*urinary symptoms include nocturia, hesitancy, strain to start stream/empty bladder, and weak or prolonged stream (58 patients)
# Patients who are aware of anal sphincter contraction during BM were more likely to have RED (+) LR 2.8, whereas those who are unaware of sphincter contraction are less likely to have RED (−) LR 0.1 (83 patients) @ Dyssynergia overall: 2 of 4 criteria during simulated defecation: inability to contract abdominal muscles, inability to relax anal sphincter, paradoxical anal contraction, absent perineal descent
PR = puborectalis muscle