Treatment of obstructed defecation

Clinics in Colon and Rectal Surgery

Volumn 18, Issue 2, 2005, Pages 85-95

  Ellis, C Neal ^a  

^a UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE   (United States)

Author keywords

Biofeedback; Enterocele; Pelvic dyssynergy; Rectal prolapse; Rectocele

Indexed keywords

BOTULINUM TOXIN;

DEFECATION; DEFECATION DISORDER; ENTEROCELE; FECES INCONTINENCE; FEEDBACK SYSTEM; FUNCTIONAL ANATOMY; HUMAN; OBSTRUCTED DEFECATION; PELVIC DISEASE; PELVIC DYSSYNERGY; QUALITY OF LIFE; RECTOCELE; RECTUM PROLAPSE; REVIEW; SEXUAL FUNCTION; SURGICAL ANATOMY; TREATMENT OUTCOME;

EID: 19944366965     PISSN: 15310043     EISSN: None     Source Type: Journal    
DOI: 10.1055/s-2005-870889     Document Type: Review

References (129)

1. Snooks SJ, Setchell M, Swash M, Henry MM. Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet 1988;2:546-550
2. Sultan AH, Monga AK, Stanton SL. The pelvic floor sequelae of childbirth. Br J Hosp Med 1996;55:575-579
3. DeLancey JOL. Anatomic aspects of vaginal eversion after vaginal hysterectomy. Am J Obstet Gynecol 1992;166:1717-1724
4. Peschers UM, Schaer GN, DeLancey JOL, Schuessler B. Levator ani function before and after childbirth. Br J Obstet Gynaecol 1997;104:1004-1008
5. Gill EJ, Hurt WG. Pathophysiology of pelvic organ prolapse. Obstet Gynecol Clin North Am 1998;25:757-769
6. Norton PA, Baker JE, Sharp HC, Warenski JC. Genitourinary prolapse and joint hypermobility in women. Obstet Gynecol 1995;85:225-228
7. Smith AR. Role of connective tissue and muscle in pelvic floor dysfunction. Curr Opin Obstet Gynecol 1994;6:317-319
8. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89:501-506
9. Preston DM, Lennard-Jones JE. Anismus in chronic constipation. Dig Dis Sci 1985;30:413-418
10. Wald A, Caruana BJ, Freimanis MG, Bauman DH, Hinds JP. Contributions of evacuation proctography and anorectal manometry to the evaluation of adults with constipation and defecatory difficulty. Dig Dis Sci 1990;35:481-487
11. Kuijpers HC, Bleijenberg G. The spastic pelvic floor syndrome: a cause of constipation. Dis Colon Rectum 1985;28:669-672
12. Roberts JP, Womack NR, Hallan RI, Thorpe AC, Williams NS. Evidence from dynamic integrated proctography to redefine anismus. Br J Surg 1992;79:1213-1215
13. Fleshman JW, Dreznik Z, Cohen E, Fry RD, Kodner IJ. Balloon expulsion test facilitates diagnosis of pelvic floor outlet obstruction due to nonrelaxing puborectalis muscle. Dis Colon Rectum 1992;35:1019-1025
14. Whitehead WE, Wald A, Diamant NE, Enck P, Pemberton JH, Rao SS. Functional disorders of the anus and rectum. Gut 1999;45(suppl 2):II55-II59
15. Lau CW, Heyman S, Alabaz O, Iroatulam AJ, Wexner SD. Prognostic significance of rectocele, intussusception, and abnormal perineal descent in biofeedback treatment for constipated patients with paradoxical puborectalis contraction. Dis Colon Rectum 2000;43:478-482
16. Enck P. Biofeedback training in disordered defecation: a critical review. Dig Dis Sci 1993;38:1953-1960
17. Rao SS, Enck P, Loening-Baucke V. Biofeedback therapy for defecation disorders. Dig Dis Sci 1997;15(suppl 1): 78-92
18. Diamant NE, Kamm MA, Wald A, Whitehead WE. AGA technical review on anorectal testing techniques. Gastroenterology 1999;116:735-760
19. Gilliland R, Heymen S, Altomere DF, Park UC, Vickers D, Wexner SD. Outcome and predictors of success of biofeedback for constipation. Br J Surg 1997;84:1123-1126
