About this trial
Constipation affects 12-19% of Americans. Pelvic floor dyssynergia is considered to play an important role in constipation but the underlying mechanisms are not well understood in individual patients. The investigators have developed a novel device named Fecobionics that provide detailed mapping of physiological parameters during defecation. The aim of the study is to use Fecobionics to assess anorectal function in dyssynergia patients and monitor and predict the outcome of the biofeedback therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subject must provide written informed consent.
Age between 21-75 years.
Subjects must fulfill the criteria for obstructed defecation/dyssynergia and enter the BFT at UCSD or Scripps.
Disqualifiers
Female who is pregnant or lactating.
Prior abdominal or anorectal surgery or bowel resection.
Diagnosis of fecal incontinence, any anorectal symptoms and drug use that affect anorectal function.
Confirmed or suspected COVID-19 infection.
Trial design
Single group
Treatments tested in this trial
Fecobionics
DeviceFecobionics is a novel device to be inserted through the anal canal into rectum for studying defecation. Anorectal manometry and balloon expulsion test may be used as reference. Anorectal manometry and balloon expulsive test are standard methods for anorectal functional measurement.
Treatment groups
Trial outcomes
Primary outcomes
Expulsion Duration
The time it takes to defecate Fecobionics
Pressure Difference between front and rear ends of Fecobionics
A measure of anal sphincter pressure, the driving rectal pressure, and the difference between these two pressures. This is the key to the determination of defecation phases.
Secondary outcomes
Anorectal angle
Anorectal angle is an important parameter for defecation
Mechanical Tension of Fecobionics
To reflect anorectal function, the mechanical tension will be computed. The tension is equal to anorectal radius multiply pressure.
Expulsion Velocity
Measured from the time difference between multiple sensor data
Cross-sectional area
Computed by diameter
Sponsors and contacts
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The California Medical Innovations Institute, Inc.
Lead sponsor
Scripps Clinic
Collaborator
Augusta University Medical Center
Collaborator