Significance of defecography and the role of rectocele in constipated patients

Bozkurt, Mehmet Abdussamet; Sürek, Ahmet; Gönenç, Murat; Kalaycı, Mustafa; Alış, Halil

doi:10.4236/ojgas.2012.22009

Cited by 2 publications

(2 citation statements)

References 32 publications

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“…The clinical scenario is generally accompanied with rectal intussusception and rectocele in patients indicated to have discoordinated muscle function in anal manometry [ 15 ]. One of the main questions that our study aims to answer is whether rectocele, the incidence of which reaches 80% in the general population [ 16 ], plays a role in the etiology of outlet obstruction or if it occurs as a result of outlet obstruction. However, our manometrical examinations showed no statistically significant correlation between rectocele and sphincter pressures, which implies that the presence of rectocele in these patients is an indicator of pathology independent of muscle function besides the outlet obstruction.…”

Section: Discussionmentioning

confidence: 99%

Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation

Büyükaşık¹,

Bozkurt

Kapan

et al. 2020

Ann Coloproctol

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Constipation is a common entity in society with various factors in the etiology. In this study, we evaluated the role of anal sphincter pressure of patients who refer to surgery clinic with complaint of constipation. Methods: Sixty patients who refer to surgery clinic with complaint of constipation and were diagnosed with constipation due to Rome III criteria between July 2010 and September 2014. These patients were evaluated with defecography and were divided into two groups based on presence of rectocele. Both groups' anal sphincter pressures were evaluated using anal manometry and findings were compared. Results: The patients with rectocele and without rectocele using defecography were inspected with anal manometry regarding resting tone pressure, squeeze pressure, maximum squeeze pressure and simulated defecation response pressure, first sensation volume, urge sensation volume and maximum tolerable volume. Results were compared and no significant difference was found regarding groups with rectocele and without rectocele (P˃0.05). Conclusion: We have proved the hypothesis arguing that increased sphincter pressures do not play a role in the formation of rectocele by inducing an obstruction and the formation of dilation in proximal bowel, and demonstrated that the presence of rectocele is not dependent on an increase in sphincter pressures

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Section: Discussionmentioning

confidence: 99%

Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation

Büyükaşık¹,

Bozkurt

Kapan

et al. 2020

Ann Coloproctol

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“…Fluoroscopic DP is an investigation that provides dynamic imaging of the anorectal junction, pelvic floor descent, evacuation time and completeness, rectocele trapping of contrast, intra-anal intussusception, external prolapse and enterocele [5,6]. DP facilitates classification into clinical groups: pelvic floor dyssynergia; rectocele dysfunction; intussusception and prolapse; enterocele.…”

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confidence: 99%

The influence of defaecating proctograms on clinical decision‐making in pelvic floor disorders

et al. 2023

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AimDefaecating proctogram (DP) studies have become an integral part of the evaluation of patients with pelvic floor disorders. However, their impact on treatment decision‐making remains unclear. The aim of this study was to assess the concordance of decision‐making by colorectal surgeons and the role of the DP in this process.MethodFour colorectal surgeons were presented with online surveys containing the complete history, examination and investigations of 106 de‐identified pelvic floor patients who had received one of three treatment options: physiotherapy only, anterior Delorme's procedure or anterior mesh rectopexy. The survey assessed the management decisions made by each of the surgeons for the three treatments both before and after the addition of the DP to the diagnostic work‐up.ResultsAfter the addition of the DP results; treatment choice changed in 219 (52%) of 424 surgical decisions and interrater agreement improved significantly from κ = 0.26 to κ = 0.39. Three of the four surgeons reported a significant increase in confidence. Agreement with the actual treatments patients received increased from κ = 0.21 to κ = 0.28. Intra‐anal rectal prolapse on DP was a significant predictor of a decision to perform anterior mesh rectopexy.ConclusionThe DP improves interclinician agreement in the management of pelvic floor disorders and enhances the confidence in treatment decisions. Intra‐anal rectal prolapse was the most influential DP parameter in treatment decision‐making.

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Significance of defecography and the role of rectocele in constipated patients

Cited by 2 publications

References 32 publications

Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation

Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation

The influence of defaecating proctograms on clinical decision‐making in pelvic floor disorders

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