20. Chiotakakou-Faliakou E, Kamm MA, Roy AJ, Storrie JB, Turner IC. Biofeedback provides long term benefit for patients with intractable, slow and normal transit constipation. Gut 1998;42:517-521
21. Dahl J, Lindquist BL, Tysk C, Leissner P, Philipson L, Jarnerot G. Behavioral medicine treatment in chronic constipation with paradoxical anal sphincter contraction. Dis Colon Rectum 1991;34:769-776
22. Rao SS. The technical aspects of biofeedback therapy for defecation disorders. J Clin Gastroenterol 2000;6:96-103
23. Heymen S, Jones KR, Scarlett Y, Whitehead WE. Biofeedback treatment of constipation. A critical review. Dis Colon Rectum 2003;46:1208-1217
24. Sailer M, Bussen D, Debus ES, Fuchs KS, Thiede A. Quality of life in patients with benign anorectal disorders. Br J Surg 1998;85:1716-1719
25. Heymen S, Wexner SD, Gulledge AD. MMPI assessment of patients with functional bowel disorders. Dis Colon Rectum 1993;36:593-596
26. Nehra V, Bruce B, Rath-Harvey DM, Pemberton JH, Camilleri M. Psychological disorders in patients with evacuation disorders and constipation in a tertiary practice. Am J Gastroenterol 2000;95:1755-1758
27. Dykes S, Smilgin-Humphries S, Bass C. Chronic idiopathic constipation: a psychological enquiry. Eur J Gastroenterol Hepatol 2001;13:39-44
28. Koutsomanis D, Lennard-Jones JE, Roy AJ, Kamm MA. Controlled randomized trial of visual biofeedback versus muscle training without a visual display for intractable constipation. Gut 1995;37:95-99
29. Jones KR, Heymen S, Whitehead WE. Biofeedback for anorectal disorders. In: Drutz HP, Hershorn S, Diamant NE, eds. Urogynaecology and Reconstructive Pelvic Surgery. London: Springer-Verlag, 2003:313-325
30. McKee RF, McEnroe L, Anderson JH, Finlay IG. Identification of patients likely to benefit from biofeedback for outlet obstruction constipation. Br J Surg 1999;86:355-359
31. Rhee PL, Choi MS, Kim YH. An increased rectal maximum tolerable volume and long anal canal are associated with poor short-term response to biofeedback therapy for patients with anismus with decreased bowel frequency and normal colonie transit time. Dis Colon Rectum 2000;43:1405-1411
32. Karlbom U, Hallden M, Eeg-Olofsson KE, Pahlman L, Graf W. Results of biofeedback in constipated patients: a prospective study. Dis Colon Rectum 1997;40:1149-1155
33. Rao SS, Welcher KD, Pelsing RE. Effects of biofeedback on anorectal function in obstructed defecation. Dig Dis Sci 1997;42:2197-2205
34. Patankar SK, Ferrara A, Levy JR, Larach SW, Williamson PR, Perozo SE. Biofeedback in colorectal practice: a multicenter, statewide, three-year experience. Dis Colon Rectum 1997;40:827-831
35. Glia A, Glyin M, Gullberg K, Lindberg G. Biofeedback retraining in patients with functional constipation and paradoxical puborectalis contraction: comparison of anal manometry and sphincter electromyography for feedback. Dis Colon Rectum 1997;40:889-895
36. Ho YH, Tan M, Goh HS. Clinical and physiological effects of biofeedback in outlet obstruction constipation. Dis Colon Rectum 1996;39:520-524
37. Joo JS, Agachan F, Wolff B, Nogueras JJ, Wexner SD. Initial North American experience with botulinum toxin type A for the treatment of anismus. Dis Colon Rectum 1996;39:1107-1111
38. Hallan RI, Williams NS, Melling J, Waldron DJ, Womack NR, Morrison JFB. Treatment of anismus in intractable constipation with botulinum. Lancet 1988;2:714-717
