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Clin Colon Rectal Surg 2005; 18(2): 85-95
DOI: 10.1055/s-2005-870889
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Treatment of Obstructed Defecation

C. Neal Ellis1
  • 1Department of Surgery, University of South Alabama, Mobile, Alabama
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Publikationsdatum:
24. Mai 2005 (online)

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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