Pelvic floor rehabilitation for defecation disorders
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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.
KeywordsDefecation disorders Biofeedback Guidelines
Authors and coauthors, Consensus members: All of them participated in study concept and design, data collection, provided critical revisions to manuscript drafts and approved the final version of the manuscript; therefore all should be regarded as collaborators for indexing purposes.
No support whatsoever has been granted.
Compliance with ethical standards
Conflict of interest
None conflict of interest to be declared.
As consensus review this paper does not contain any studies involving human participants performed by any of the authors.
For this type of study formal consent is not required.
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