Comparison of the effectiveness of Kegel exercise and biofeedback therapy on Wexner scores in postpartum fecal incontinence patients
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20253750Keywords:
Biofeedback therapy, Fecal incontinence, Kegel exercise, Postpartum women, Wexner scoreAbstract
Background: Fecal incontinence (FI) is a distressing postpartum condition affecting physical, psychological, and social well-being. Conservative treatments, including Kegel exercises and biofeedback therapy, are commonly employed, but comparative effectiveness remains uncertain. The Wexner score is a validated measure of FI severity.
Methods: This prospective randomized controlled trial enrolled 36 postpartum women with FI at Arifin Achmad General Hospital. Participants were randomized into Kegel exercise (n=18) or biofeedback therapy (n=18) groups. Wexner scores were recorded at baseline and after four weeks. Statistical analyses included paired and independent t-tests, with significance set at p<0.05.
Results: Baseline Wexner scores were comparable (Kegel 14.08±0.86 versus Biofeedback 14.94±0.86; p>0.05). After four weeks, the Kegel group showed a non-significant mean reduction of 0.8 (13.2±2.4; p=0.120), whereas the biofeedback group achieved a significant mean reduction of 5.3 (9.5±2.3; p<0.001). Between-group comparison confirmed biofeedback was significantly more effective than Kegel exercises in lowering Wexner scores (p<0.001). Sub-analysis indicated biofeedback significantly improved continence for liquid, solid, pad use, and lifestyle impact, but not for gas incontinence.
Conclusions: Biofeedback therapy significantly reduces Wexner scores in postpartum FI and should be considered the preferred conservative treatment for this population.
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References
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