Anal and pelvic floor muscle training: The goal is to improve the strength coordination and isolation of pelvic floor muscles. Firstly, patients are instructed to isolate the anal sphincter and puborectalis muscles and improve its strength by using modified Kegel exercises in the sitting or lying position with a probe inserted. Visual and verbal feedback techniques are used to reinforce the maneuvers, as they are being performed. The anal and rectal pressure changes displayed on the monitor provides visual feedback to the patient. The verbal feedback is provided by the therapist and consists of either complimenting the patient for performing a correct maneuver or rectifying any errors. The patient is instructed to squeeze and to maintain the squeeze for as long as possible. During the maneuver, the patient observes the monitor and is educated about the changes in anal pressure/EMG activity. For comparison, a normal recording is shown. As the sphincter strength improves, the patient is encouraged to maintain a voluntary contraction for at least 30 seconds. Patients are instructed not to use their abdominal or gluteal muscles to achieve a voluntary squeeze. After a few sessions, the patient is encouraged to perform these maneuvers without visual feedback. The patient is also instructed to perform squeeze exercises at home for at least 20 minutes, two to three times a day, and to perform about 20 squeeze maneuvers per session. Training may be discontinued when patients demonstrate: A reduction in the number of incontinence episodes and improvement in anal squeeze pressure and recto-anal coordination when squeezing. Patients also receive sensory-motor coordination training. The objective here is to achieve a maximum voluntary squeeze in less than 1 second after inflation of a rectal balloon and to control the reflex anal relaxation by consciously contracting the sphincter muscles.