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Biofeedback and Pelvic Floor Disorders

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Pelvic Floor Disorders: Surgical Approach

Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

Chronic constipation is a common self-reported gastrointestinal problem that affects between 2% and 34% of adults in various populations studied [1].

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References

  1. Lembo A, Camilleri M (2003) Chronic constipation. N Engl J Med 349:1360–1368

    Article  PubMed  CAS  Google Scholar 

  2. Pescatori M, Milito G, Fiorino M, Cadeddu F (2009) Complications and reinterventions after surgery for obstructed defecation. Int J Colorectal Dis 24:951–959

    Article  PubMed  Google Scholar 

  3. Chiarioni G, Salandini L, Whitehead WE (2005) Biofeedback benefits only patients with outlet dysfunction, not patients with isolated slow transit constipation. Gastroenterology 129:86–97

    Article  PubMed  Google Scholar 

  4. Bharucha AE, Wald A, Enck P, Rao S (2006) Functional anorectal disorders. Gastroenterology 130:1510–1518

    Article  PubMed  Google Scholar 

  5. Longstreth GF, Thompson WG, Chey WD et al (2006) Functional bowel disorders. Gastroenterology 130:1480–1491

    Article  PubMed  Google Scholar 

  6. Scarlett YV (2005) Anorectal manometry and biofeedback. In: Drossman DA, Shaheen NJ, Grimm IS (eds) Handbook of gastroenterologic procedures. Lippincott Williams & Wilkins, Philadelphia, pp 341–348

    Google Scholar 

  7. Bassotti G, Chistolini F, Sietchiping-Nzepa F (2004) Biofeedback for pelvic floor dysfunction in constipation. BMJ 328:393–396

    Article  PubMed  CAS  Google Scholar 

  8. Chiarioni G, Bassotti G, Stanganini S et al (2002) Sensory retraining is key to biofeedback therapy for formed stool fecal incontinence. Am J Gastroenterol 97:109–117

    Article  PubMed  CAS  Google Scholar 

  9. Fleshman JW, Dreznik Z, Meyer K et al (1992) Outpatient protocol for biofeedback therapy of pelvic floor outlet obstruction. Dis Colon Rectum 35:1–7

    Article  PubMed  CAS  Google Scholar 

  10. Palsson OS, Heymen S, Whitehead WE (2004) Biofeedback treatment for functional anorectal disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback 29:153–174

    Article  PubMed  Google Scholar 

  11. Lau CW, Heymen S, Alabaz O et al (2004) Prognostic significance of rectocele, intussusception, and abnormal perineal descent in biofeedback treatment for constipated patients with paradoxical puborectalis contraction. Dis Colon Rectum 43:478–482

    Article  Google Scholar 

  12. Rao SS, Welcher KD, Pelsang RE (1997) Effects of biofeedback therapy on anorectal function in obstructive defecation. Dig Dis Sci 42:2197–2205

    Article  PubMed  CAS  Google Scholar 

  13. Chiarioni G, Whitehead WE, Pezza V et al (2006) Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia. Gastroenterology 130:657–664

    Article  PubMed  Google Scholar 

  14. Rao SS, Kinkade KJ, Schulze KS et al (2005) Biofeedback therapy (bt) for dyssynergic constipation-randomized controlled trial. Gastroenterology 128 Suppl 2:A269

    Google Scholar 

  15. Heymen S, Scarlett Y, Jones K et al (2005) Randomized controlled trial shows biofeedback to be superior to alternative treatments for patients with pelvic floor dyssynergia-type constipation. Gastroenterology 128 Suppl 2:A266

    Google Scholar 

  16. Emmanuel AV, Kamm MA (2001) Response to a behavioural treatment, biofeedback, in constipated patients is associated with improved gut transit and autonomic innervation. Gut 49:214–219

    Article  PubMed  CAS  Google Scholar 

  17. Heymen S, Jones KR, Scarlett Y, Whitehead WE (2003) Biofeedback treatment of constipation: a critical review. Dis Colon Rectum 46:1208–1217

    Article  PubMed  Google Scholar 

  18. Bharucha AE (2003) Fecal incontinence. Gastroenterology 124:1672–1685

    Article  PubMed  Google Scholar 

  19. Rudolph W, Galandiuk S (2002) A practical guide to the diagnosis and management of fecal incontinence. Mayo Clin Proc 77:271–275

    Article  PubMed  Google Scholar 

  20. Diamant NE, Kamm MA, Wald A, Whitehead WE (1999) AGA technical review on anorectal testing technique. Gastroenterology 116:735–760

    Article  PubMed  CAS  Google Scholar 

  21. Engel BT, Nikoomanesh P, Schuster MM (1974) Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. N Engl J Med 290:646–649

