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Behavioral Therapies and Biofeedback for Anal Incontinence

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Pelvic Floor Disorders

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Abstract

To describe pelvic physiotherapists’ skills and clinical reasoning, we present a summary of an Evidence Statement Anal Incontinence (AI) based on outlined practice-driven problem definitions. Also, a summary of the current state of knowledge is provided. Methodic assessment and treatment are formulated, placing the evidence in a broader perspective of current developments.

Electronic literature searches were conducted in relevant databases with regard to etiological and prognostic factors, predictors of response to therapy, assessment, and treatment. The recommendations have been formulated on the basis of scientific evidence, and where no evidence was available, recommendations were consensus-based.

The diagnostic process consists of history-taking and physical examination supported by measurement instruments. For each problem category for patients with AI, a certain treatment plan can be distinguished. Available evidence and expert opinion support the use of education, pelvic floor muscle training, biofeedback, and electrostimulation in selected patients.

ICI6 Committee 16

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Author information

Authors and Affiliations

  1. Pelvic Care Center Maastricht, Maastricht University Medical Centre, Maastricht, The Netherlands

    Bary Berghmans

  2. Department of Epidemiology, Maastricht University, Maastricht, The Netherlands

    Esther Bols

  3. abafi-HOLLAND, Maastricht, The Netherlands

    Maura Seleme

  4. Faculdade Inspirar, Curitiba, Brazil

    Maura Seleme

  5. Universidade Católica de Pernambuco - Recife, Pernambuco, Brazil

    Silvana Uchôa

  6. University of Minnesota School of Nursing, Minneapolis, MN, USA

    Donna Bliss

  7. Division of Gastrointestinal Surgery, Department of Surgery, Jichi Medical University, Tochigi, Japan

    Toshiki Mimura

Authors
  1. Bary Berghmans
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  2. Esther Bols
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  3. Maura Seleme
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  4. Silvana Uchôa
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  5. Donna Bliss
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  6. Toshiki Mimura
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Corresponding author

Correspondence to Bary Berghmans .

Editor information

Editors and Affiliations

  1. Tertiary Referral Pelvic Floor and Incontinence Center, IV°Division of General Surgery, Regional Hospital, Treviso, University of Padua, Padua, Italy

    Giulio A. Santoro

  2. Department of Pediatric Radiology, Medical University of Lublin, Children’s University Hospital, Lublin, Poland

    Andrzej P. Wieczorek

  3. Urogynaecology and Pelvic Floor, Reconstruction Unit, Croydon University Hospital, St George’s University of London, London, UK

    Abdul H. Sultan

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Berghmans, B., Bols, E., Seleme, M., Uchôa, S., Bliss, D., Mimura, T. (2021). Behavioral Therapies and Biofeedback for Anal Incontinence. In: Santoro, G.A., Wieczorek, A.P., Sultan, A.H. (eds) Pelvic Floor Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-40862-6_36

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  • DOI: https://doi.org/10.1007/978-3-030-40862-6_36

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