{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:09:09Z","timestamp":1777943349000,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T00:00:00Z","timestamp":1651622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Surg Innov"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:p>\n                    <jats:italic>Purpose<\/jats:italic>\n                    . Anal incontinence (AI) is a disabling condition with a variable response to conservative physical therapies. We assess the utility of combining electromyographic biofeedback with endoanal electrostimulation targeted to the weakest areas of the pelvic floor using the MAPLe\n                    <jats:sup>\u00ae<\/jats:sup>\n                    probe (Multiple Array Probe Leiden Novuqare).\n                    <jats:italic>Methods<\/jats:italic>\n                    . Patients with AI unresponsive to conservative measures were assessed before and after treatment with anorectal manometry (ARM), electromyography (EMG), Wexner Continence Scoring, Visual Analog Scoring (VAS), FIQL and SF-12 quality of life determination.\n                    <jats:italic>Results<\/jats:italic>\n                    . Of 29 patients in the final analysis, there was an improvement in the mean Wexner continence score from 13.59 to 8.03 and a concomitant improvement in the reported VAS from 3.45 to 6.72. Both Wexner continence and VAS scores were maintained during follow-up. Maximum voluntary manometric contraction significantly improved from 91.76\u00a0mmHg to 110.33\u00a0mmHg with no changes in resting pressure. The EMG values \u200b\u200b(\u03bcV) that significantly improved included the average and peak resistance, the average general voluntary contraction, and the average and peak voluntary contraction for both the external anal sphincter and the puborectalis. In the FIQL, behavior, depression and shame domains improved after treatment and during follow-up with lifestyle improvements detected at 6 and 12\u00a0months. Physical and mental components of the SF-12 improved at 6 and 12\u00a0months.\n                    <jats:italic>Conclusions<\/jats:italic>\n                    . Targeted electromyographic biofeedback and endoanal electrostimulation using MAPLe\u00ae probe in AI patients sustainably improves objective ARM and EMG parameters along with subjective reporting of continence severity, VAS, and quality of life.\n                  <\/jats:p>","DOI":"10.1177\/15533506221096885","type":"journal-article","created":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T01:52:17Z","timestamp":1651715537000},"page":"56-63","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Targeted Electromyographic Biofeedback With Endoanal Electrostimulation for Anal Incontinence"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2634-4306","authenticated-orcid":false,"given":"L.","family":"Mart\u00edn Prieto","sequence":"first","affiliation":[{"name":"Department Coloproctology and General Surgery, Clinica CEMTRO, Madrid, Spain"},{"name":"Department General and Digestive Surgery, Hospital El Escorial, San Lorenzo de El Escorial, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Pascual Miguel\u00e1\u00f1ez","sequence":"additional","affiliation":[{"name":"Department Coloproctology and General Surgery, Clinica CEMTRO, Madrid, Spain"},{"name":"Department General and Digestive Surgery, University Hospital La Paz, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JM.","family":"Fern\u00e1ndez Cebri\u00e1n","sequence":"additional","affiliation":[{"name":"Department Coloproctology and General Surgery, Clinica CEMTRO, Madrid, Spain"},{"name":"Department General and Digestive Surgery, University Hospital Ram\u00f3n y Cajal, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MC.","family":"Mart\u00ednez Puente","sequence":"additional","affiliation":[{"name":"Department Coloproctology and General Surgery, Clinica CEMTRO, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Varillas-Delgado","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Exercise and Sport Sciences, University Francisco de Vitoria, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Fern\u00e1ndez Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department General and Digestive Surgery, University Hospital Puerta Hierro, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JA.","family":"Pascual Montero","sequence":"additional","affiliation":[{"name":"Department Coloproctology and General Surgery, Clinica CEMTRO, Madrid, 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