    Article  PubMed  CAS  Google Scholar 

  22. Bassotti G, Whitehead WE (1994) Biofeedback as a treatment approach to gastrointestinal tract disorders. Am J Gastroenterol 89:158–164

    PubMed  CAS  Google Scholar 

  23. Whitehead WE, Heymen S, Schuster MM (2002) Motility as a therapeutic modality: bio-feedback treatment of gastrointestinal disorders. In Schuster MM, Crowell MD, Koch KL (eds) Schuster atlas of gastrointestinal motility, 2nd edn. BC Decker, Hamilton, pp 381–397

    Google Scholar 

  24. Patankar SK, Ferrara A, Larach SW et al (1997) Electromyographic assessment of bio-feedback training for fecal incontinence and chronic constipation. Dis Colon Rectum 40:907–911

    Article  PubMed  CAS  Google Scholar 

  25. Eisman E, Tries J (1993) A new probe for measuring electromyographic activity from multiple sites in the anal canal. Dis Colon Rectum 36:946–952

    Article  PubMed  CAS  Google Scholar 

  26. Whitehead WE, Wald A, Diamant NE (2000) Functional disorders of the anus and rectum. In Drossman DA, Corazziari E, Talley NJ, Thompson WG, Whitehead WE (eds) Rome II. The functional gastrointestinal disorders, 2nd edn. Degnon Associates, McLean, VA, pp 483–532

    Google Scholar 

  27. Chiarioni G, Scattolini C, Bonfante F, Vantini I (1993) Liquid stool incontinence with severe urgency: anorectal function and effective bio-feedback therapy. Gut 34:1576–1580

    Article  PubMed  CAS  Google Scholar 

  28. Heymen S, Jones KR, Ringel Y et al (2001) Biofeedback treatment of fecal incontinence: a critical review. Dis Colon Rectum 44:728–736

    Article  PubMed  CAS  Google Scholar 

  29. Enck P (1993) Biofeedback training in disordered defecation: a critical review. Dig Dis Sci 38:1953–1960

    Article  PubMed  CAS  Google Scholar 

  30. Whitehead WE, Parker L, Bosmajian L et al (1986) Treatment of fecal incontinence in children with spina bifida: comparison of bio-feedback and behavioral modification. Arch Phys Med Rehabil 67:218–224

    PubMed  CAS  Google Scholar 

  31. van der Plas RN, Benninga MA, Redekop WK et al (1996) Randomised trial of bio-feedback training for encopresis. Arch Dis Child 75:367–374

    Article  PubMed  Google Scholar 

  32. Miner PB, Donnelly TC, Read NW (1990) Investigation of mode of action of bio-feedback in treatment of fecal incontinence. Dig Dis Sci 35:1291–1298

    Article  PubMed  CAS  Google Scholar 

  33. Norton C, Chelvanayagam S, Wilson-Barnett J et al (2003) Randomized controlled trial of biofeedback for fecal incontinence. Gastroenterology 125:1320–1329

    Article  PubMed  Google Scholar 

  34. Solomon MJ, Pager CK, Rex J, Roberts RA, Manning J (2003) Randomized, controlled trial of bio-feedback with anal manometry, transanal ultrasound, or pelvic floor retraining with digital guidance alone in the treatment of mild to moderate fecal incontinence. Dis Colon Rectum 46:703–710

    Article  PubMed  Google Scholar 

  35. Drossman DA, Andruzzi E, Temple RD et al (1993) U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci 38:1569–1580

    Article  PubMed  CAS  Google Scholar 

  36. Thompson WG, Heaton KW (1980) Proctalgia fugax. J R Coll Physicians Lond 14:247–248

    PubMed  CAS  Google Scholar 

  37. Ger GC, Wexner S, Jorge JM et al (1993) Evaluation and treatment of chronic intractable rectal pain-A frustrating endeavor. Dis Colon Rectum 36:139–145

    Article  PubMed  CAS  Google Scholar 

  38. Grimaud JC, Bouvier M, Naudy B et al (1991) Manometric and radiologic investigations and biofeedback treatment of chronic idiopathic anal pain. Dis Colon Rectum 34:690–695

    Article  PubMed  CAS  Google Scholar 

  39. Heah SM, Ho YH, Tan M, Leong AF (1997) Biofeedback is effective treatment for levator ani syndrome. Dis Colon Rectum 40:187–189

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Giovanni Milito .

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Cadeddu, F., Salis, F., Milito, G. (2014). Biofeedback and Pelvic Floor Disorders. In: Gaspari, A.L., Sileri, P. (eds) Pelvic Floor Disorders: Surgical Approach. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5441-7_12

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  • DOI: https://doi.org/10.1007/978-88-470-5441-7_12

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5440-0

  • Online ISBN: 978-88-470-5441-7

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