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Anorectal biofeedback influence on encopresis resulting from sexual assault in school aged girls: A randomized controlled trial.

Hend Reda Sakr*, Hanaa Mohsen Abd-Elfattah, Mona Mohamed Abdelkhalek, Mahmoud Ibrahim, Elsayed Aly, Mahmoud Kamal Mohamed Mousa

Objective: To investigate the efficacy of biofeedback on encopresis in school aged girls after sexual assault. Methods: Thirty girls with fecal incontinence, their age was ranging between 5 to 11 years were enrolled in this study and randomly divided into two groups of equal numbers (control and experimental). Both groups received exercises for pelvic floor muscles (kegel exercises) and daily home program. The experimental group received additionally anorectal manomerty biofeedback training program. Treatment for all patients lasted for three months (1 hr/session, 4 times/week). Anorectal manometric functions were assessed for all girls before and after treatment. Results: There was significant improvement in both groups that confirmed by comparing the mean values of all measured variables pre and post interventional treatment (P<0.05). There were significant differences between the control and experimental groups regarding all measured variables when comparing outcomes after interventional treatment (P<0.05). Conclusion: Anorectal biofeedback can be a successful interventional treatment that may remedy encopresis in school aged girls after sexual assault.