Treatment of postsurgery bowel dysfunction: biofeedback therapy

Sloots, Kathryn, Bartlett, Lynne, and Ho, Yik-Hong (2009) Treatment of postsurgery bowel dysfunction: biofeedback therapy. Journal of Wound Ostomy Continence Nurse Society, 36 (6). pp. 651-658.

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Following surgical procedures such as partial colectomy, total colectomy with ileorectal anastomosis, restorative proctocolectomy, or low anterior anastomosis, altered bowel habits and function may have adverse long-term effects on health-related quality of life. Symptoms of postsurgery bowel dysfunction include loose stools, frequent defecation, rectal urgency, fecal incontinence, and difficult or incomplete evacuation. The Anorectal Physiology Clinic at The Townsville Hospital, Queensland, Australia, offers a treatment program for postsurgery bowel dysfunction that combines behavioral strategies and pelvic floor muscle training using biofeedback techniques. The behavioral strategies include education, support and coping measures, and advice about diet, fluid intake, medication, and exercise discussed in a previous article. This article describes biofeedback-assisted pelvic floor muscle training, including techniques for relaxation and effective bowel evacuation, and exercises for pelvic floor muscle strengthening. Biofeedback is also used to modify rectal sensitivity and assist with anorectal coordination training, in order to alleviate stool frequency and urgency. We believe that behavioral strategies and pelvic floor muscle training are complementary components of the holistic treatment program.

Item ID: 9967
Item Type: Article (Research - C1)
ISSN: 1528-3976
Keywords: bowel dysfunction; biofeedback therapy; pelvic floor muscle
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Date Deposited: 27 Apr 2010 03:33
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111710 Health Counselling @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 100%
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