Biofeedback therapy in rectal prolapse patients

Diseases of the Colon and Rectum
K J HämäläinenJ P Mecklin

Abstract

The aim of the study was to evaluate the effect of perioperative biofeedback training on postoperative continence in patients with rectal prolapse. Thirty-six consecutive patients were operated on between 1987 and 1993. Twenty-nine could be traced for reexamination. Four were excluded because of a recurring prolapse. Anal manometry, assessment of rectoanal sensation, and surface electromyography were performed during the reexamination. From 1987 to 1991, no perioperative biofeedback training was given (Group 1, n = 14). Since the beginning of 1992, incontinent patients were given biofeedback training (Group 2, n = 11). Continence scores improved in both study groups. Both study groups had equally low resting pressures compared with Group 3 (controls) (30.6 +/- 14.9 vs. 53.0 +/- 11.9 mmHg; P < 0.001). Anal resting pressure correlated with postoperative continence score, whereas contractile pressures did not (r = -0.5,P < 0.05, and r = -0.3, p = not significant, respectively). Biofeedback therapy can improve the function of external sphincter; however, the most important reason for postoperative incontinence in rectal prolapse patients is low resting pressure that cannot be corrected by biofeedback therapy.

References

May 1, 1992·Diseases of the Colon and Rectum·M PescatoriA Mentasti
Feb 1, 1992·International Journal of Colorectal Disease·K M Hiltunen, M Matikainen
Oct 1, 1990·Digestive Diseases and Sciences·P B MinerN W Read
Oct 1, 1989·Diseases of the Colon and Rectum·K YoshiokaM R Keighley
Mar 1, 1988·International Journal of Colorectal Disease·G BrodénB Holmström
Feb 1, 1985·Diseases of the Colon and Rectum·J D WattsS Nivatvongs
Apr 1, 1983·The British Journal of Surgery·M R KeighleyJ Alexander-Williams
Apr 1, 1983·Diseases of the Colon and Rectum·J H MacLeod
Jan 1, 1982·Diseases of the Colon and Rectum·D P LaunerI C Lavery
Apr 1, 1994·Diseases of the Colon and Rectum·J S JamesonM M Henry
Jun 1, 1994·Diseases of the Colon and Rectum·M ScheuerG Bleijenberg

❮ Previous
Next ❯

Citations

Mar 20, 2012·International Urogynecology Journal·Fátima Faní FitzRodrigo Aquino Castro
Oct 6, 2006·International Journal of Colorectal Disease·Stavros Gourgiotis, Sotirios Baratsis
Jun 8, 2001·Gastroenterology Clinics of North America·R J Felt-Bersma, M A Cuesta
Jul 27, 2001·Alimentary Pharmacology & Therapeutics·C Norton, M A Kamm
Sep 17, 2008·Gastroenterology Clinics of North America·Richelle J F Felt-BersmaMiguel A Cuesta
Mar 25, 2011·Journal of the Korean Society of Coloproctology·Eung Jin Shin
Jul 22, 2005·Surgical Innovation·Yong Hee HwangSteven D Wexner
Mar 31, 2001·The American Journal of Gastroenterology·J S ChoiS D Wexner
Nov 17, 2004·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M KairaluomaI Kellokumpu
Aug 13, 2005·World Journal of Gastroenterology : WJG·Giuseppe ChiarioniGabrio Bassotti

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.