Fig. 1.

Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) diagram. MDT Multidisciplinary Decision Team, IBSQ Irritable Bowel Syndrome Questionnaire, LVMR Laparoscopic Ventral Mesh Rectopexy, PAC-QOL Patient Assessment of Constipation Quality of Life questionnaire, PAC-SYM Patient Assessment of Constipation Symptoms Questionnaire, EQ-5D EuroQol Health Outcome measure, EQVAS EuroQol visual analogue scale, PHQ-9 Patient Health Questionnaire -9, GAD7 Generalized Anxiety Disorder Questionnaire, CC chronic constipation, BIPQ Brief Illness Perception Questionnaire, AE adverse events, ConMeds concomitant medications, V visit, POPQ Pelvic Organ Prolapse Quantification System, Rome IIIQ constipation questionnaire based on the Rome III criteria, CC-BRQ Behavioural Response to illness Questionnaire