MR Defecography in Assessing Functional Defecation Disorder: Diagnostic Value of the Defecation Phase in Detection of Dyssynergic Defecation and Pelvic Floor Prolapse in Females

Digestion ◽  
2019 ◽  
Vol 100 (2) ◽  
pp. 109-116 ◽  
Author(s):  
Min Li ◽  
Tao Jiang ◽  
Peng Peng ◽  
Xinqing Yang
Keyword(s):  
Pelvic Floor ◽  
Diagnostic Value ◽  
Mr Defecography ◽  
Dyssynergic Defecation ◽  
Pelvic Floor Prolapse ◽  
Defecation Disorder

scholarly journals MR defecography in patients with dyssynergic defecation: spectrum of imaging findings and diagnostic value

2011 ◽  
Vol 84 (998) ◽  
pp. 136-144 ◽  
Author(s):  
C S Reiner ◽  
R Tutuian ◽  
A E Solopova ◽  
D Pohl ◽  
B Marincek ◽  
...  
Keyword(s):  
Diagnostic Value ◽  
Imaging Findings ◽  
Mr Defecography ◽  
Dyssynergic Defecation

Benefit of Pelvic Floor Physical Therapy in Pediatric Patients with Dyssynergic Defecation Constipation

2019 ◽  
Vol 37 (6) ◽  
pp. 478-485 ◽  
Author(s):  
Claire Zar-Kessler ◽  
Braden Kuo ◽  
Elizabeth Cole ◽  
Anna Benedix ◽  
Jaime Belkind-Gerson
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Chronic Constipation ◽  
Muscle Tone ◽  
Colonic Surgery ◽  
Tertiary Referral Center ◽  
Dyssynergic Defecation ◽  
Pelvic Floor Physical Therapy ◽  
Novel Treatment ◽  
Balloon Expulsion

Objectives: Chronic constipation is a common childhood problem and often caused or worsened by abnormal dynamics of defecation. The aim of this study was to assess the benefit of pelvic floor physical therapy (PFPT), a novel treatment in pediatrics for the treatment of chronic constipation with dyssynergic defecation. Methods: This was a retrospective study of 69 children seen at a pediatric neurogastroenterology program of a large tertiary referral center for chronic constipation and dyssynergic defecation, determined by anorectal manometry and balloon expulsion testing. We compared the clinical outcome of patients who underwent PFPT (n = 49) to control patients (n = 20) whom received only medical treatment (laxatives/stool softeners). Additionally, characteristics of the treatment group were analyzed in relation to therapeutic response. Results: Thirty-seven (76%) of the patients who received physical therapy had improvement in constipation symptoms, compared to 5 (25%) of the patients on conservative treatment (p < 0.01). Additionally, patients who received pelvic physical therapy had fewer hospitalizations for cleanouts (4 vs. 25%, p = 0.01) and ­colonic surgery than those that were treated with medical therapy exclusively (0 vs. 10%, p = 0.03). Among the patients who received physical therapy, those that suffered from anxiety and/or low muscle tone had a higher response rate (100%). There were no adverse effects from the intervention. Conclusion: The new field of pediatric PFPT is a safe and effective intervention for children with dyssynergic defecation causing or contributing to chronic constipation, particularly in children whose comorbidities include anxiety and low ­muscle tone.

How to define pathologic pelvic floor descent in MR defecography during defecation?

2018 ◽  
Vol 43 (12) ◽  
pp. 3233-3240 ◽  
Author(s):  
Khoschy Schawkat ◽  
Henriette Heinrich ◽  
Helen L. Parker ◽  
Borna K. Barth ◽  
Rishi P. Mathew ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Mr Defecography ◽  
Pelvic Floor Descent

Studies on Accurate Differentiation of Dyssynergic Defecation Patients from Normal Subjects Based on Abnormal Anorectal Angle in MR Defecography

2021 ◽  
pp. 28-37
Author(s):  
Afsaneh Nikjooy ◽  
Nader Maroufi ◽  
Esmaeil Ebrahimi ◽  
Homayoun Hadizadeh Kharazi ◽  
Bahar Mahjoubi ◽  
...  
Keyword(s):  
Normal Subjects ◽  
Anorectal Angle ◽  
Mr Defecography ◽  
Dyssynergic Defecation
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