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Can we predict symptoms’ improvement in patients with obstructive defaecation syndrome from initial assessment? Kuinas K1, Ferrari L1, Williams A1, Darakhshan A1, Schizas A1 1. Guy's and St Thomas' NHS foundation Trust KEYWORDS: Bowel Evacuation Dysfunction, Pelvic Floor, Retrospective Study Obstructive defaecation syndrome (ODS) includes a spectrum of abnormal evacuation symptoms such as straining, incomplete emptying, repetitive toilets visit. ODS primarily develop via maladaptive pelvic floor coordination during defaecation. Anatomical abnormalities (such as pelvic floor descent and rectocoeles) can coexist and being primary or secondary to this. In terms of patients’ management, conservative approach should be the first line management while surgery might indicated only when anatomical defects are present and patients haven’t achieved satisfactory improvements. The aim of the study was to review our cohort of patients presenting with ODS and establish predictors of success for ODS treatment, based on initial assessment using demographic, validated questionnaires and tests. Read the full abstract text here: https://www.ics.org/2020/abstract/71