39. Yu DH, Cui FD. Surgical treatment of puborectalis syndrome. J Pract Surg 1990;10:1599-1600
40. Barnes PRH, Hawley PR, Preston DM, Lennard-Jones JE. Experience of posterior division of the puborectalis muscle in the management of chronic constipation. Br J Surg 1985;72: 475-477
41. Kamm MA, Hawley PR, Lennard-Jones JE. Lateral division of the puborectalis muscle in the management of severe constipation. Br J Surg 1988;75:661-663
42. Richardson AC. The anatomic defects in rectocele and enterocele. J Pelvic Surg 1995;1:214-221
43. Bartolo DC, Roe AM, Virjee J, Mortensen NJ, Locke-Edmunds JC. An analysis of rectal morphology in obstructed defecation. Int J Colorectal Dis 1988;3:17-22
44. Turnbull GK, Bartram CI, Lennard-Jones JE. Radiologic studies of rectal evacuation in adults with chronic constipation. Dis Colon Rectum 1988;31:190-197
45. Sarles JC, Arnaud A, Selezneff I, Olivier S. Endorectal repair of rectocele. Int J Colorectal Dis 1989;4:167-171
46. Pfeifer J, Agachan F, Wexner SD. Surgery for constipation: a review. Dis Colon Rectum 1996;39:444-460
47. Arnold MW, Stewart WRC, Aguilar PS. Rectocele repair: a four year's experience. Dis Colon Rectum 1990;33:684-687
48. Sehapayak S. Transrectal repair of rectocele: an extended armamentarium of colorectal surgeons. Dis Colon Rectum 1985;28:422-433
49. van Dam JH, Huisman WM, Hop WCJ, Schouten WR. Fecal continence after rectocele repair: a prospective study. Int J Colorectal Dis 2000;15:54-57
50. Ayabaca SM, Zbar AP, Pescatori M. Anal continence after rectocele repair. Dis Colon Rectum 2002;45:63-69
51. Ting KH, Mangel E, Eibl-Eibesfeldt B, Muller-Lissner SA. Is the volume retained after defecation a valuable parameter at defecography? Dis Colon Rectum 1992;35:762-768
52. Halligan S, Bartram CI. Is barium trapping in rectoceles significant? Dis Colon Rectum 1995;38:764-768
53. Infantino A, Masin A, Melega E, Dodi G, Lise M. Does surgery resolve outlet obstruction for rectocele? Int J Colorectal Dis 1995;10:97-100
54. Mellgren A, Anzen B, Nilsson BY, et al. Results of rectocele repair. A prospective study. Dis Colon Rectum 1995;38: 7-13
55. Murthy VK, Orkin BA, Smith LE, Glassman LM. Excellent outcome using selective criteria for rectocele repair. Dis Colon Rectum 1996;39:374-378
56. Karlbom U, Graf W, Nilsson S, Pahlman L. Does surgical repair of a rectocele improve rectal emptying? Dis Colon Rectum 1996;39:1296-1302
57. van Dam JH, Ginai AZ, Gosselink MJ, et al. Role of defecography in predicting clinical outcome of rectocele repair. Dis Colon Rectum 1997;40:201-207
58. Tjandra JJ, Ooi BS, Tang CL, Dwyer P, Carey M. Transanal repair of rectocele corrects obstructed defecation if it is not associated with anismus. Dis Colon Rectum 1999;42:1544-1550
59. Janssen LW, van Dijke CF. Selection criteria for anterior rectal wall repair in symptomatic rectocele and anterior rectal wall prolapse. Dis Colon Rectum 1994;37:1100-1107
60. van Dam JH, Hop WJC, Schouten WR. Analysis of patients with poor outcome of rectocele repair. Dis Colon Rectum 2000;43:1556-1560
61. Jeffcoate TN. Posterior colpoperineorrhaphy. Am J Obstet Gynecol 1959;77:490-502
62. Kahn MA, Stanton SI. Posterior colporrhaphy: its effects on bowel and sexual function. Br J Obstet Gynaecol 1997;104: 82-86
63. Glavind K, Madsen H. A prospective study of the discrete fascial defect rectocele repair. Acta Obstet Gynecol Scand 2000;79:145-147
