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[Obstructive defecation. Diagnostic methods and treatment]
Juan García-Armengol1, David Moro, María Dolores Ruiz
1Unidad de Coloproctología, Servicio de Cirugía General y Digestiva, Hospital de Sagunto, Puerto de Sagunto, 46182 La Cañada-Paterna, Valencia, Spain. JGARMENGOL@msn.com
Cirugia Espanola
|February 16, 2006
Summary
Obstructive defecation, common in functional constipation, stems from motility issues or pelvic floor disorders. Diagnosis involves various tests, with treatments ranging from conservative to surgical.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pelvic Floor Disorders
Context:
- Functional constipation affects roughly 50% of patients.
- Obstructive defecation is a key symptom.
- It is linked to intestinal motility and pelvic floor dysfunction.
Purpose:
- To review the causes of obstructive defecation in functional constipation.
- To discuss diagnostic methods.
- To outline treatment options, including surgical interventions.
Summary:
- Obstructive defecation is prevalent in functional constipation, arising from slow intestinal transit or pelvic floor disorders.
- These disorders include anatomical changes (e.g., rectocele) or functional issues (e.g., anismus).
- Diagnostic tools range from clinical evaluation to specialized tests like proctography and manometry. Treatment strategies encompass conservative measures and surgical options.
Impact:
- Provides a comprehensive overview of obstructive defecation in functional constipation.
- Aids clinicians in diagnosing and managing this complex condition.
- Highlights the importance of understanding pelvic floor dynamics in constipation management.