{Reference Type}: Journal Article
{Title}: A Practical Guide to Biofeedback Therapy for Pelvic Floor Disorders.
{Author}: Narayanan SP;Bharucha AE;
{Journal}: Curr Gastroenterol Rep
{Volume}: 21
{Issue}: 5
{Year}: Apr 2019 23
暂无{DOI}: 10.1007/s11894-019-0688-3
{Abstract}: <B>OBJECTIVE: </B>Biofeedback therapy (BFT) is effective for managing pelvic floor disorders (i.e., defecatory disorders and fecal incontinence). However, even in controlled clinical trials, only approximately 60% of patients with defecatory disorders experienced long-term improvement. The review serves to update practitioners on recent advances and to identify practical obstacles to providing biofeedback therapy.<BR><B>RESULTS: </B>The efficacy and safety of biofeedback therapy have been evaluated in defecatory disorders, fecal incontinence, and levator ani syndrome. Recent studies looked at outcomes in specific patient sub-populations and predictors of a response to biofeedback therapy. Biofeedback therapy is effective for managing defecatory disorders, fecal incontinence, and levator ani syndrome. Patients who have a lower bowel satisfaction score and use digital maneuvers fare better. Biofeedback therapy is recommended for patients with fecal incontinence who do not respond to conservative management. A subset of patients with levator ani syndrome who have dyssynergic defecation are more likely to respond to biofeedback therapy.