Related Experiment Videos
[Anorectal asynchronism. Clinical, manometric and therapeutic data]
I Sielezneff1, J C Sarles, B Sastre
1Service de Chirurgie générale et digestive, Hôpital Sainte-Marguerite, Marseille.
Presse Medicale (Paris, France : 1983)
|November 26, 1994
Summary
Anorectal asynchronism, a cause of constipation, is effectively diagnosed using manometry and defecography. Biofeedback therapy offers a high success rate for treating this condition.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pelvic Floor Disorders
Context:
- Anorectal asynchronism is an underdiagnosed cause of chronic constipation.
- Associated conditions include pelvic floor trauma and urinary incontinence.
- Diagnosis relies on clinical evaluation and instrumental findings.
Purpose:
- To describe the clinical and instrumental findings in patients with anorectal asynchronism.
- To evaluate the efficacy of biofeedback therapy for anorectal asynchronism.
- To identify potential predictors of treatment success.
Summary:
- Manometry revealed paradoxical puborectalis contraction during attempted defecation.
- Defecography showed excessive puborectalis muscle contraction and incomplete rectal evacuation in most patients.
- Biofeedback training achieved an 88.9% cure rate, with 5-6 sessions typically required.
Impact:
- Manometry and defecography provide reliable diagnostic tools for anorectal asynchronism.
- Biofeedback therapy is a highly effective treatment, leading to significant symptom improvement.
- Early diagnosis and treatment can improve quality of life for patients with functional constipation.