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Updated: Feb 1, 2026

Assessment and Communication for People with Disorders of Consciousness
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[Defecation disorder].

Charlène Brochard1

  • 1Service explorations fonctionnelles digestives, service des maladies de l'appareil digestif, unité de proctologie, hôpital Pontchaillou, CHU de Rennes, France.

La Revue Du Praticien
|December 5, 2018
PubMed
Summary

Outlet constipation, a common defecation disorder, significantly impacts quality of life. Management focuses on functional disorders like anismus and pelvic floor issues, prioritizing medical treatment and biofeedback before considering surgery.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Defecation disorders, particularly outlet constipation, are prevalent and affect patient quality of life.
  • Outlet constipation is frequently linked to slow transit constipation.
  • Etiologies are typically functional, including anismus and pelvic floor disorders, after excluding organic causes.

Purpose of the Study:

  • To review the management of outlet constipation.
  • To emphasize the correlation between clinical data and investigation findings.
  • To outline first-line treatments and indications for surgical intervention.

Main Methods:

  • Review of clinical data and complementary investigations for outlet constipation.
  • Correlation of investigation anomalies with patient symptoms.
Keywords:
Troubles de l’évacuation du rectumTroubles fonctionnels ano-rectaux

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  • Evaluation of management strategies including medical treatment, biofeedback, and surgery.

    • Main Results:

    • Functional disorders are the primary cause of outlet constipation.
    • Clinical data and symptom correlation are crucial for diagnosis.
    • Medical treatment and biofeedback are effective first-line interventions.

    Conclusions:

    • Management of outlet constipation requires careful consideration of clinical data and investigation results.
    • First-line management includes medical therapy and biofeedback reeducation.
    • Surgical intervention for outlet constipation necessitates thorough preliminary evaluation.