Biofeedback conditioning is a new method for the treatment of fecal soiling. The principle of the training is as follows: a) rectal sensitivity is first treated with the stimulation induced by rectal distension. b) the anorectal contraction in response to rectal distension is directly showed on the writing instrument. Over a 3-year period (1981-1984), 4 children with fecal soiling were treated with biofeed-back conditioning using a manometric technique. The cause of incontinence was encopresis. The age ranged from 5 to 10 years (average 7.0 years). The follow-up period ranged from 5 to 17 months (average 9. 0 months). 4 patients achived a very good clinical response. Psychogenic incontinence responded to this method, and both manometric rectal sensitivity and anorectal contraction improved significantly. This training influence psychological aspect successfully as well.
