1997;26:299–302.

    PubMed  CAS  Google Scholar 

  76. Rao SS, Welcher KD, and Happel J. Can biofeedback therapy improve anorectal function in fecal incontinence? Am J Gastroenterol. 1996;91:2360–6.

    PubMed  CAS  Google Scholar 

  77. Jensen LL and Lowry AC. Biofeedback improves functional outcome after sphincteroplasty. Dis Colon Rectum. 1997;40:197–200.

    Article  PubMed  CAS  Google Scholar 

  78. Rieger NA, Wattchow DA, Sarre RG, et al. Prospective trial of pelvic floor retraining in patients with fecal incontinence. Dis Colon Rectum. 1997;40:821–6.

    Article  PubMed  CAS  Google Scholar 

  79. Ko CY, Tong J, Lehman RE, Shelton AA, Schrock TR, and Welton ML. Biofeedback is effective therapy for fecal incontinence and constipation. Arch Surg. 1997;132:829–34.

    PubMed  CAS  Google Scholar 

  80. Glia A, Gylin M, Akerlund JE, Lindfors U, and Lindberg G. Biofeedback training in patients with fecal incontinence. Dis Colon Rectum. 1998;41:359–64.

    Article  PubMed  CAS  Google Scholar 

  81. Leroi AM, Dorival MP, Lecouturier MF, et al. Pudendal neuropathy and severity of incontinence but not presence of anal sphincter defect may determine the response to biofeedback therapy in fecal incontinence. Dis Colon Rectum. 1999;42:762–9.

    Article  PubMed  CAS  Google Scholar 

  82. Zbar AP, Beer-Gabel M, Chiappa A, and Aslam M. Fecal incontinence after minor anorectal surgery. Dis Colon Rectum. 2001;44:1610–23.

    Article  PubMed  CAS  Google Scholar 

  83. Deen KI, Kumar D, Williams JG, Grant EA, and Keighley MR. Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic faecal incontinence. Dis Colon Rectum. 1995;38:14–8.

    Article  PubMed  CAS  Google Scholar 

  84. Leroi AM, Kamm MA, Weber J, Denis P, and Hawley PR. Internal anal sphincter repair. Int J Colorectal Dis. 1997;12:243–5.

    Article  PubMed  CAS  Google Scholar 

  85. Kenefick NJ, Vaizey CJ, Malouf AJ, Norton CS, Marshall M, and Kamm MA. Injectable silicone biomaterial for faecal incontinence due to internal anal sphincter dysfunction. Gut. 2002;51:225–8.

    Article  PubMed  CAS  Google Scholar 

  86. Cervigni M, Tomiselli G, Perricone C, and Panei M. Endoscopic treatment of sphincter insufficiency with autologous fat injection. Arch Ital Urol Androl. 1994;66(4 Suppl):219–24.

    PubMed  CAS  Google Scholar 

  87. Kamm MA Personal communication (1997).

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterology, Cleveland Clinic Florida, Weston, FL, USA

    Dawn E. Vickers RN

Authors
  1. Dawn E. Vickers RN
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer-Verlag London Limited

About this chapter

Cite this chapter

Vickers, D.E. (2005). Biofeedback for Constipation and Fecal Incontinence. In: Complex Anorectal Disorders. Springer, London. https://doi.org/10.1007/1-84628-057-5_27

Download citation

  • DOI: https://doi.org/10.1007/1-84628-057-5_27

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-690-5

  • Online ISBN: 978-1-84628-057-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation