Biofeedback avoids surgery in patients with slow-transit constipation - Report of four cases

Biofeedback is established treatment for intractable constipation in patien ts with an element of pelvic floor dysfunction. In those with intractable s low-transit constipation and normal pelvic floor function, colectomy is usu ally recommended. We report four patients with isolated slow-transit consti pation who benefited from biofeedback and avoided surgery. All four patient s were extensively investigated for pelvic floor dysfunction before undergo ing a standard biofeedback course of four outpatient sessions. All improved in terms of bowel frequency, laxative use, bloating, straining, and lifest yle. Improvement has been maintained for a median of nine (range, 5-12) mon ths without the requirement for further treatment. Biofeedback represents a safe and inexpensive treatment for these patients and may avoid surgery in a significant proportion.