Assessment of Biofeedback Training Therapy in patients with Spastic Pelvic Floor Syndrome

Abstract

Functional constipation due to paradoxical puborectalis contraction is still a distressing problem. The aim of this study is to assess the effect of biofeedback therapy in managing such condition Thirty patients with paradoxical puborectalis contraction measured with anorectal manometry, defecography and EMG. These patients were subjected to Biofeedback training therapy. They received three training sessions per week with EMG visual feedback. All patients were followed up for 6to 12 months. 22 patients stated they have improved rectal emptying .A good result was associated with increased spontaneous bowel motions per week, reduction in laxative and enema use. Along symptom duration of constipation I was related to poor results. Conclusion: Biofeedback was successful in the majority of patients with spastic pelvic floor syndrome. The results suggest that biofeedback should be used as a first line in the treatment for functionally constipated patients due to spastic pelvic floor syndrome. In comparison to other modalities in the treatment of obstructed defecation due to spastic pelvic syndrome as surgical division of the puboractalis or injection of type A Botulinum neurotoxin, biofeedback training therapy is the best, as it is safe, effective, minimally invasive, has the least morbidity with no mortality.