Various adjunctive biofeedback treatment methods have been used throughout the years. Patients with symptoms of difficult, infrequent, or incomplete micturition or evacuation often exhibit increased PFM activity while performing the Valsalva maneuver during the initial evaluation and are taught the anorectal coordination maneuver. It remains unclear which of the three components - sphincter training, sensory conditioning, or rec-toanal coordination - is most useful in the treatment for fecal incontinence. However, most agree that additional treatment methods may be helpful with symptomatic improvement depending on the underlying condition.
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