Clin Colon Rectal Surg 2021; 34(01): 049-055
DOI: 10.1055/s-0040-1714286
Review Article

Pelvic Floor Nonrelaxation: Approach to Evaluation and Treatment

Jennifer A. Kaplan
1  Virginia Mason Medical Center, Seattle, Washington
Vlad V. Simianu
1  Virginia Mason Medical Center, Seattle, Washington
› Author Affiliations


Dyssynergic defecation can be a complex, burdensome condition. A multidisciplinary approach to these patients is often indicated based on concomitant pathology or symptomatology across the pelvic organs. Escalating treatment options should be based on shared decision making and include medical and lifestyle optimization, pelvic floor physical therapy with biofeedback, Botox injection, sacral neuromodulation, rectal irrigation, and surgical diversion.


Authors have nothing to disclose.

Publication History

Publication Date:
04 September 2020 (online)

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