Show Summary Details
Page of

Conservative treatment of pelvic floor disorders 

Conservative treatment of pelvic floor disorders
Conservative treatment of pelvic floor disorders

Karen Nugent

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 05 August 2021

Chapter 7 suggests that it is generally good practice to manage pelvic floor patients initially by conservative means: those responding will avoid invasive intervention. Yet for some this approach will simply delay optimal surgical treatment. The challenge is to try and select patients who are unlikely to benefit from a conservative approach and offer early surgery. It remains unclear from biofeedback data if patient subsets do particularly well or badly. We generally recommend that biofeedback, which is very labour-intensive, is used empirically only if patients have mild symptoms or are less fit for surgery. All others should be fully worked up, including proctography. This will ensure that in the future patients are better stratified, and patients with clear-cut indications for surgery and relative contra-indications for biofeedback (e.g. unrecognized external rectal prolapse) are not overlooked.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.