Efficacy of home biofeedback in dyssynergic defaecation: A prospective pilot study

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Autores principales: Ahmet Omak, Alisina Bulut, Wafi Attaallah
Formato: Artículo Open Access
Publicado: Wiley 2026
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author Ahmet Omak
Alisina Bulut
Wafi Attaallah
author_facet Ahmet Omak
Alisina Bulut
Wafi Attaallah
Ahmet Omak
Alisina Bulut
Wafi Attaallah
collection Wiley Open Access
contents Efficacy of home biofeedback in dyssynergic defaecation: A prospective pilot study Ahmet Omak Alisina Bulut Wafi Attaallah Colorectal Disease Abstract Aim To evaluate the effectiveness of home biofeedback therapy in patients with dyssynergic defaecation. Method This single‐centre prospective cohort study was conducted in a tertiary general surgery outpatient clinic. Adult patients with dyssynergic defaecation confirmed according to Rome IV criteria and physiological testing were prospectively enrolled after ethical approval. Participants received training on the use of a home‐based anal biofeedback device and performed biofeedback exercises at home for 30 min daily over a 12‐week period. Changes in Obstructed Defaecation Syndrome Score (ODS‐S) and Patient Assessment of Constipation Quality of Life (PAC‐QoL) score were evaluated. Results Twenty‐four patients were included in the study. The median ODS‐S significantly improved from 17.5 (range, 13–20) at baseline to 3 (range, 0–12) after treatment ( P  < 0.001). The median PAC‐QoL score also showed a significant improvement, decreasing from 104 (range, 65–126) to 49 (range, 32–81) ( P  < 0.001). Clinical improvement, defined as an ODS‐S < 9, was achieved in 75% of patients. Conclusion Home‐based biofeedback therapy is an effective and accessible treatment option for dyssynergic defaecation. Its low cost, ease of use and ability to preserve patient privacy suggest that this modality may serve as a practical first‐line therapy. 10.1111/codi.70475 http://creativecommons.org/licenses/by-nc-nd/4.0/
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spellingShingle Efficacy of home biofeedback in dyssynergic defaecation: A prospective pilot study
Ahmet Omak
Alisina Bulut
Wafi Attaallah
Colorectal Disease
Efficacy of home biofeedback in dyssynergic defaecation: A prospective pilot study Ahmet Omak Alisina Bulut Wafi Attaallah Colorectal Disease Abstract Aim To evaluate the effectiveness of home biofeedback therapy in patients with dyssynergic defaecation. Method This single‐centre prospective cohort study was conducted in a tertiary general surgery outpatient clinic. Adult patients with dyssynergic defaecation confirmed according to Rome IV criteria and physiological testing were prospectively enrolled after ethical approval. Participants received training on the use of a home‐based anal biofeedback device and performed biofeedback exercises at home for 30 min daily over a 12‐week period. Changes in Obstructed Defaecation Syndrome Score (ODS‐S) and Patient Assessment of Constipation Quality of Life (PAC‐QoL) score were evaluated. Results Twenty‐four patients were included in the study. The median ODS‐S significantly improved from 17.5 (range, 13–20) at baseline to 3 (range, 0–12) after treatment ( P  < 0.001). The median PAC‐QoL score also showed a significant improvement, decreasing from 104 (range, 65–126) to 49 (range, 32–81) ( P  < 0.001). Clinical improvement, defined as an ODS‐S < 9, was achieved in 75% of patients. Conclusion Home‐based biofeedback therapy is an effective and accessible treatment option for dyssynergic defaecation. Its low cost, ease of use and ability to preserve patient privacy suggest that this modality may serve as a practical first‐line therapy. 10.1111/codi.70475 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Efficacy of home biofeedback in dyssynergic defaecation: A prospective pilot study
topic Colorectal Disease
url https://onlinelibrary.wiley.com/doi/10.1111/codi.70475