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Clin Colon Rectal Surg 2005; 18(2): 85-95
DOI: 10.1055/s-2005-870889
DOI: 10.1055/s-2005-870889
Treatment of Obstructed Defecation
Further Information
Publication History
Publication Date:
24 May 2005 (online)
ABSTRACT
Obstructed defecation is a common problem that adversely affects the quality of life for many patients. Known causes of obstructed defecation include pelvic dyssynergy, rectocele, rectal intussusception, enterocele, pelvic organ prolapse, and overt rectal prolapse. Management of this condition requires an understanding of urinary, defecatory, and sexual function to achieve optimal outcomes. The goal of surgical treatment is to restore the various pelvic organs to their appropriate anatomic positions. However, there is a poor correlation between anatomic and functional results. It must be remembered that the pelvis contains many structures and that defects of pelvic support or function frequently affect other pelvic organs. Optimal outcomes can be achieved only by selecting appropriate treatment modalities that address all of the components of an individual patient's problem.
KEYWORDS
Rectocele - pelvic dyssynergy - biofeedback - enterocele - rectal prolapse
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C. Neal EllisM.D.
Department of Surgery, University of South Alabama
2451 Fillingim St., Mastin Bldg. 706
Mobile, AL 36617
Email: nellis@usouthal.edu