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  • Title: [Biofeedback training and functional electrostimulation for improving incontinence in children with anal atresia].
    Author: Herold A, Bruch HP, Höcht B, Müller G.
    Journal: Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir; 1989; ():991-5. PubMed ID: 2577679.
    Abstract:
    Eleven children with anal incontinence following a pull-through operation for anorectal agenesis (4 low, 7 high anomalies) were treated with a conservative continence training program (optic/acoustic biofeedback, transcutaneous electrical stimulation, physical therapy, contraction exercises and sensibility training). All patients with one exception showed subjective and objective improvement of continence. Sphincter contraction increased by 80% in high and by 40% in low anomalies. For a short time electrostimulation provided an improvement of up to 20% in sphincter pressure. One additional success was improved coordination. Beside surgical therapy and other methods continence training is always indicated.
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