Evaluating Balloon Inflation During Biofeedback Therapy to Improve Coordination in Chronic Constipation with Dyssynergic Defecation

What this Trial Is About

Researchers are evaluating whether inflating the anorectal catheter balloon to a patients natural urge to defecate during biofeedback therapy improves physiological coordination and patient understanding in people with chronic constipation caused by dyssynergic defecation. This study compares this balloon-inflated method to the standard practice where the balloon remains deflated. The trial is an interventional crossover design aiming to assess treatment effectiveness and patient experience. Participants will undergo biofeedback therapy sessions using two approaches one with the balloon deflated during push maneuvers and the other with the balloon inflated to the patients defecatory desire volume. These two methods are performed sequentially during the same high-resolution anorectal manometry examination within a single study visit. The study aims to determine if the inflated balloon method enhances coordination and patient comprehension compared to the usual deflated balloon technique. During the single study visit, baseline measurements are taken with the balloon deflated, followed by intervention measurements with the balloon inflated. Researchers will evaluate physiological improvements and collect patient experience feedback immediately after completing both balloon conditions. The main outcome measures focus on physiological coordination during push maneuvers and patient understanding of the defecation process. The total participant involvement is limited to this one visit with no long-term follow-up.

Balloon Inflation in Biofeedback