Biofeedback vs . Electrostimulation in the Treatment of Postdelivery Anal Incontinence: A Randomized, Clinical Trial

Naimy, Nazir; Lindam, Anita; Bakka, Arne; Færden, Arne Engebritsen; Wiik, Pål; Carlsen, Erik; Nesheim, Britt‐Ingjerd

doi:10.1007/s10350-007-9075-5

Cited by 40 publications

(43 citation statements)

References 19 publications

(15 reference statements)

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“…Finally, some programs include coordination training, in which the patient learns to squeeze in response to successively weaker stimuli, or urge resistance, in which patients inhibit the urge to defecate. Electrostimulation in FI may have a similar therapeutic benefi t compared with biofeedback [37]; however, when biofeedback was compared to biofeedback with electrostimulation, no signifi cant difference was noted between the two groups [38].…”

Section: Fecal Incontinencementioning

confidence: 97%

Common anorectal disorders: Diagnosis and treatment

Lacy

Weiser²

2009

Curr Gastroenterol Rep

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Anorectal disorders affect men and women of all ages. Their management is not limited to the evaluation and treatment of hemorrhoids. Rather, a spectrum of anorectal disorders ranges from benign and irritating (pruritus ani) to potentially life-threatening (anorectal cancer). Symptoms are nonspecific, which can make the evaluation of patients difficult. In addition, treatment can be frustrating because clinicians are hamstrung by a lack of well-designed, prospective, clinical trials. Some of the most common anorectal disorders include fecal incontinence, pelvic floor dyssynergia, anal fissures, pruritus ani, proctalgia fugax, and solitary rectal ulcer syndrome. This article provides an update on the evaluation and treatment of common anorectal disorders.

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Section: Fecal Incontinencementioning

confidence: 97%

Common anorectal disorders: Diagnosis and treatment

Lacy

Weiser²

2009

Curr Gastroenterol Rep

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“…Durch ein geeignetes Übungs-bzw. Trainingsprogramm soll die Sphinkterkontraktion bewusst gemacht und gestärkt werden sowie über eine Verbesserung des rektoanalen Reflexmechanismus die Stuhldrangkontrolle optimiert werden [20][21][22][23][24][25][26].…”

Section: Biofeedback Bei Stuhlinkontinenzunclassified

“…Boselli et al konnten in einer nicht kontrollierten Studie belegen, dass Biofeedback, kombiniert mit Elektrostimulation, zu einer Symptomverbesserung gerade bei milder Inkontinenz, verbunden mit "guter" Sphinkterfunktion, führt [21]. Gegensätzlich waren die Resultate von Naimy et al [22]: Die Autoren zeigten in einer randomisierten Studie bei Frauen mit einem dritt-viertgradigen Dammriss und klinisch manifester Stuhlinkontinenz, dass zwischen beiden Verfahren generell kein Unterschied in der Wirksamkeit bestand. Weder nach Biofeedback noch nach Elektrostimulation wurden signifikante Verbesserungen im Inkontinenz-Score (Wexner-Inkontinenz-Score) oder in den Lebensqualitäts-Scores beobachtet [22].…”

Section: Biofeedback Und Elektrostimulationunclassified

Stellenwert der konservativen Therapie bei Stuhlinkontinenz

Schwandner

2012

Zentralbl Chir

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Based on a variety of aetiological factors and combined disorders in faecal incontinence, a conservative treatment option as the primary treatment can be recommended. Conservative treatment includes medical therapy influencing stool consistency and stool passage, pelvic floor exercises and biofeedback as well as local treatment options. However, defining the role of conservative treatment concepts related to success or failure remains a challenging task. The lack of evidence derived from studies is related to a variety of reasons including inclusion criteria, patient selection, treatment standardisation, and the principal difficulty to objectively define functional success.

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“…Une étude plaide la supériorité de la rééducation sur le traitement médical seul, mais en recommandant des séances d'entretien à moyen terme [13]. Electrostimulation L'efficacité de l'électrostimulation, anale ou vaginale, n'est pas prouvée [14][15][16]. Elle est très utilisée en se servant d'un stimulateur portatif -préférer des courants de basse fréquence (10 Hz) à somme nulle.…”

Section: Traitement Médicalunclassified

Incontinence anale

Higuero¹,

Tarrerias²

2011

Hegel

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RésuméL'incontinence anale se définit comme l'émission involontaire par l'anus de gaz ou de selles (liquides ou solides). Sa prévalence et l'altération de la qualité de vie induite justifient une prise en charge active, voire un dépistage. Tout praticien peut débuter un traitement de première ligne adapté aux formes mineures. La régulation du transit est indispensable et parfois suffisante. La manométrie anorectale reste l'examen de première intention, ce dernier guidant une rééducation par biofeedback. L'échographie endoanale et l'imagerie du périnée sont justifiées en fonction de l'anamnèse et si une chirurgie est envisagée. En dehors des causes spécifiques, l'incontinence anale sévère peut relever d'une chirurgie en centre expert, dominée par la réparation sphinctérienne, la neuromodulation des racines sacrées et la cure des troubles de la statique. Mots-clés

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Biofeedback vs . Electrostimulation in the Treatment of Postdelivery Anal Incontinence: A Randomized, Clinical Trial

Cited by 40 publications

References 19 publications

Common anorectal disorders: Diagnosis and treatment

Common anorectal disorders: Diagnosis and treatment

Stellenwert der konservativen Therapie bei Stuhlinkontinenz

Incontinence anale

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