Rectal akinesia as a new cause of impaired defecation

2000 ◽  
Vol 43 (11) ◽  
pp. 1545-1549 ◽  
Author(s):  
Jean-Luc Faucheron ◽  
Alain Dubreuil
Keyword(s):  
Impaired Defecation

Treatment of impaired defecation associated with rectocele by behavioral retraining (biofeedback)

2000 ◽  
Vol 43 (9) ◽  
pp. 1267-1272 ◽  
Author(s):  
Toshiki Mimura ◽  
Amanda J. Roy ◽  
Julie B. Storrie ◽  
Michael A. Kamm
Keyword(s):  
Impaired Defecation

Value of anorectal manometry in patients with impaired defecation

2009 ◽  
Vol 47 (05) ◽  
Author(s):  
Á Király ◽  
L Nagy ◽  
C Weninger ◽  
A Illés
Keyword(s):  
Anorectal Manometry ◽  
Impaired Defecation

Relationship between anatomic and symptomatic long-term results after rectocele repair for impaired defecation

1999 ◽  
Vol 42 (2) ◽  
pp. 204-210 ◽  
Author(s):  
C. J. H. M. Van Laarhoven ◽  
M. A. Kamm ◽  
C. I. Bartram ◽  
S. Halligan ◽  
P. R. Hawley ◽  
...  
Keyword(s):  
Long Term Results ◽  
Rectocele Repair ◽  
Impaired Defecation

Defecography in contemporary coloproctological diagnostics

Nowa Medycyna ◽  
2018 ◽  
Vol 25 (4) ◽  
Author(s):  
Monika Popiel
Keyword(s):  
Surgical Intervention ◽  
Interdisciplinary Approach ◽  
Diagnostic Techniques ◽  
Function Evaluation ◽  
Anorectal Angle ◽  
X Ray ◽  
Haemorrhoidal Disease ◽  
Surgical Access ◽  
Pelvic Imaging ◽  
Impaired Defecation

Evacuatory difficulty is a common problem covering a large spectrum of disorders, from constipation to faecal incontinence. In addition to a visit to a surgeon-proctologist, the diagnosis of impaired defecation often requires urological and gynaecological evaluation. Many pathologies causing evacuatory difficulty, such as full thickness rectal prolapse, reduced sphincter tone and haemorrhoidal disease, can be detected by clinicians already at the stage of physical examination. A large group of pathologies may be detected using standard diagnostic techniques such as colonoscopy and pelvic imaging, e.g. computed tomography, magnetic resonance, and transabdominal/transrectal/transvaginal ultrasonography. However, certain abnormalities are only visible during functional pelvic examination. These include rectocele, sigmoidocele, enterocele, internal intussusception, cystocele, and spastic pelvic floor syndrome. Defecography is guided by either X-ray or MRI. Pelvic function may be also assessed using transperineal ultrasonography. Defecography involves 4 phases: rest, forced contraction, strain, and defecation. The anorectal angle and, in the case of MRI, the PCL line (which is a reference point for most measurements), are determined in order to evaluate the position and mobility of pelvic organs. Pelvic function evaluation helps differentiate patients with evacuatory difficulties requiring surgical intervention from those who need conservative treatment (exercises, electrostimulation). Furthermore, it helps choose an appropriate technique and surgical access, as well as select patients requiring a more interdisciplinary approach.

Sign in / Sign up

Export Citation Format

Share Document