Biofeedback-guided pelvic floor exercise therapy for obstructive defecation: An effective alternative

Table 2 Wexner Constipation Score system[23] (Minimum score 0; maximum score 30)[24]

Frequency of bowel movements	Score
1-2 times per 1-2 d	0
2 times per week	1
Once per week	2
Less than once per week	3
Less than once per month	4
Difficulty: painful evacuation effort	Score
Never	0
Rarely	1
Sometimes	2
Usually	3
Always	4
Completeness: (feeling incomplete evacuation)	Score
Never	0
Rarely	1
Sometimes	2
Usually	3
Always	4
Failure: (unsuccessful attempts at evacuation per 24 h)	Score
Never	0
1-3	1
3-6	2
6-9	3
More than 9	4
Pain: abdominal	Score
Never	0
Rarely	1
Sometimes	2
Usually	3
Always	4
Time: minutes in lavatory per attempt	Score
Less than 5	0
5-10	1
10-20	2
20-30	3
More than 30	4
History: duration of constipation (yr)	Score
0	0
1-5	1
5-10	2
10-20	3
More than 20	4
Assistance: type of assistance	Score
Without assistance	0
Stimulant laxatives	1
Digital assistance/enema	2