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Related Experiment Videos

[Anorectal dyschezia. Megarectum].

J Boix-Ochoa, J M Casasa, J M Gil-Vernet

    Annales De Gastroenterologie Et D'Hepatologie
    |May 1, 1984
    PubMed
    Summary

    Anorectal dyschezia, a defecation disorder, can be congenital or acquired. Forced anal dilatation is an effective treatment for both types, particularly when conservative measures fail in acquired cases.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Anorectal dyschezia results from impaired coordination between defecation forces and anal relaxation.
    • It presents as two types: congenital (Hirschsprung's disease) and acquired (due to anal pain).

    Purpose of the Study:

    • To evaluate the efficacy of forced anal dilatation as a treatment for anorectal dyschezia.
    • To compare outcomes between congenital and acquired forms of the condition.

    Main Methods:

    • Retrospective analysis of 255 patients diagnosed with anorectal dyschezia.
    • Treatment involved either conservative medical management or forced anal dilatation.

    Main Results:

    • Congenital cases (17) showed good outcomes with forced dilatation in 14 instances.
    • Acquired cases (238) were initially treated medically; 23 unresponsive patients underwent forced dilatation, achieving remission in 20.

    Conclusions:

    • Forced anal dilatation is a primary treatment for anorectal dyschezia, superseding sphincterotomy.
    • It offers a high success rate for both congenital and acquired forms, especially when medical management is insufficient.

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