Obstructed defaecation: What is the role of rehabilitation?

Colorectal Disease

Volumn 14, Issue 4, 2012, Pages 474-479

  Pucciani, F ^a   Reggioli, M ^a   Ringressi, M N ^a  

^a UNIVERSITY OF FLORENCE   (Italy)

Author keywords

Anorectal manometry; Biofeedback; Multimodal rehabilitation programme; Obstructed defaecation; Rehabilitation

Indexed keywords

ADULT; AGED; ANORECTAL PRESSURE; ARTICLE; CLINICAL ARTICLE; CLINICAL EVALUATION; CONTROLLED STUDY; CORRELATIONAL STUDY; DEFECATION DISORDER; DEFECOGRAPHY; FEMALE; HUMAN; MALE; OBSTRUCTED DEFECATION; OBSTRUCTED DEFECATION SYNDROME SCORE; PATIENT CODING; PELVIS SURGERY; PRIORITY JOURNAL; SCORING SYSTEM;

ADULT; AGED; ANAL CANAL; BIOFEEDBACK, PSYCHOLOGY; COMBINED MODALITY THERAPY; CONSTIPATION; ELECTRIC STIMULATION THERAPY; ENEMA; EXERCISE THERAPY; FEMALE; HUMANS; MALE; MANOMETRY; MIDDLE AGED; PROSPECTIVE STUDIES; RECTUM; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 84855198232     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/j.1463-1318.2011.02644.x     Document Type: Article

References (16)

1. Bartolo D, Roe A. Obstructed defaecation. Br J Hosp Med 1986; 35: 228-36.
2. Khaikin M, Wexner SD. Treatment strategies in obstructed defecation and fecal incontinence. World J Gastroenterol 2006; 28: 3168-73.
3. Andromanakos N, Skandalakis P, Troupis T, Filippou D. Constipation of anorectal outlet obstruction: pathophysiology, evaluation and management. J Gastroenterol Hepatol 2006; 21: 638-46.
4. Camilleri M, Bharucha AE. Behavioural and new pharmacological treatments for constipation: getting the balance right. Gut 2010; 59: 1288-96.
5. Pucciani F, Rottoli ML, Bologna A et al. Pelvic floor dyssynergia and bimodal rehabilitation: results of combined pelviperineal kinesitherapy and biofeedback training. Int J Colorectal Dis 1998; 13: 124-30.
6. Chiarioni G, Whitehead WE, Pezza V, Morelli A, Bassotti G. Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia. Gastroenterology 2006; 130: 657-64.
7. Heymen S, Scarlett Y, Jones K, Ringel Y, Drossman D, Whitehead WE. Randomized controlled trial shows biofeedback to be superior to alternative treatments for patients with pelvic floor dyssynergia-type constipation. Dis Colon Rectum 2007; 50: 428-41.
8. Enck P, Van Der Voort IR, Klosterhalfen S. Biofeedback therapy in fecal incontinence and constipation. Neurogastroenterol Motil 2009; 21: 1133-41.
9. Suttor VP, Prott GM, Hansen RD, Kellow JE, Malcolm A. Evidence for pelvic floor dyssynergia in patients with irritable bowel syndrome. Dis Colon Rectum 2010; 53: 156-60.
10. Lau CW, Haymen 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: 478-82.
11. Bharucha AE, Wald A, Enck P, Rao S. Functional anorectal disorders. Gastroenterology 2006; 130: 1510-8.
12. Bump RC, Mattiasson A, Bö K et al. The standardization of terminology of female pelvic floor dysfunction. Am J Obstet Gynecol 1996; 175: 10-7.
13. Altomare DF, Spazzafumo L, Rinaldi M, Dodi G, Ghiselli R, Piloni V. Set-up and statistical validation of a new scoring system for obstructed defaecation syndrome. Colorectal Dis 2008; 10: 84-8.
14. Pucciani F, Rottoli ML, Bologna A et al. Anterior rectocele and anorectal dysfunction. Int J Colorectal Dis 1996; 11: 1-9.
15. Martelli H, Devroede G, Arhan P, Duguay C, Dornic C, Faverdin C. Some parameters of large bowel motility in normal man. Gastroenterology 1978; 75: 612-8.
16. Piloni V, Genovesi N, Grassi R, Lazzini S, Pieri L, Pomerri F. National working team report on defecography [article in Italian]. Radiol Med 1993; 85: 784-93.