Pelvic floor rehabilitation for defecation disorders

Pelvic floor rehabilitation is frequently recommended for defecation disorders, in both constipation and fecal incontinence. However, the lack of patient selection, together with the variety of rehabilitation methods and protocols, often jeopardize the results of this approach, causing difficulty in...

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Bibliographic Details
Published in:Techniques in coloproctology 2019-02, Vol.23 (2), p.101-115
Main Authors: Bocchini, R., Chiarioni, G., Corazziari, E., Pucciani, F., Torresan, F., Alduini, P., Bassotti, G., Battaglia, E., Ferrarini, F., Galeazzi, F., Londoni, C., Rossitti, P., Usai Satta, P., Iona, L., Marchi, S., Milazzo, G., Altomare, D. F., Barbera, R., Bove, A., Calcara, C., D’Alba, L., De Bona, M., Goffredo, F., Manfredi, G., Naldini, G., Neri, M. C., Turco, L., La Torre, F., D’Urso, A. P., Berni, I., Balestri, M. A., Busin, N., Boemo, C., Bellini, M.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Colorectal Surgery
Constipation - rehabilitation
Defecation
Delphi Technique
Fecal incontinence
Fecal Incontinence - rehabilitation
Gastroenterology
Gastroenterology - standards
Humans
Italy
Medicine
Medicine & Public Health
Pelvic Floor
Practice Guidelines as Topic - standards
Proctology
Rehabilitation
Review Article
Societies, Medical - standards
Surgery
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Summary:Pelvic floor rehabilitation is frequently recommended for defecation disorders, in both constipation and fecal incontinence. However, the lack of patient selection, together with the variety of rehabilitation methods and protocols, often jeopardize the results of this approach, causing difficulty in evaluating outcomes and addressing proper management, and above all, in obtaining scientific evidence for the efficacy of these methods for specific indications. The authors represent different gastroenterological and surgical scientific societies in Italy, and their aim was to identify the indications and agree on treatment protocols for pelvic floor rehabilitation of patients with defecation disorders. This was achieved by means of a modified Delphi method, utilizing a working team (10 members) which developed the statements and a consensus group (15 members, different from the previous ones) which voted twice also suggesting modifications of the statements.
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-018-1921-z