Original Title: Biofeedback en adultos con incontinencia urinaria y/o fecal

Authors' recommendations: Moderate-quality evidence shows that therapy with biofeedback in combination with pelvic floor exercises in women with urinary incontinence and, during preoperative period, in men undergoing prostatectomy, probably does not produce a benefit since it does not reduce the symptoms related to this condition. Moderate-quality evidence shows that therapy with biofeedback in combination with pelvic floor exercises in adults with fecal incontinence and in men with urinary incontinence after prostatectomy, probably produces a considerable net benefit because, in the middle term, it results in remission of symptoms related to fecal-incontinence in men and women. It also decreases symptoms and improves the quality of life in men with urinary incontinence who have undergone prostatectomy, both at mid- and long-term. Some clinical practice guidelines suggest adding biofeedback to the treatment of urinary and fecal incontinence when pelvic floor muscle exercises fail. Other guidelines consider it as an add-on therapy to pelvic floor exercises. The coverage and health policies from United States, United Kingdom and France cover biofeedback when therapeutic failure with pelvic floor exercises is documented. No studies assessing the cost-effectiveness of this technology in any of the indications have been found.

Project Status: Completed

Year Published: 2022

URL for published report: https://www.iecs.org.ar/publicacion/?id=22606

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Argentina

Organisation Name: Institute for Clinical Effectiveness and Health Policy

Contact Address: Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA

Contact Name: info@iecs.org.ar

Contact Email: info@iecs.org.ar

Copyright: Institute for Clinical Effectiveness and Health Policy (IECS)