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Functional anorectal disorders

W E Whitehead1

  • 1University of North Carolina at Chapel Hill, Division of Digestive Diseases 27599-7080, USA.

Seminars in Gastrointestinal Disease
|October 1, 1996
PubMed
Summary
This summary is machine-generated.

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Functional anorectal disorders like fecal incontinence and constipation are common. Treatments vary, with biofeedback showing promise for pelvic floor dyssynergia, while pain conditions remain poorly understood.

Area of Science:

  • Gastroenterology
  • Pelvic Floor Disorders

Background:

  • Functional anorectal disorders are prevalent yet poorly understood.
  • These include functional fecal incontinence, pelvic floor dyssynergia-type constipation, levator ani syndrome, and proctalgia fugax.

Purpose of the Study:

  • To review the characteristics and management of common functional anorectal disorders.
  • To highlight current treatment efficacies and knowledge gaps.

Main Methods:

  • Literature review of functional anorectal disorders.
  • Analysis of diagnostic criteria and treatment outcomes.

Main Results:

  • Fecal incontinence can be linked to constipation or diarrhea, with distinct treatment approaches.
  • Biofeedback is effective for pelvic floor dyssynergia in approximately two-thirds of patients.

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  • Levator ani syndrome and proctalgia fugax are painful conditions with unknown causes and unproven treatments.

    • Conclusions:

    • Management strategies for functional fecal incontinence and constipation vary based on etiology.
    • Biofeedback offers a viable treatment for pelvic floor dyssynergia.
    • Further research is needed for the painful functional anorectal disorders.