Age- and Sex-related Differences in the Prevalence of Perianal Manual Compression Method Use and the Method's Clinical Effectiveness in Patients with Evacuation Difficulty

Objectives: The perianal manual compression method (PMCM) is a form of pelvic floor support used to facilitate defecation. Although PMCM is included in the Rome IV diagnostic criteria for functional constipation as a manual maneuver to facilitate defecation, it has rarely been investigated. This study aimed to investigate age- and sex-related differences in the prevalence of PMCM use and to evaluate its clinical effectiveness in patients with evacuation difficulty (ED).