Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/9862
Title: The Efficacy of Biofeedback Therapy in Patients with Solitary Rectal Ulcer and Dyssynergic Defecation
Authors: Arl, D.
Öztürk, O.
Özin, Y.
Tenlik, İ.
Bacakslz, F.
Gökbulut, V.
Akdo?an, M.
Keywords: Biofeedback therapy
Dyssynergic defecation
Solitary rectal ulcer
adult
anal canal
ataxia
biofeedback
constipation
defecation
female
human
male
manometry
procedures
ulcer
Adult
Anal Canal
Ataxia
Biofeedback, Psychology
Constipation
Defecation
Female
Humans
Male
Manometry
Ulcer
Issue Date: 2022
Publisher: S. Karger AG
Abstract: Background: The treatment of solitary rectal ulcer (SRU) is challenging and controversial; generally, no response to conventional treatments can be obtained, particularly in patients with dyssynergic defecation (DD). We assessed the efficiency of biofeedback therapy (BFT) in patients who did not respond to conservative treatments and had coexistence of SRU and DD. Methods: BFT responses, as well as anorectal manometry and rectoscopy results of 20 patients with the coexistence of SRU and DD, were assessed. Results: Mean age was 32.5 years. Of the patients, 12 were female, and 8 of them were male. An average of 12 sessions of BFT was performed on the patients. Ulcer disappeared in 11 patients (55%) after BFT, and the ulcer size decreased in 3 patients (15%). However, ulcers healed in 9 (90%) of 10 patients whose DD pattern disappeared following BFT, and ulcers healed in only 20% of patients whose DD pattern continued (p = 0.005). The change in anal resting pressure after BFT was significant (p = 0.016). Ulcers were healed in 87.5% (7/8) of the patients whose anal resting pressure decreased after BFT and whose DD disappeared, while ulcers remained untreated in 85.7% of the patients whose anal resting pressure decreased, but the DD pattern continued (p = 0.005). Conclusions: SRU patients with DD are typically unresponsive to medical treatments. Ameliorating anorectal dyssynergia should be the priority of treatment in these patients. BFT is an effective treatment for DD. BFT enhances the healing of ulcers in patients with SRU by restoring coordination of the pelvic floor. © 2022 S. Karger AG, Basel. Copyright: All rights reserved.
URI: https://doi.org/10.1159/000522180
https://hdl.handle.net/20.500.11851/9862
ISSN: 0257-2753
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection

Show full item record

CORE Recommender

Google ScholarTM

Check

Altmetric


Items in GCRIS Repository are protected by copyright, with all rights reserved, unless otherwise indicated.