Biofeedback Therapy for Incontinence in a Post-Duhamel Hirschsprung Patient: A Case Report.

J Pediatr Health CareJun 19, 2026 (epub)
Case ReportPediatricsGastroenterologyGeneral Surgery

Woon Teen Sia, Hidaryati Md Bamuchi, Jih Huei Tan et al.

✦ AI-curated · Sources linked

Case in brief

A 17-year-old male with Hirschsprung disease and total colonic aganglionosis, treated with a Duhamel pull-through in infancy, developed recurrent fecal soiling and constipation. Examination showed stool retention despite preserved perianal sensation and sphincter tone, supporting retentive fecal incontinence. After eight sessions of biofeedback therapy, his Revised Fecal Incontinence Score improved from 16/20 to 1/20, and his symptoms resolved.

What made this case unusual

The report describes biofeedback therapy for retentive fecal incontinence in an adolescent with total colonic aganglionosis after a Duhamel pull-through, with complete symptom resolution.

Diagnostic / clinical pearl

In a post-Duhamel patient with soiling and constipation, stool retention with preserved perianal sensation and sphincter tone can support retentive fecal incontinence rather than loss of continence from impaired sensation or tone.

Source

PubMed · PMID 42319341

Published in J Pediatr Health Care. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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