Background: Functional non retentive fecal incontinence (FNRFI) is an entity of fecal incontinence that is defined according Rome III classification as fecal incontinence in a child with mental age more than 4 years with no evidence of metabolic, inflammatory or anatomical cause. It is psychologically frustrating shameful problem with bad impact on children.
Aim of this study is to evaluate early and late impact of Biofeedback therapy as a treatment of FNRFI.
Methodology: The current study included 150 patients with mean age of 10±3 years with FNRFI who are eligible for biofeedback therapy that was designed for 3 months. Anorectal manometric findings were recorded before and after treatment. Vaizey incontinence score was recorded and compared with baseline patient’s score.
Results: According to our schedule of biofeedback therapy there was significant improvement in the mean squeeze pressure from 97±15 mmHg to 169±26 mmHg with significant improvement of incontinence score (Vaizey score) from 6-20 to 0-6 before and after biofeedback therapy respectively. There was also a significant improvement of rectal sensation and compliance after biofeedback therapy.
Conclusion: Biofeedback is a reliable, easy, noninvasive, fast and effective method for treatment of FNRFI with satisfactory early outcome. |
