Background Fecal incontinence (FI) is a prevalent and distressing condition with restricted access to specialized biofeedback therapy. Home-based biofeedback devices constitute a potential solution to enhance treatment accessibility; however, evidence from sham-controlled trials assessing their physiological effects remains scarce. Methods We conducted a single-center exploratory pilot study with a sham control involving women diagnosed with fecal incontinence. Baseline and post-treatment assess