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Functional Constipation and Obstructed Defecation
Mary T O'Donnell1, Sarah M Haviland2
1Department of General Surgery Walter Reed National Military Medical Center, Colon and Rectal Surgery Division, 8901 Rockville Pike, Bethesda, MD 20889, USA.
The Surgical Clinics of North America
|April 27, 2024
Summary
Constipation involves slow colonic movement or defecation issues, including functional constipation (FC) and obstructed defecation (OD). Differentiating these conditions is key for effective, multidisciplinary treatment strategies.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pelvic Floor Therapy
Background:
- Constipation is defined by decreased colonic motility or defecation difficulty.
- It can manifest as functional constipation (FC), colonic inertia, obstructed defecation (OD), or irritable bowel syndrome-constipation type (IBS-CS).
Purpose of the Study:
- To outline the diagnostic and management approach for functional constipation and obstructed defecation.
- To emphasize the importance of differentiating these conditions for targeted therapy.
Main Methods:
- Exclusion of IBS-constipation type (IBS-C).
- Multidisciplinary assessment involving various specialists.
- Clinical differentiation between FC and OD.
Main Results:
- Diagnosis and management of FC and OD necessitate a team approach.
- Specialists include nutritionists, pelvic floor therapists, urogynecologists, and colorectal surgeons.
- Accurate differentiation guides therapeutic interventions and prognostication.
Conclusions:
- Effective management of constipation subtypes like FC and OD requires a coordinated, multidisciplinary strategy.
- Distinguishing between FC and OD is crucial for optimizing patient outcomes.
- This approach improves the prognosis for complex defecation disorders.
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