scholarly journals EARLY FUNCTIONAL RESULTS OF BIOFEEDBACK AND ITS IMPACT ON QUALITY OF LIFE OF PATIENTS WITH ANAL INCONTINENCE

2013 ◽  
Vol 50 (3) ◽  
pp. 163-169 ◽  
Author(s):  
Fernando Rocha LEITE ◽  
Marcilio Jose Rodrigues de LIMA ◽  
Antonio LACERDA-FILHO
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Functional Results ◽  
Sphincter Muscle ◽  
Clinical Variables ◽  
Functional Parameters ◽  
Validated Questionnaires ◽  
Severity Scores ◽  
Quality Of Life Scale

Context Biofeedback has been used successfully in the treatment of fecal incontinence, working mainly on rehabilitation of the sphincter muscle. However, there are few studies presenting objective results of biofeedback, in terms of functional results and those related to the quality of life. Objectives The aims of this study was to evaluate the immediate results of biofeedback in the treatment of fecal incontinence and its impact on the quality of life of patients by using validated questionnaires, correlating the results with those related to functional parameters of quality of life and clinical variables. Methods We analyzed and compared the results of biofeedback in 52 patients with fecal incontinence before the start of the sessions and immediately after the end of them, by applying validated questionnaires assessing the degree of intensity of fecal incontinence (FISI - Fecal Incontinence Severity Index) and evaluation of quality of life related to fecal incontinence (FIQL - Faecal Incontinence Quality of Life Scale) as compared to clinical variables (age, onset of symptoms, etiology of the fecal incontinence, number of sessions of biofeedback and number and types of deliveries). Results The evaluation of the results of FISI showed a significant increase in the number of individuals who had low severity scores of symptoms before and after the biofeedback (from 48.1 to 65.4%) with P = 0.004. There was significant improvements in domains of the FIQL, behavior (P = 0.008), depression (P = 0.006) and embarrassment (P = 0.008) after biofeedback. There was no significant correlation between the improvement of functional parameters evaluated by FISI and the improvement of quality of life. Positive correlation was found between the improvements of the domains of FIQL. There was no significant correlation between the results obtained using the FISI and FIQL with clinical variables assessed. Conclusions Biofeedback has proven to be an effective therapy in the treatment of fecal incontinence, improving symptoms and/or quality of life for most patients, regardless of clinical presentation of this functional disorder.

scholarly journals Dynamic versus Adynamic Graciloplasty in Treatment of End-Stage Fecal Incontinence: Is the Implantation of the Pacemaker Really Necessary? 12-Month Follow-Up in a Clinical, Physiological, and Functional Study

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Piotr Walega ◽  
Michal Romaniszyn ◽  
Benita Siarkiewicz ◽  
Dorota Zelazny
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Functional Results ◽  
Severity Index ◽  
Functional Study ◽  
Dynamic Graciloplasty ◽  
Related Complication ◽  
Complication Risk ◽  
End Stage

Purpose. The aim of the study is to compare functional results of end-stage fecal incontinence treatment with dynamic graciloplasty and adynamic graciloplasty augmented with transanal conditioning of the transposed muscle.Methods. A total of 20 patients were qualified for graciloplasty procedure due to end-stage fecal incontinence. 7 patients underwent dynamic graciloplasty (DGP), whereas 13 patients were treated with adynamic graciloplasty, with transanal stimulation in the postoperative period (AGP). Clinical, functional, and quality of life assessments were performed 3, 6, and 12 months after the procedures.Results. There were no intraoperative or early postoperative complications. The detachment of gracilis muscle tendon was observed in one patient in DGP group and two in AGP group. There was a significant improvement of Fecal Incontinence Quality of Life (FIQL) and Fecal Incontinence Severity Index (FISI) scores in both groups 12 months after procedure. Anorectal manometry showed improvement regarding basal and squeeze pressures in both groups, with significantly better squeeze pressures in AGP group.Conclusions. The functional effects in the DGP and AGP groups were similar. Significantly lower price of the procedure and avoidance of implant-related complication risk suggest the attractiveness of the AGP method augmented by transanal stimulation.

