Randomized Controlled Trial of Biofeedback for Fecal Incontinence

Abstract

Background & Aims: Behavioral treatment (biofeedback) has been reported to improve fecal incontinence but has not been compared with standard care. Methods: A total of 171 patients with fecal incontinence were randomized to I of 4 groups: (1) standard care (advice); (2) advice plus instruction on sphincter exercises; (3) hospital-based computer-assisted sphincter pressure biofeedback; and (4) hospital biofeedback plus the use of a home electromyelogram biofeedback device. Outcome measures included diary, symptom questionnaire, continence score, patient's rating of change, quality of life (short-form 36 and disease specific), psychologic status (Hospital Anxiety and Depression scale), and ana..