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[Female dyschesia, functional associations and pelvic disorders]
J Vilotte1, M Merrouche, I Sobhani
1Service d'Hépato-Gastroentérologie, Groupe hospitalier Bichat-Claude Bernard, Paris.
Presse Medicale (Paris, France : 1983)
|May 21, 1994
Summary
Female dyschesia is complex, often linked to urinary and genital tract issues. A thorough pelvic exam is crucial for effective treatment of defecation disorders in women.
Area of Science:
- Gynecology
- Urology
- Gastroenterology
Background:
- Defecation disorders (dyschezia) in women are often studied in isolation.
- Existing methods overlook the interconnectedness of anorectal, genital, and urinary systems.
Purpose of the Study:
- To investigate the impact of urinary and genital anomalies on female dyschezia.
- To highlight the necessity of a global approach in evaluating anorectal disorders.
Main Methods:
- Prospective study of 50 female patients with dyschezia.
- Detailed history, physical examination, and rectocolpocystogram.
- Assessment included surgical history, pregnancies, and defecation scoring.
Main Results:
- Urinary incontinence was prevalent in 80% of patients.
- Anatomical anomalies were identified in 92% via rectocolpocystogram.
- Associated conditions included cervicocystoptosis (72%), hysteroptosis (50%), and rectocele (66%).
Conclusions:
- Female dyschezia is multifactorial, involving urinary, genital, and anorectal anatomy.
- Comprehensive pelvic and perineal evaluation is essential for diagnosis and treatment.
- Integrated management strategies are recommended for complex cases.