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Particular attention was paid to understanding the problem of rectocele and its influence on obstructive defaecation symptoms. The burden of rectocele and its consequences are not truly known. Furthermore, healthcare professionals may not always enquire about bowel symptoms and patients may not disclose them. Complex emotions around coping and managing stress add to the challenges with seeking healthcare. Therefore, the impact on the lived experience of women who have difficulty with rectal emptying can be significant. The review identified a dearth of knowledge about women living with the problem of obstructive defaecation resulting in the use of digitation. Improving the management of digitation, an under-reported problem, is necessary to improve the quality of life for women. Primary care needs to increase access to conservative measures for women struggling with bothersome symptoms, such as constipation, the need to digitate or anxiety. <\/jats:p>","DOI":"10.1177\/2054270418783616","type":"journal-article","created":{"date-parts":[[2018,8,6]],"date-time":"2018-08-06T12:02:26Z","timestamp":1533556946000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Women\u2019s experiences of managing digitation: do we ask enough in primary care?"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1538-5594","authenticated-orcid":false,"given":"Sharon","family":"Eustice","sequence":"first","affiliation":[{"name":"Bladder and Bowel Specialist Service, Cornwall Foundation Trust, Cornwall PL31 1FB, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Endacott","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Plymouth University\/Royal Devon and Exeter Clinical School, Devon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Morris","sequence":"additional","affiliation":[{"name":"Faculty of Health and Human Sciences, Plymouth University, Truro, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Shankar","sequence":"additional","affiliation":[{"name":"Adult Developmental Neuropsychiatry, Cornwall Foundation Trust, Cornwall, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridie","family":"Kent","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Faculty of Health and Human Sciences, Plymouth University, Devon, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,8,6]]},"reference":[{"key":"bibr1-2054270418783616","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0902-1"},{"key":"bibr2-2054270418783616","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.107583"},{"key":"bibr3-2054270418783616","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61977-7"},{"key":"bibr4-2054270418783616","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1629-3"},{"key":"bibr5-2054270418783616","unstructured":"Office for National Statistics. 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