Combination Therapy With Biofeedback, Loperamide and Stool Bulking Agents

NCT ID: NCT02165475

Last Updated: 2014-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2002-05-31

Brief Summary

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Background: Biofeedback and medical treatments have been extensively used for moderate fecal incontinence. There is limited data comparing and combining these two treatments.

Aim: To evaluate the effect of biofeedback and medical treatments, separately and in combination.

Methods: Sixty-five consecutive female patients, referred to a tertial center for fecal incontinence were included. The patients were randomized to start with either biofeedback (4-6 months) or medical treatment with loperamide and stool-bulking agents (2 months). Both groups continued with a combination treatments, i.e. medical treatment was added to biofeedback and vice versa. A two-week prospective bowel symptom diary and anorectal physiology were evaluated at baseline, after single- and combination treatments.

Detailed Description

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Conditions

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Fecal Incontinence

Study Design

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Primary Study Purpose

TREATMENT

Study Groups

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Biofeedback

Group Type EXPERIMENTAL

Biofeedback

Intervention Type BEHAVIORAL

medical treatment

Group Type EXPERIMENTAL

Loperamide

Intervention Type DRUG

Stool bulking agent (stericulia or isphagula husk)

Intervention Type DRUG

combination of the two treatments

Group Type EXPERIMENTAL

Combination of biofeedback and medical treatment

Intervention Type OTHER

Interventions

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Biofeedback

Intervention Type BEHAVIORAL

Loperamide

Intervention Type DRUG

Stool bulking agent (stericulia or isphagula husk)

Intervention Type DRUG

Combination of biofeedback and medical treatment

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients older than 18 years of age
* Patients with at least one or more episodes of FI during a period of 2 weeks as recorded by bowel function diary
* Patients from whom written consent was obtained

Exclusion Criteria

* Previous congenital or acquired spinal injury, spinal tumour or spinal surgery
* Presence of neurological diseases or peripheral vascular disease
* Uncontrolled diabetes mellitus
* Congenital anorectal malformations
* Recent colorectal or gastrointestinal surgery
* Presence of external full-thickness rectal prolapse
* Inflammatory bowel disease
* Chronic diarrhoea
* Use of tibial nerve or sacral nerve stimulations
* Ongoing pregnancy
* Any malignant disease
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Linkoeping

OTHER

Sponsor Role lead

Responsible Party

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Jenny Sjödahl

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Pelvic floor unit, University hospital of Linköping

Linköping, , Sweden

Site Status

Countries

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Sweden

Other Identifiers

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Dnr 02-220

Identifier Type: -

Identifier Source: org_study_id

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