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[Clinical examination in dyschesia].

M Prudhomme¹

¹Service de Chirurgie Digestive et Cancérologie Digestive, Groupe Hospitalo-Universitaire Carémeau, Place du Professeur-Robert-Debré, 30029 Nîmes cedex 9, France. michel.prudhomme@chu-nimes.fr

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie

|December 9, 2009

Summary

Obstructed defecation syndrome (ODS) involves difficulty defecating, often caused by rectocele or intussusception. Clinical exams and scoring help diagnose severity and assess treatment outcomes for ODS.

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Area of Science:

Gastroenterology
Colorectal Surgery
Pelvic Floor Disorders

Context:

Obstructed defecation syndrome (ODS), characterized by difficult defecation with straining, significantly impacts quality of life.
Key anatomical causes include rectocele (anterior vaginal wall bulge) and intussusception (bowel telescoping).
Accurate diagnosis is crucial for effective management.

Purpose:

To outline the clinical presentation and diagnostic approaches for obstructed defecation syndrome (ODS).
To highlight the role of digital maneuvers and specific examinations in identifying the causes of ODS.
To emphasize the utility of ODS scoring systems for severity assessment and therapeutic evaluation.

Summary:

Dyschesia, or ODS, presents as defecatory difficulty, primarily due to rectocele or intussusception.
Digital maneuvers during clinical examination are essential for diagnosis, differentiating conditions like anterior colpocele from rectocele.
Clinical examination for intussusception is less definitive, underscoring the need for objective scoring.

Impact:

Improved diagnostic accuracy for ODS, leading to more targeted and effective treatments.
Standardized ODS scoring provides a quantifiable measure for tracking patient progress and treatment efficacy.
Enhanced understanding of ODS pathophysiology aids in developing novel therapeutic strategies.