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Related Experiment Videos

Dynamic rectal examination (defecography)

T G Wiersma1, C J Mulder, J W Reeders

  • 1Department of Radiology, Rijnstate Hospital, Arnhem, The Netherlands.

Bailliere'S Clinical Gastroenterology
|December 1, 1994
PubMed
Summary
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Dynamic rectal examination (DRE) aids in diagnosing pelvic floor disorders by providing detailed anatomical and functional insights. This minimally invasive technique is valuable for identifying conditions like enteroceles, especially in post-hysterectomy patients.

Area of Science:

  • Gastroenterology and Radiology
  • Pelvic Floor Disorders
  • Anorectal Motility

Background:

  • Dynamic rectal examination (DRE) is an established technique for evaluating pelvic floor and anorectal motility.
  • It offers detailed anatomical information on rectal structure and function, including rectocele, enterocele, and intussusception.
  • The clinical utility and correlation of DRE findings with symptoms require further critical evaluation.

Purpose of the Study:

  • To prospectively evaluate the various aspects of dynamic rectal examination (DRE).
  • To assess the correlation between DRE findings and objective clinical symptoms.
  • To determine the overall clinical utility of DRE in diagnosing anorectal and pelvic floor disorders.

Main Methods:

  • A prospective, critical evaluation of dynamic rectal examination (DRE) techniques.

Related Experiment Videos

  • Use of semi-solid, malleable contrast medium for physiological rectal filling.
  • Mandatory vaginal opacification in female patients for anatomical assessment, with high acceptance rates.
  • Correlation of radiological findings with patient symptoms and complaints.

    • Main Results:

    • Dynamic rectal examination (DRE) provides sensitive and objective detection of enteroceles, particularly with small bowel and vaginal opacification.
    • Enteroceles were found more frequently in female patients with constipation who had undergone hysterectomy.
    • Unlike rectoceles, enteroceles may only become apparent with repeated straining after evacuation.

    Conclusions:

    • Dynamic rectal examination (DRE) is a valuable tool for assessing anorectal and pelvic floor disorders, offering unique anatomical detail.
    • The technique, especially with vaginal opacification, is effective for detecting enteroceles, with implications for post-hysterectomy patients.
    • Further studies are recommended to fully elucidate the clinical utility and pre/post-operative DRE in hysterectomy patients.