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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.

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