Avaliação do ângulo ano-retal por meio de defecograma em voluntárias assintomáticas nulíparas e multíparas

Santos, José Eduardo Mourão; D'Ippólito, Giuseppe; Leme, Lígia Maria; Sañudo, Adriana; Shigueoka, David Carlos; Szejnfeld, Jacob

doi:10.1590/s0100-39842003000400007

Cited by 1 publication

(2 citation statements)

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“…That indicates, indirectly, that the methods employed correctly indicated the need for the examinations; that is, that the examinations were performed in individuals who were truly ill. Anterior rectocele was the diagnosis that was most prevalent in all of the patient subgroups, and we found that the changes of the pelvic floor were more related to multiple associated disorders, parity, and prior disease than to the age of the patient, as was also observed in the study conducted by Santos et al (17) .…”

Section: Discussionsupporting

confidence: 84%

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Defecography by digital radiography: experience in clinical practice

et al. 2016

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ObjectiveThe objective of this study was to profile patients who undergo defecography, by age and gender, as well as to describe the main imaging and diagnostic findings in this population.Materials and MethodsThis was a retrospective, descriptive study of 39 patients, conducted between January 2012 and February 2014. The patients were evaluated in terms of age, gender, and diagnosis. They were stratified by age, and continuous variables are expressed as mean ± standard deviation. All possible quantitative defecography variables were evaluated, including rectal evacuation, perineal descent, and measures of the anal canal.ResultsThe majority (95%) of the patients were female. Patient ages ranged from 18 to 82 years (mean age, 52 ± 13 years): 10 patients were under 40 years of age; 18 were between 40 and 60 years of age; and 11 were over 60 years of age. All 39 of the patients evaluated had abnormal radiological findings. The most prevalent diagnoses were rectocele (in 77%) and enterocele (in 38%). Less prevalent diagnoses were vaginal prolapse, uterine prolapse, and Meckel's diverticulum (in 2%, for all).ConclusionAlthough defecography is performed more often in women, both genders can benefit from the test. Defecography can be performed in order to detect complex disorders such as uterine and rectal prolapse, as well as to detect basic clinical conditions such as rectocele or enterocele.

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Section: Discussionsupporting

confidence: 84%

“…All of these diagnoses have a direct effect on patient quality of life. Unlike the physical examination, defecography allows early diagnosis of multiple dysfunctions of the pelvic floor, which completely changes the surgical approach (17) .…”

Section: Discussionmentioning

confidence: 99%