TITLE

Biofeedback Therapy After Perineal Rectosigmoidectomy or J Pouch Procedure

AUTHOR(S)
Yong Hee Hwang; Jeong Seok Choi; Young Soo Nam; Salum, Mara R.; Weiss, Eric G.; Nogueras, Juan J.; Wexner, Steven D.
PUB. DATE
June 2005
SOURCE
Surgical Innovation;Jun2005, Vol. 12 Issue 2, p135
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The aim of this study was to determine the outcome and to identify possible predictors of success for biofeedback therapy after perineal rectosigmoidectomy (PRS) or coloanal or ileoanal J pouch. A retrospective chart review of all patients with electromyography-based biofeedback therapy due to fecal incontinence after PRS or a J pouch procedure was undertaken. Follow-up was obtained by telephone survey. Fourteen patients (4 men and 10 women) were included in this study, in the 9 patients after PRS, the frequency of daily bowel movements was 3.6 ± 2.8 preoperatively, 4.1 ± 3.2 prebiofeed-back, and 2.2 ±1.3 postbiofeedback (P < .05). The frequency of daily incontinent episodes was reduced from 2.4 ± 2.2 preoperatively and 2.0 ±1.9 prebiofeedback to 0.26 ± 0.3 post-biofeedback (P < .05). The incontinence scores decreased from 17 ± 3.1 preoperatively to 16 ± 2.1 prebiofeedback and to 8.2 ± 5 postbiofeedback (P < .001). At a follow-up of 15.8 ± 7.1 months, 5 patients after the J pouch had decreased daily bowel frequency from 6.6 ± 4.2 prebiofeedback to 3.3 ± 2 post-biofeedback and 3.1 ± 2 at follow-up (P < .05). The frequency of daily incontinent episodes was reduced from 1.9 ± 1.3 pre-biofeedback to 0.9 ± 0.7 postbiofeedback to 0.7 ± 0.8 at follow-up (P < .05). The incontinence scores decreased from 13.4 ± 2.7 prebiofeedback to 8.8 ± 5.1 postbiofeedback to 6.8 ± 5.5 at follow-up (P < 0.05). In both groups, the postbiofeedback incontinence score correlated with the prebiofeedback incontinence score. Furthermore, there was no correlation between outcome and age, interval between surgery and biofeedback therapy, frequency of biofeedback sessions, or manometry results in either group. Biofeedback therapy is an effective option for patients with fecal incontinence after perineal rectosigmoidectomy or colonic or ileal J pouch.
ACCESSION #
17754024

 

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