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Defecatory Dysfunction.

Erin C Crosby1, Katherine E Husk1

  • 1Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, Albany Medical College, 391 Myrtle Avenue, Suite 200, Albany, NY 12208, USA.

Obstetrics and Gynecology Clinics of North America
|August 21, 2021
PubMed
Summary
This summary is machine-generated.

Defecatory dysfunction involves issues with the complex process of normal bowel movements. Evaluation and management range from lifestyle changes to physical therapy and surgery, depending on the cause.

Keywords:
Abnormal defecationChronic constipationDefecatory dysfunctionObstructed defecation

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Area of Science:

  • Gastroenterology
  • Pelvic Floor Physiology

Background:

  • Normal defecation is a complex physiological process.
  • Alterations in this process are termed defecatory dysfunction.
  • This dysfunction encompasses various disorders like constipation and outlet obstruction.

Purpose of the Study:

  • To outline the evaluation and management of defecatory dysfunction.
  • To highlight the key anatomical structures involved in defecation.

Main Methods:

  • Clinical evaluation including history and physical examination.
  • Diagnostic testing such as colonoscopy, colonic transit studies, defecography, and anorectal manometry.
  • Assessment of underlying etiology for tailored management.

Main Results:

  • Defecatory dysfunction presents as a spectrum of disorders.
  • A comprehensive evaluation is crucial for accurate diagnosis.
  • Management strategies are etiology-dependent.

Conclusions:

  • Defecatory dysfunction requires a systematic approach for diagnosis and treatment.
  • Treatment options are diverse, ranging from conservative to surgical interventions.
  • Understanding the physiology of defecation is key to managing these disorders.