Home-Based Biofeedback Therapy Using Wireless Technology for Constipation, Fecal Incontinence, and Urinary Incontinence A Randomized Study Comparing Home Therapy to Office Therapy

What this Trial Is About

This research aims to evaluate home biofeedback therapy for patients with constipation and dyssynergic defecation, urinary leakage, or stool leakage. It focuses on assessing the effectiveness and safety of a wireless anorectal biofeedback device paired with a cellphone app that offers voice-guided training. The study also compares this home-based approach to the standard office biofeedback therapy and analyzes the cost-effectiveness of each method in managing these conditions. Participants will receive either home biofeedback therapy or office biofeedback therapy. In the home group, patients use a wireless anorectal probe and a smartphone app with voice instructions to perform exercises daily for six weeks. The office group attends weekly sessions where therapists provide feedback and training using traditional biofeedback methods. The study includes three patient groups those with constipation and dyssynergic defecation, fecal incontinence, and urinary incontinence. Throughout the study, participants are monitored for changes in bowel movements, incontinence episodes, stool consistency, and quality of life measures using various questionnaires and assessments. Testing includes anorectal manometry and evaluations of anal sphincter function and rectal sensation. Safety and psychological effects are also tracked. The study spans short-term 6 weeks and long-term 12 weeks follow-up periods to assess outcomes and cost-effectiveness.

Home Biofeedback Therapy for Dyssynergic Defecation, Fecal Incontinence and Urinary Incontinence