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Related Experiment Videos

Obstructed defaecation.

D Bartolo, A Roe

    British Journal of Hospital Medicine
    |April 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Obstructed defecation, often linked to perineal descent, can cause straining and sphincter damage but not necessarily incontinence. Evacuation proctography helps diagnose and guide treatment for obstructive constipation when simple methods fail.

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    Area of Science:

    • Colorectal surgery
    • Gastroenterology
    • Pelvic floor disorders

    Background:

    • Obstructed defecation is a prevalent anorectal condition.
    • It is frequently, though not always, associated with perineal descent.
    • Excessive straining during bowel movements can lead to external sphincter neuropathy.

    Purpose of the Study:

    • To summarize the relationship between obstructed defecation, perineal descent, and incontinence.
    • To highlight the role of evacuation proctography in managing obstructive constipation.

    Main Methods:

    • Review of clinical presentations of obstructed defecation.
    • Discussion of the pathophysiology linking straining, neuropathy, and incontinence.
    • Emphasis on the diagnostic utility of evacuation proctography.

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    Main Results:

    • Obstructed defecation and perineal descent are common findings.
    • External sphincter neuropathy from straining does not invariably cause incontinence.
    • Evacuation proctography is crucial for identifying causes of obstructive constipation.

    Conclusions:

    • Simple measures may not resolve obstructed defecation.
    • Evacuation proctography is essential for accurate diagnosis and targeted treatment planning.
    • Understanding the pathophysiology aids in managing this condition effectively.