Pelvic floor rehabilitation after rectal cancer surgery. A multicenter randomized clinical trial (FORCE Trial).
van der Heijden JAG, Kalkdijk-Dijkstra AJ, Pierie JPEN, van Westreenen HL, Broens PMA, Klarenbeek BR, et al on behalf of the FORCE trial group.
Ann Surg 2022; 276: 38-45.
Overall, a course of pelvic floor rehabilitation did not improve continence compared to usual care (Wexner score) in this study that included 128 patients. However, several subgroups were identified that did benefit: those with urgency and moderate incontinence postoperatively.
Comment: This sounds like valuable research for patients with a troublesome problem. More research into the subgroups that may benefit is indicated.
19 September 2022