Evidence map›Paper›PMID 41677816›Full record

ArticleInternational urogynecology journal2026

Incorporating Pelvic Floor Physical Therapy in the Treatment of Obstructed Defecation Syndrome and Posterior Compartment Pelvic Organ and Rectal Prolapse : Proceedings of the Consensus Meeting of the Pelvic Floor Consortium of the American Society of Colon and Rectal Surgeons, the International Continence Society, the International Urogynecological Association, the American Urogynecologic Society, and the American Physical Therapy Association.

Amber L Traugott, Julia Barten, Liliana Bordeianou, Cristiane Carboni, Donna J Carver, Meghan Markowski Cucchiara, Gaetano Gallo, Cara L Grimes, Leise R Knoepp, Amanda M McClure and 10 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Amber L TraugottDivision of Colon and Rectal Surgery, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W 10th Ave, N729 Doan Hall, Columbus, OH, 43210, USA. amber.traugott@osumc.edu.ORCID 0000-0003-2944-9197
Julia BartenDepartment of Pelvic Floor Physical Therapy, Stanford Health Care, Stanford, CA, USA.
Liliana BordeianouDivision of Colon and Rectal Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Cristiane CarboniDepartment of Pelvic Floor Physical Therapy, Brigham and Women's Health Care Center, Chestnut Hill, MA, USA.
Donna J CarverPelvic Floor Physical Therapy Private Practice, Corinth, TX, USA.
Meghan Markowski CucchiaraDepartment of Pelvic Floor Physical Therapy, Brigham and Women's Health Care Center, Chestnut Hill, MA, USA.
Gaetano GalloDepartment of Surgery, Sapienza University of Rome, Rome, Italy.
Cara L GrimesDepartment of Obstetrics and Gynecology, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Leise R KnoeppDivision of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Ochsner Health System, New Orleans, LA, USA.
Amanda M McClureDepartment of Surgery, Trinity Health Ann Arbor, Ann Arbor, MI, USA.
Anders MellgrenDepartment of Surgical Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Craig H OlsonDivision of Colorectal Surgery, Baylor Scott and White Healthcare, Waxahachie, TX, USA.
Ian M PaquetteDepartment of Surgery, Section of Colon and Rectal Surgery, University of Cincinnati, Cincinnati, OH, USA.
William R PerryDivision of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA.
Allison D SnyderDepartment of Physical Therapy and Occupational Therapy, Massachusetts General Hospital, Boston, MA, USA.
Anna R SpivakDepartment for Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA.
Katerina O K WellsDivision of Colorectal Surgery, Baylor University Medical Center, Dallas, TX, USA.
Milena M WeinsteinDepartment of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, MA, USA.
Brooke H GurlandDivision of Colorectal Surgery, Department of Surgery, Stanford University, Stanford, CA, USA.
Pelvic Floor Disorders Consortium Work Group 2023

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructed defecation syndrome and posterior compartment (rectal) prolapse significantly impact patients' quality of life. Pelvic floor physical therapy is a critical part of multidisciplinary management for these conditions, yet there is little guidance or standardization to guide providers' referral practices, diagnostic approaches, or treatment.

objectiveTo develop multidisciplinary consensus-based recommendations for incorporating pelvic floor physical therapy into the treatment of obstructed defecation syndrome and posterior compartment prolapse. DATA SOURCES: MEDLINE, PubMed, Embase, and the Cochrane Database of Systematic Reviews were searched for English-language studies on pelvic floor physical therapy, obstructed defecation, diagnostic criteria, imaging, and pelvic organ prolapse. STUDY SELECTION: Studies identified in the literature search were reviewed by multidisciplinary expert subgroups, who formulated draft statements based on the available evidence.

interventionConsensus meetings were conducted and included experts from colorectal surgery, urogynecology, physical therapy, gastroenterology, radiology, and urology. Statements were evaluated via structured discussions and voting processes. Those reaching more than 70% consensus were adopted for inclusion. Statements underwent final review and editing by the leadership of the American Society of Colon and Rectal Surgeons and the International Urogynecological Association.

main outcome measuresConsensus statements addressed referral criteria, diagnostic evaluations, therapy protocols, timing, coordination with surgery, and management of anatomical abnormalities.

resultsFifteen statements reached consensus. Key recommendations included prompt referral to pelvic floor physical therapy for patients without contraindications, individualized therapy based on appropriate diagnostic evaluation and patient goals, timing of pelvic floor physical therapy relative to surgery, and trauma-informed patient care. LIMITATIONS: Recommendations primarily reflect expert consensus due to limited high-quality evidence. Variability in practitioner expertise and geographic access to trained therapists are barriers to consistent implementation.

conclusionsThese recommendations provide structured guidance for integrating pelvic floor physical therapy into the management of obstructed defecation syndrome and rectal prolapse. Additional research and standardized training are essential to optimize patient outcomes.

Indexed as

ConstipationPelvic Organ ProlapsePhysical Therapy ModalitiesRectal ProlapseFemaleHumansPelvic FloorSyndromeObstructed defecationPelvic floor disordersPelvic floor physical therapyPelvic organ prolapseRectal prolapse

Identifiers

PMID41677816

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.