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Title: Pelvic floor symptoms, physical, and psychological outcomes of patients following surgery for colorectal cancer.
Austin Authors: Lin, Kuan-Yin;Denehy, Linda;Frawley, Helena C;Wilson, Lisa;Granger, Catherine L 
Affiliation: Institute for Breathing and Sleep
Department of Physiotherapy, School of Health Sciences, University of Melbourne, Melbourne, Australia
Department of General Surgery, The Royal Melbourne Hospital, Melbourne, Victoria, Australia
Department of Physiotherapy, Royal Melbourne Hospital, Melbourne, Australia
Centre for Allied Health Research and Education, Cabrini Health, Melbourne, Australia
Physiotherapy, School of Allied Health, La Trobe University, Melbourne, Australia
Issue Date: Jun-2018
Date: 2018-01-08
Publication information: Physiotherapy theory and practice 2018; 34(6): 442-452.
Abstract: Little has been published regarding general and pelvic floor-related health status in patients who have undergone surgery for colorectal cancer (CRC). The objective of the study was to assess changes in pelvic floor symptoms, physical activity levels, psychological status, and health-related quality of life (HRQoL) in patients with CRC from pre- to 6 months postoperatively. Pelvic floor symptoms, physical activity levels, anxiety and depression, and HRQoL of 30 participants who were undergoing surgery for stages I-III CRC were evaluated pre- and 6 months postoperatively. Six months postoperatively, there were no significant changes in severity of pelvic floor symptoms, or other secondary outcomes (physical activity levels, depression, global HRQoL) compared to preoperative levels (p > 0.05). However, fecal incontinence (p = 0.03) and hair loss (p = 0.003) measured with the HRQoL instrument were significantly worse. Participants were engaged in low levels of physical activity before (42.3%) and after surgery (47.4%). The findings of a high percentage of participants with persistent low physical activity levels and worse bowel symptoms after CRC surgery compared to preoperative levels suggest the need for health-care professionals to provide information about the benefits of physical activity and bowel management at postoperative follow-ups. Further investigation in larger studies is warranted.
DOI: 10.1080/09593985.2017.1422165
ORCID: 0000-0002-2902-3156
Journal: Physiotherapy theory and practice
PubMed URL: 29308963
PubMed URL:
Type: Journal Article
Subjects: Colorectal neoplasms
pelvic floor
physical activity
quality of life
Appears in Collections:Journal articles

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