64. Kenton K, Shott S, Brubaker L. Outcome after rectovaginal fascia reattachment for rectocele. Am J Obstet Gynecol 1999;181:1360-1364
65. Porter WE, Steele A, Walsh P, Kohli N, Karram MM. The anatomic and functional outcomes of defect-specific rectocele repairs. Am J Obstet Gynecol 1999;181:1353-1359
66. Cundiff GW, Weidner AC, Visco AG, Addison WA, Bump RC. An anatomic and functional assessment of the discrete defect rectocele repair. Am J Obstet Gynecol 1998;179: 1451-1457
67. Kahn MA, Stanton SL. Techniques of rectocele repair and their effects on bowel function. Int Urogynecol J 1998;9:37-47
68. Ryhammer AM, Laurberg S, Sorenson FH. Effects of age on anal function in normal women. Int J Colorectal Dis 1997; 12:225-229
69. Zbar AP, Lienemann A, Fritsch H, Beer-Gabel M, Pescatori M. Rectocele: pathogenesis and management. Int J Colorectal Dis 2003;18:369-384
70. Khubchandani IT, Hakki AR, Sheets JA, Stasik JJ. Endorectal repair of rectocele. Dis Colon Rectum 1983;26: 792-796
71. Kahn MA, Stanton SL, Kumar DA. Randomized prospective trial of posterior colporrhaphy vs transanal repair of rectocele: preliminary findings. Int Urogynecol J 1997;8: 246-247
72. Pitchford CA. Rectocele: a cause of anorectal pathological changes in women. Dis Colon Rectum 1967;10:464-466
73. Sullivan ES, Leaverton GH, Hardwick CE. Transrectal perineal repair: an adjunct to improved function after anorectal surgery. Dis Colon Rectum 1968;11:106-114
74. Khubchandani IT, Clancy JP, Rosen L, Riether RD, Stasik JJ. Endorectal repair of a rectocele revisited. Br J Surg 1997;84:89-91
75. Ho YH, Ang M, Nyam D, Tan M, Seow-Choen F. Transanal approach to rectocele may compromise anal sphincter pressures. Dis Colon Rectum 1998;41:354-358
76. Schouten WR, Gordon PH. Constipation. In: Gordon PH, Nivatvongs S, eds. Principles and Practice of Surgery for the Colon, Rectum, and Anus. St. Louis: Quality Medical Publishing; 1999:1214-1218
77. Ellis CN. Anterior levatoroplasty for the treatment of chronic anterior anal fissures in women with an associated rectocele. Dis Colon Rectum 2004;47:1170-1174
78. Jansen LW, van Dijke CF. Selection criteria for anterior rectal wall repair in symptomatic rectocele and anterior rectal wall prolapse. Dis Colon Rectum 1994;37:1100-1107
79. van Laarhoven CJ, Kamm MA, Bartram CI, Halligan S, Hawley PR, Phillips RK. Relationship between anatomic and symptomatic long-term results after rectocele repair for impaired defecation. Dis Colon Rectum 1999;42:204-210
80. Block IR. Transrectal repair of a rectocele using an obliterative suture. Dis Colon Rectum 1986;29:707-711
81. Maurel J, Gignoux M. Surgical treatment of supralevator rectoceles. Value of transanal excision with automatic linear stapler. Ann Chir 1993;47:326-330
82. Boccasanta P, Venturi M, Salamina G, Cesana BM, Bernasconi F, Roviaro G. New trends in the surgical treatment of outlet obstruction: clinical and functional results of two novel transanal stapled techniques from a randomized controlled trial. Int J Colorectal Dis 2004;19: 359-369
83. Boccasanta P, Venturi M, Stuto A, et al. Stapled transrectal rectal resection for outlet obstruction: a prospective multicenter trial. Dis Colon Rectum 2004;47:1285-1297
84. Watson SJ, Loder PB, Halligan S, Bartram CI, Kamm MA, Philips RK. Transperineal repair of symptomatic rectocele with Marlex mesh: a clinical, physiological, and radiological assessment of treatment. J Am Coll Surg 1996;183:257-261
