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Related Experiment Videos

Functional analysis of anorectal junction: defecography.

D L Choi1, O Ekberg

  • 1Department of Diagnostic Radiology, University of Lund, Malmö General Hospital, Sweden.

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|January 1, 1988
PubMed
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Defecography reveals common pelvic floor dysfunctions in patients with defecation issues, including internal procidentia and anorectal junction abnormalities. Many patients exhibit multiple, co-occurring dysfunctions.

Area of Science:

  • Gastroenterology
  • Pelvic Floor Imaging
  • Colorectal Surgery

Background:

  • Defecation complaints often stem from complex pelvic floor dysfunctions.
  • Standard colon examinations may not identify the underlying causes of these complaints.

Purpose of the Study:

  • To analyze defecography findings in patients presenting with defecation complaints.
  • To identify the prevalence of specific pelvic floor dysfunctions.

Main Methods:

  • Retrospective analysis of radiograms and videotape recordings from 32 defecography examinations.
  • Patients were examined in an upright position using barium contrast medium.
  • All patients had normal double contrast colon examinations prior to defecography.

Main Results:

Related Experiment Videos

  • Internal procidentia was observed in 20 patients (62.5%).
  • Enterocele (9 patients, 28.1%) and proctocele (10 patients, 31.3%) were also identified.
  • Anorectal junction opening defects, attributed to puborectal sling incoordination, were present in 15 patients (46.9%).
  • Most patients presented with multiple, concomitant pelvic floor dysfunctions.

Conclusions:

  • Defecography is valuable for diagnosing pelvic floor dysfunctions in patients with unexplained defecation complaints.
  • Internal procidentia and puborectal sling incoordination are frequent findings.
  • The presence of multiple dysfunctions highlights the complexity of defecation disorders.