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Related Experiment Videos

Dynamic rectal examination: its significant clinical value

T G Wiersma1, C J Mulder, J W Reeders

  • 1Dept. of Radiology and Gastroenterology, Rijnstate Hospital, Arnhem, The Netherlands.

Endoscopy
|August 1, 1997
PubMed
Summary
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Dynamic rectal examination (DRE) effectively diagnoses enteroceles and intussusceptions. Measurements of anorectal angles and pelvic floor movement are not clinically indicated, though anterior rectoceles in women require digital vaginal support for defecation.

Area of Science:

  • Gastroenterology
  • Radiology
  • Pelvic Floor Disorders

Background:

  • Dynamic rectal examination (DRE) is a radiological technique used in defecography.
  • Routine opacification of the small bowel and vagina during DRE provides additional anatomical information.

Purpose of the Study:

  • To correlate clinical symptoms with radiological findings from DRE.
  • To evaluate the clinical relevance of specific DRE measurements and anatomical changes.

Main Methods:

  • Prospective study of 248 patients and 14 controls.
  • Assessed anorectal angle, anorectal junction position, pelvic floor movement, rectoceles, enteroceles, and intussusceptions via DRE.

Main Results:

  • No clinical indication for measuring central/posterior anorectal angles, perineal ascent/descent, or anorectal junction level.

Related Experiment Videos

  • Anterior rectoceles are common in females but clinically relevant only when digital vaginal support is needed for defecation.
  • DRE is sensitive for diagnosing enteroceles and intussusceptions.

    • Conclusions:

    • Specific DRE measurements lack clinical utility.
    • Anterior rectoceles in females have limited clinical significance without defecation support needs.
    • DRE is a valuable tool for identifying enteroceles and intussusceptions.