Successful treatment of a patient with obstructed defecation syndrome

Czech version

Authors: M. Stefanová ¹; J. Martínek ¹; M. Dudek ²; J. Frydrych ³; M. Zavoral ¹
Authors‘ workplace: Interní klinika 1. LF UK a ÚVN Praha ¹; Chirurgické oddělení Nemocnice Jablonec nad Nisou ²; Radiodiagnostické oddělení Nemocnice Jablonec nad Nisou ³
Published in: Gastroent Hepatol 2012; 66(4): 273-275
Category: Clinical and Experimental Gastroenterology: Case Report

Overview

Obstructed defecation syndrome is a relatively common cause of constipation and most frequently occurs in elderly women. This syndrome is caused by various anatomical changes including rectocele, enterocele and intrarectal intussusception which block spontaneous defecation. The case report describes the diagnosis of obstructed defecation syndrome using dynamic defecography and also a successful combination of surgery and physiotherapy.

Key words:
constipation – obstructed defecation syndrome – defecography

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
28. 6. 2012

Accepted:
8. 8. 2012

Sources

1. Varma MG, Hart SL, Brown JS et al. Obstructive defecation in middle aged women. Dig Dis Sci 2008; 53(10): 2702–2709.

2. Manning J, Korda A, Benness C et al. The association of obstructive defecation, lower urinary tract dysfunction and the benign joint hypermobility syndrome: a case-control study. Int Urogynecol J Pelvic Floor Dysfunct 2003; 14(2): 128–132.

3. Zhang B, Ding JH, Yin SH et al. Stapled transanal rectal resection for obstructed defecation syndrome associated with rectocele and rectal intussusceptionWorld J Gastroenterol 2010; 16(20): 2542–2548.

4. Papachrysostomou M, Smith AN. Effects of biofeedback on obstructive defecation – reconditioning of the defecation reflex? Gut 1994; 35(2): 252–256.