TY - JOUR ID - 40338 TI - Efficacy of Biofeedback Therapy before and after Sphincteroplasty for Fecal Incontinence because of Obstetric Injury: A Randomized Controlled Trial JO - Iranian Journal of Medical Sciences JA - IJMS LA - en SN - 0253-0716 AU - Ghahramani, Leila AU - Mohammadipour, Mastoureh AU - Roshanravan, Reza AU - Hajihosseini, Fahimeh AU - Bananzadeh, Alimohammad AU - Izadpanah, Ahmad AU - Hosseini, Seyed Vahid AD - Colorectal Research Center, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran Y1 - 2016 PY - 2016 VL - 41 IS - 2 SP - 126 EP - 131 KW - Fecal incontinence KW - Sphincteroplasty KW - Biofeedback DO - N2 - Fecal incontinence is a challenging condition in that it exerts various psychosocial impacts on daily life. Different treatment modalities have been suggested for fecal incontinence. The present study aimed to evaluate the efficacy of biofeedback therapy in combination with surgery in the management of fecal incontinence.The present randomized controlled trial was performed on 27 women with a complaint of fecal incontinence because of delivery trauma. The patients underwent sphincteroplasty and levatorplasty via the same method by 2 colorectal surgeons. In Group I, biofeedback therapy was performed 3 months before and 6 months after the surgery; in Group II, biofeedback therapy was applied only 6 months after the surgery; and in Group III, only surgical management was performed.The results revealed a significant difference between the preoperative and postoperative Wexner scores of incontinence in all the 3 groups. Additionally, the difference between the preoperative and postoperative scores was significant only in Group I and Group III, but not in Group II. The reduction in the Wexner score was significantly less in Group III. However, no significant difference was observed between the 3 groups concerning the mean difference of preoperative and postoperative manometry.The present study revealed no significant role for biofeedback therapy alone in the improvement of manometric evaluation. However, the Wexner score, which is an indicator of patient satisfaction, increased with biofeedback therapy following sphincteroplasty.In general, surgical treatment is now reserved for selected patients with fecal incontinence and has recently been developed with biofeedback therapy.Trial Registration Number: IRCT201206039936N1 UR - https://ijms.sums.ac.ir/article_40338.html L1 - https://ijms.sums.ac.ir/article_40338_d7586b4c1e4cdc57eea8649dd21d3220.pdf ER -