85. Hoffman MJ, Kodner IJ, Fry RD. Internal intussusception of the rectum. Diagnosis and surgical management. Dis Colon Rectum 1984;27:435-441
86. Mellgren A, Schultz I, Johansson C, Dolk A. Internal rectal intussusception seldom develops into total rectal prolapse. Dis Colon Rectum 1997;40:817-820
87. Freimanis MG, Wald A, Caruana B, Bauman DH. Evacuation proctography in normal volunteers. Invest Radiol 1991;26:581-585
88. Shorvon PJ, McHugh S, Diamant NE, Somers S, Stevenson G. Defecography in normal volunteers: results and implications. Gut 1989;30:1737-1749
89. van Tets WF, Kuijpers JHC. Internal intussusception-fact or fancy? Dis Colon Rectum 1995;38:1080-1083
90. Brown AJ, Anderson JH, McKee RF, Finlay IG. Surgery for occult rectal prolapse. Colorect Dis 2004;6:176-179
91. Kelvin FM, Maglinte DD, Benson JT. Evacuation proctography (defecography): an aid to the investigation of pelvic floor disorders. Obstet Gynecol 1994;83:307-314
92. Farouk R, Duthie GS, MacGregor AB, Bartolo DC. Rectoanal inhibition and incontinence in patients with rectal prolapse. Br J Surg 1994;81:743-746
93. Briel JW, Schouten WR, Boerma MO. Long term results of suture rectopexy in patients with fecal incontinence associated with incomplete rectal prolapse. Dis Colon Rectum 1997;40:1228-1232
94. Rutter KRP. Solitary rectal ulcer syndrome; its relation to mucosal prolapse. Clin Gastroenterol 1975;4:505-530
95. Goei R, Baeten C, Arends JW. Solitary rectal ulcer syndrome. Findings at barium enema study and defecography. Radiology 1988;168:303-306
96. Kuijpers HC, Shreve RH, ten Cate Hoedemakers H. Diagnosis of functional disorders of defecation causing the solitary rectal ulcer syndrome. Dis Colon Rectum 1986;29: 126-129
97. Halligan S, Nicholls RJ, Bartram CI. Evacuation proctography in patients with solitary rectal ulcer syndrome: anatomic abnormalities and frequency of impaired emptying and prolapse. AJR Am J Roentgenol 1995;164:91-95
98. Tjandra JJ, Fazio VW, Church JM, Lavery IC, Oakley JR, Milsom JW. Clinical conundrum of solitary rectal ulcer. Dis Colon Rectum 1992;35:227-234
99. Binnie NR, Papachrysostoman M, Clare N, Smith AN. Solitary rectal ulcer: the place of biofeedback and surgery in the treatment of the syndrome. World J Surg 1992;16:836-840
100. Halligan S, Nicholls RJ, Bartram CI. Proctographic changes after rectopexy for solitary rectal ulcer syndrome and preoperative predictive factors for a successful outcome. Br J Surg 1995;82:314-317
101. Berman IR, Harris MS, Rabler MR. Delorme's transrectal excision for internal rectal prolapse. Patient selection, technique and three year follow-up. Dis Colon Rectum 1990;33:573-580
102. Christensen J, Zhu BW, Rasmussen OO, Sorensen M. Internal rectal intussusception: results of surgical repair. Dis Colon Rectum 1992;35:1026-1029
103. Sielezneff I, Malouf A, Cesari J, Brunet C, Sarles JC, Sastre B. Selection criteria for internal rectal prolapse repair by Delorme's transrectal excision. Dis Colon Rectum 1999;42: 367-372
104. Graf W, Karlbom U, Pahlman L, Nilsson S, Ejerblad S. Functional results after abdominal suture rectopexy for rectal prolapse or intussusception. Eur J Surg 1996;162:905-911
105. McCue JL, Thomson JPS. Rectopexy for internal rectal intussusception. Br J Surg 1990;77:632-634
106. Mellgren A, Bremmer S, Johnansson C, et al. Defecography-results of investigation in 2816 patients. Dis Colon Rectum 1994;37:1133-1141
