{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:31:12Z","timestamp":1777483872757,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T00:00:00Z","timestamp":1670544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rectal intussusception is often observed in patients with faecal incontinence and obstructed defaecation. The aim of this study is to assess if pelvic floor training improves faecal incontinence and obstructed defaecation in patients with rectal intussusception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Case notes of all patients referred to Bankstown Hospital Pelvic Floor Clinic between 2013 and 2018 for the management of faecal incontinence and obstructed defaecation and rectal intussusception were retrospectively reviewed using a prospectively maintained database. St Mark's faecal incontinence and Cleveland clinic constipation scores were obtained from patients before and after they underwent pelvic floor training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and thirty\u2010one patients underwent pelvic floor training at Bankstown Hospital Pelvic Floor Clinic between 2013 and 2018. Sixty\u2010one patients had rectal intussusception (22 low\u2010grade and 39 high\u2010grade). Median St Marks score improved following pelvic floor training from 8 to 1 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Median Cleveland Clinic constipation score improved from 8 to 5 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). In patients with low grade rectal intussusception, pelvic floor training improved median St Mark's score from 3 to 0 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.003), whereas Cleveland Clinic constipation score improved from 9 to 7 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). In patients with high\u2010grade rectal intussusception, pelvic floor training improved median St Mark's score from 9 to 2 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), whereas median Cleveland Clinic constipation score improved from 8 to 4 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pelvic floor training without biofeedback therapy improves faecal incontinence and obstructed defaecation. Improvement in symptoms is unrelated to rectal intussusception observed on proctography or at examination under anaesthesia in these patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18200","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T11:15:53Z","timestamp":1670584553000},"page":"1253-1256","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Pelvic floor training improves faecal incontinence and obstructed defaecation despite the presence of rectal intussusception"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7834-1767","authenticated-orcid":false,"given":"Sinan","family":"Albayati","sequence":"first","affiliation":[{"name":"Department of Surgery Nepean Hospital  Sydney New South Wales Australia"},{"name":"South Western Sydney Clinical School UNSW  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doleen","family":"Bhai","sequence":"additional","affiliation":[{"name":"Department of Surgery Bankstown\u2010Lidcombe Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Descallar","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical School UNSW  Sydney New South Wales Australia"},{"name":"Ingham Institute for Applied Medical Research  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine E.","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Surgery Bankstown\u2010Lidcombe Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0740-3737","authenticated-orcid":false,"given":"Christophe","family":"Berney","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical School UNSW  Sydney New South Wales Australia"},{"name":"Department of Surgery Bankstown\u2010Lidcombe Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Morgan","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical School UNSW  Sydney New South Wales Australia"},{"name":"Department of Surgery Bankstown\u2010Lidcombe Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02554307"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2018.1549392"},{"key":"e_1_2_9_4_1","article-title":"Biofeedback and\/or sphincter exercises for the treatment of faecal incontinence in adults","volume":"11","author":"Norton C","year":"2012","journal-title":"Cochrane Database Syst. 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