Biofeedback or Pelvic Floor retraining
with constipation, difficult bowel evacuation or poor bowel control can be
helped with biofeedback or pelvic floor retraining. Those with mild to moderate symptoms can
have a very good response and surgery might not be needed. Patients with severe
symptoms can still benefit from the programme, optimising their pelvic floor
function in preparation for surgery or other treatments by improving muscle
function and ensuring that bowel habits are as healthy as possible.
What is a biofeedback or Pelvic Floor Retraining session??
appointment is kept informal, we encourage patients to engage and ask questions
about what they would like to know regarding their condition and focus on
symptoms they need to get help with. In the beginning, a short patient
education session is held to explain the normal function and anatomy of the
large bowel and rectum, followed by a brief explanation of the pelvic floor
specialist physiologists/therapists in collaboration with the patient will agree on a plan with
1-2 goals. Diet, medication, pelvic floor exercises, stool consistency and
correct positioning on the toilet is discussed. Together we will identify areas
of possible problems and try to find solutions.
months patients will return for a second appointment and along with the nurses
they will explore the option of adding new goals or discuss the barriers
encountered. At this stage some of them might be discharged if they are
managing their symptoms satisfactorily. Others will be offered alternative therapies eg., posterior tibial nerve stimulation (PTNS) as
another non-surgical form of treatment for FI or be advised Surgery.