Pelvic Floor Muscle Training effectively controls bowel symptoms after Total mesorectal excision for rectal cancer

Researchers from Belgium suggested in their study that pelvic floor muscle training can be used as an early, first-line treatment option for bowel symptoms as it helped in lower proportions and faster recovery post-surgery/stoma closure. The study results were published in the journal Annals of Surgery.  

Low anterior resection syndrome (LARS) is a common and frequently and significantly encountered bowel symptom in Total mesorectal excision (TME) for rectal cancer (RC) patients. Even though pelvic floor muscle training (PFMT) is recommended in noncancer populations for treating bowel symptoms, this was not thoroughly investigated in RC patients. Hence researchers from Belgium conducted a study to investigate PFMT effectiveness on LARS in patients after TME for RC. 

A multicenter, single-blind prospective randomized controlled trial was carried out by comparing PFMT intervention versus no PFMT for 1 month after TME/stoma closure. There were 50 patients in the intervention group and 54 patients in the control group. The primary endpoint was the proportion of participants with an improvement in the LARS category at 4 months. Secondary outcomes were continuous LARS scores, ColoRectal Functioning Outcome scores, Numeric Rating Scale scores, stool diary items, and Short Form 12 scores; all assessed at 1, 4, 6, and 12 months.