title: A randomized-controlled trial comparing an educational intervention alone vs education and biofeedback in the management of faecal incontinence in women.
abstract: Biofeedback (BF) training is an accepted therapy in the treatment of faecal incontinence (FI) despite a paucity of data demonstrating benefit. This study aims to determine whether BF has any specific effect above and beyond an educational intervention. Twenty-three women with regular and frequent idiopathic FI were randomized to education and pelvic exercise vs education and BF therapy. Complete data is available for 18 women. Overall, 61% of participants demonstrated a complete response. There was no difference in response rate between treatment arms. Women with FI demonstrate a good response to treatment with education and exercise and education plus BF thus questioning the specific effect of BF.
authors.affiliation: Section of Gastroenterology, Department of Medicine, University of Manitoba, Canada. ailnycky@sbgh.mb.ca
authors.forename: A
authors.initials: A
authors.lastname: Ilnyckyj
authors.forename: E
authors.initials: E
authors.lastname: Fachnie
authors.forename: G
authors.initials: G
authors.lastname: Tougas
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000503:physiopathology; D001676:Biofeedback, Psychology; D003113:Colonoscopy; D003131:Combined Modality Therapy; D005081:Exercise Therapy; D005242:Fecal Incontinence / Q000628:therapy*; D005260:Female; D006801:Humans; D008365:Manometry; D010349:Patient Compliance; D010353:Patient Education as Topic; D016896:Treatment Outcome