title: [Biofeedback training in fecal incontinence].
abstract: In 19 patients with incontinence of various causes a treatment programme was instituted in which by biofeedback training they would learn how to increase the force of contraction of the external anal sphincter in response to balloon distension of the rectum. The degree of incontinence was objectified by anorectal manometry before and after training, as well as 3-6 months after the end of training. This programme significantly increased the force of contraction of the sphincter and pelvic-floor musculature. Twelve patients became continent and have remained so at follow-up. The training regimen was especially successful in patients with an organic cause of the incontinence and those most highly motivated. The investigation also demonstrated that anorectal manometry is a suitable method for the diagnosis of and monitoring the response to treatment of anal incontinence.
authors.affiliation: Universität Düsseldorf, Abteilung für Gastroenterologie.
authors.forename: P
authors.initials: P
authors.lastname: Enck
authors.forename: U
authors.initials: U
authors.lastname: Kränzle
authors.forename: J
authors.initials: J
authors.lastname: Schwiese
authors.forename: M
authors.initials: M
authors.lastname: Dietz
authors.forename: H J
authors.initials: HJ
authors.lastname: Lübke
authors.forename: J F
authors.initials: JF
authors.lastname: Erckenbrecht
authors.forename: M
authors.initials: M
authors.lastname: Wienbeck
authors.forename: G
authors.initials: G
authors.lastname: Strohmeyer
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000503:physiopathology; D001676:Biofeedback, Psychology / Q000295:instrumentation; D005242:Fecal Incontinence / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008365:Manometry / Q000295:instrumentation; D008722:Methods; D011446:Prospective Studies; D012007:Rectum / Q000503:physiopathology
vernacular_title: Biofeedback-Behandlung bei Stuhlinkontinenz.