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Is digitation associated with proctographic abnormality?

S Halligan1, C I Bartram

  • 1Department of Radiology, St. Mark's Hospital, London, UK.

International Journal of Colorectal Disease
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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Many constipated patients use digital maneuvers to aid defecation. Vaginal digital maneuvers correlate with rectoceles, while anal digital maneuvers suggest anismus and prolonged evacuation.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Constipation is a common condition impacting quality of life.
  • Digital maneuvers are often used by patients to facilitate bowel movements.
  • The association between digital maneuvers and specific proctographic findings requires further investigation.

Purpose of the Study:

  • To determine the frequency of digital maneuvers in constipated patients undergoing evacuation proctography.
  • To investigate the relationship between digital maneuvers (vaginal vs. anal) and proctographic findings.
  • To identify specific proctographic features associated with digital assistance for defecation.

Main Methods:

  • A cohort of constipated patients referred for evacuation proctography were surveyed regarding digital maneuver use.

Related Experiment Videos

  • Proctographic findings were compared between patients who used digital maneuvers (vaginal or anal) and those who did not.
  • Key parameters analyzed included pelvic floor descent, anal canal width, anorectal angle, rectocele characteristics, evacuation time, and anismus diagnosis.

    • Main Results:

    • Seventy-one percent of interviewed patients admitted to using digital maneuvers.
    • Patients digitating per vagina showed significantly greater rectocele depth and area compared to non-digitating or per-anal digitating groups.
    • Patients digitating per anum exhibited prolonged evacuation times and a higher incidence of anismus diagnosis.

    Conclusions:

    • Digital maneuvers are frequently employed by constipated individuals seeking to evacuate.
    • Vaginal digital assistance is significantly associated with larger anterior rectoceles.
    • Anal digital maneuvers correlate with prolonged evacuation and suggest a diagnosis of anismus.