Rectal intussusception and external rectal prolapse are common at proctography in patients with mucus discharge

Tsunoda, Akira; Takahashi, Tomoko; Yagi, Yuma; Kusanagi, Hiroshi

doi:10.23922/jarc.2018-003

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…AI improvement in patients with no associated disorders is understandable upon considering the symptoms of associated disorders. Rectoanal intussusception and/or rectocele and mucosal prolapse are known causes of FI and/ or mucus discharge [11][12][13], and those with such disorders may obviously not experience a significant improvement in the AI after discontinuing bidet use. Other associated factors including the cauda equina syndrome, rectal carcinoma, and previous anorectal surgeries may also cause AI.…”

Section: Discussionmentioning

confidence: 99%

A Retrospective Investigation on Electric Bidet Use as a Possible Cause of Anal Incontinence

Tsunoda

Kusanagi

2021

J Anus Rectum Colon

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Objectives: The present study aimed to explore whether symptoms of anal incontinence (AI) in patients who used electric bidet toilets to clean the anus may improve after discontinuing bidet use. Methods: Fifty-three patients with AI who habitually used the bidets before or after defecation and were examined between June 2019 and September 2020 were included in this retrospective study. Questionnaires on Likert-scaled items that assessed bidet use were administered at baseline. The sum of all points was regarded as the “bidet use score”. The patients were instructed to discontinue bidets until subsequent examination. Incontinence severity was documented using the fecal incontinence severity index (FISI) score. Results: Follow-up data were available for 49 patients (92%). Of those, 43 had fecal incontinence and 6 had only mucus discharge at baseline. The median duration between the baseline and follow-up was 4 weeks. The median FISI score was significantly reduced at the follow-up [baseline vs. follow-up: 15 (range: 3-43) vs. 10 (range: 0-43); P < 0.0001]. The incidence of fecal incontinence was significantly lower at the follow-up than at the baseline (59% vs. 88%, P = 0.003). A higher maximum squeeze pressure and the absence of associated factors that may cause AI (such as rectoanal intussusception and/or rectocele, mucosal prolapse, and previous anorectal surgery) were significantly associated with a reduction of at least 50% in the FISI scores at follow-up; however, this was not observed for the bidet use score. Conclusions: Our findings suggest that electric bidet use is a possible cause of AI.

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Section: Discussionmentioning

confidence: 99%

A Retrospective Investigation on Electric Bidet Use as a Possible Cause of Anal Incontinence

Tsunoda

Kusanagi

2021

J Anus Rectum Colon

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“…If it's performed under general anaesthesia, the gynaecological position is preferred, differently the lateral decubitus or four-legged position it's possible with a combined vaginal and rectal evaluation performed in dorsal decubitus. The classification of rectal prolapse is based on the Oxford classification, which comprises five grades (Table 1) [16].…”

Section: Clinical Findings and Diagnosismentioning

confidence: 99%

Surgical Treatment of Rectal Prolapse: Preoperative Evaluation and Surgical Options

Cipolat Mis,

Vinson-Bonnet,

d’Alessandro

et al. 2024

Anorectal Disorders - From Diagnosis to Treatment

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Rectal prolapse is a debilitating medical condition known to significantly compromise an individual’s quality of life. Optimal management typically entails trans-abdominal minimally invasive surgical interventions, particularly when performed with stringent adherence to appropriate indications. Such surgical interventions hold the potential to ameliorate patients’ symptoms and enhance their overall quality of life. A prerequisite for the successful execution of these surgical procedures is a comprehensive preoperative assessment, encompassing a thorough analysis of rectal and anal functionality. This essential evaluation serves as a crucial determinant in achieving optimal surgical outcomes. Moreover, due to the frequent concurrence of anterior prolapse with urinary and gynaecologic dysfunctions, a multidisciplinary assessment becomes imperative. A multidisciplinary discussion involving various medical specialties is pivotal in guiding treatment decisions. In conclusion, a meticulous preoperative assessment is paramount in selecting the most suitable surgical approach, thereby facilitating an enhancement in the patient’s quality of life.

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MR Defecating Proctography with Emphasis on Posterior Compartment Disorders

Revels¹,

Mansoori²,

Fadl³

et al. 2023

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Rectal intussusception and external rectal prolapse are common at proctography in patients with mucus discharge

Cited by 3 publications

References 15 publications

A Retrospective Investigation on Electric Bidet Use as a Possible Cause of Anal Incontinence

A Retrospective Investigation on Electric Bidet Use as a Possible Cause of Anal Incontinence

Surgical Treatment of Rectal Prolapse: Preoperative Evaluation and Surgical Options

MR Defecating Proctography with Emphasis on Posterior Compartment Disorders

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