107. Mellgren A, Johansson C, Dolk A, et al. Enterocele demonstrated by defecography is associated with other pelvic floor disorders. Int J Colorectal Dis 1994;9:121-124
108. Tulikangas PK, Piedmonte MR, Weber AM. Functional and anatomic follow-up of enterocele repairs. Obstet Gynecol 2001;98:265-268
109. Kobashi KC, Leach GE. Pelvic prolapse. J Urol 2000;164: 1879-1890
110. Vanbeckevoort D, Van Hoe L, Oyen R, Ponette E, De Ridder D, Deprest J. Pelvic floor descent in females: comparative study of colpocystodefecography and dynamic fast MR imaging. J Magn Reson Imaging 1999;9:373-380
111. Wiskind AK, Creighton SM, Stanton SL. The incidence of genital prolapse after the Burch colposuspension. Am J Obstet Gynecol 1992;167:399-404
112. Chaliha C, Stanton SL. Complications of surgery for genuine stress incontinence. Br J Obstet Gynaecol 1999; 106:1238-1245
113. Zimmern PE, Leach GE, Ganabathi K. The urological aspects of vaginal vault prolapse. Diagnosis and surgical aspects. AUA Update Series 1993;XII:193-212
114. Timmons MC, Addison WA, Addison SB, Cavenar MG. Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele. J Reprod Med 1992;37:323-327
115. Leach GE, Zimmern P, Staskin D, et al. Surgery for pelvic prolapse. Semin Urol 1986;4:43-50
116. Benson JT, Lucente V, McClellan E. Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 1996;175: 1418-1422
117. Miklos JR, Kohli N, Lucente V, Saye WB. Site-specific fascial defects in the diagnosis and surgical management of enterocele. Am J Obstet Gynecol 1998;179:1418-1423
118. Gosselink MJ, van Dam JH, Huisman WM, Ginai AZ, Schouten WR. Treatment of enterocele by obliteration of the pelvic inlet. Dis Colon Rectum 1999;42:940-944
119. Jean F, Tanneau Y, LeBlanc-Louvry I, Leroi AM, Denis P, Michot F. Treatment of enterocele by abdominal colporectosacropexy-efficacy on pelvic pressure. Colorect Dis 2002;4:321-326
120. Mellgren A, Dolk A, Johansson C, Bremmer S, Anzen B, Holmstrom B. Enterocele is correctable using the Ripstein rectopexy. Dis Colon Rectum 1994;37:800-804
121. Oettle GJ, Roe AM, Bartolo DC, Mortensen NJ. What is the best way of measuring perineal descent? A comparison of radiological and clinical methods. Br J Surg 1985;72:999-1001
122. Lubowski DZ, Jones PN, Swash M, Henry MM. Asymmetric pudendal nerve damage in pelvic floor disorders. Int J Colorectal Dis 1988;3:158-160
123. Sullivan ES, Longaker CJ, Lee PYH. Total pelvic mesh repair: a ten year experience. Dis Colon Rectum 2001;44: 857-863
124. Lahr SJ, Lahr CJ, Srinivasan A, Clerico ET, Limehouse VM, Serbezov IK. Operative management of severe constipation. Am Surg 1999;65:1117-1121
125. Welgoss JA, Vogt VY, McClellan EJ, Benson JT. Relationship between surgically induced neuropathy and outcome of pelvic organ prolapse surgery. Int Urogynecol J 1999;10: 11-14
126. Benson JT, McClellan E. The effect of vaginal dissection on the pudendal nerve. Obstet Gynecol 1993;82:387-389
127. Benson JT. Defect approach to pelvic organ prolapse surgery. In: Stanton SL, Zimmern PE, eds. Female Pelvic Reconstructive Surgery. London: Springer-Verlag; 2003: 365-368
128. Silvis R, Gooszen HG, Kahraman T, et al. Novel approach to combined defaecation and micturition disorders with rectovaginovesicopexy. Br J Surg 1998;85:813-817
129. Iglesia CB, Fenner D, Brubaker I. The use of mesh in gynecologic surgery. Int Urogynecol J 1997;8:105-115