Fecal incontinence quality of life scale

2000 ◽  
Vol 43 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Todd H. Rockwood ◽  
James M. Church ◽  
James W. Fleshman ◽  
Robert L. Kane ◽  
Constantinos Mavrantonis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Quality Of Life Scale ◽  
Life Scale

Evaluation of the Fecal Incontinence Quality of Life Scale (FIQL) using item response theory reveals limitations and suggests revisions

2018 ◽  
Vol 27 (6) ◽  
pp. 1613-1623 ◽  
Author(s):  
Alexander C. Peterson ◽  
Jason M. Sutherland ◽  
Guiping Liu ◽  
R. Trafford Crump ◽  
Ahmer A. Karimuddin
Keyword(s):  
Quality Of Life ◽  
Item Response Theory ◽  
Fecal Incontinence ◽  
Item Response ◽  
Response Theory ◽  
Quality Of Life Scale ◽  
Life Scale

Postpartum Flatal and Fecal Incontinence Quality-of-Life Scale: A Disease- and Population-Specific Measure

2003 ◽  
Vol 13 (8) ◽  
pp. 1132-1144 ◽  
Author(s):  
Sarah J. Cockell ◽  
Tina Oates-Johnson ◽  
Donna T. Gilmour ◽  
T. Michael Vallis ◽  
Geoffrey K. Turnbull
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Specific Measure ◽  
Quality Of Life Scale ◽  
Life Scale

Fecal Incontinence Quality of Life Scale-Iranian Version

2010 ◽  
Author(s):  
Marzieh Nojomi ◽  
Bahar Mahjubi ◽  
Zahra Mostafavian ◽  
Bita Bijari
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Quality Of Life Scale ◽  
Life Scale ◽  
Iranian Version

scholarly journals Does Implantation of an Artificial Soft Anal Band Provide an Opportunity for Improvement of Biopsychosocial Function in Patients with Severe Fecal Incontinence?

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Dorota Żelazny ◽  
Michał Romaniszyn ◽  
Piotr Wałęga
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Psychosocial Functioning ◽  
Scoring Systems ◽  
Artificial Anal Sphincter ◽  
Coping With Stress ◽  
Quality Of Life Scale ◽  
Symptom Intensity

Introduction. Severe fecal incontinence describes a condition of complete loss of control over fundamental physiological functions and loss of abilities to fulfil psychosocial functions by the patients. The last-step procedure, that is, to restore hope for improvement of biopsychosocial functioning and quality of life determined by the patient’s health status is implantation of an artificial anal sphincter. Objective. The study was a comparative analysis of the effect of the employed surgical procedure upon the degree of defecation control and quality of life indices in its behavioral, mental, and social aspects prior to and 3, 6, and 12 months postoperatively. The analysis also included the effect of the patient’s individual style of coping with stress and the functional outcome of the procedure. Material and Methods. The study included a group of 12 patients: 6 females and 6 males, aged from 36 to 60 years of life. The tools consisted of scoring systems that measured symptom intensity (FISI and Jorge and Wexner scale). In assessing the psychosocial functioning, the authors employed the Fecal Incontinence Quality of Life Scale (by Rockwood). The individual mode of coping with the disease was evaluated by using the CISS scale by Endler and Parker. Conclusions. The analysis of results demonstrated that the procedure of implanting an artificial anal sphincter affected the “continence” (up to 50–60% postoperatively) and led to improvement in psychosocial functioning in all its assessed aspects, i.e., lifestyle, employment of precautionary measures, depression, anxiety, and embarrassment. It was also noted that due to the specific character of the procedure (the necessity to operate an artificial implant), better mean results in assessment of the procedure functionality were achieved by patients presenting the goal-concentrated mode rather than emotions-concentrated mode of coping with the disease. Thus, it seems justified to state that assessment of biopsychological functioning may be a good criterion of the procedure effectiveness.

The fecal incontinence quality of life scale (FIQL) and fecal incontinence severity index (FISI): Validation of the Dutch versions

2016 ◽  
Vol 36 (3) ◽  
pp. 710-715 ◽  
Author(s):  
Lisette A. ‘t Hoen ◽  
Elaine Utomo ◽  
Willem R. Schouten ◽  
Bertil F.M. Blok ◽  
Ida J. Korfage
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Severity Index ◽  
Quality Of Life Scale ◽  
Life Scale ◽  
Fecal Incontinence Severity Index
Sign in / Sign up

Export Citation Format

Share Document