Medical and surgical management of pelvic floor disorders affecting defecation

American Journal of Gastroenterology

Volumn 107, Issue 11, 2012, Pages 1624-1633

  Schey, Ron ^a   Cromwell, John ^b   Rao, Satish S C ^c  

^a UNIVERSITY OF IOWA HOSPITALS AND CLINICS   (United States)

^b UNIVERSITY OF IOWA   (United States)

^c MEDICAL COLLEGE OF GEORGIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACTIVATED CARBON; DIAZEPAM; INTESTINE CONTRACTION STIMULATING AGENT; ISPAGULA; LAXATIVE; LINACLOTIDE; LUBIPROSTONE; MACROGOL; OSMOTIC LAXATIVE; PENTETATE INDIUM IN 111; PLACEBO; PRUCALOPRIDE; STOOL SOFTENER; UNCLASSIFIED DRUG;

ABDOMINAL SURGERY; ANOPLASTY; ANORECTAL PRESSURE; ANUS SPHINCTER; BALLOON EXPULSION TEST; BEHAVIOR THERAPY; CHRONIC CONSTIPATION; CLINICAL ASSESSMENT; COLON RESECTION; COLONIC TRANSIT SCINTIGRAPHY; CONSTIPATION; DEFECATION; DEFECATION DISORDER; DEFECOGRAPHY; DIARRHEA; DIET; DIET THERAPY; DIFFERENTIAL DIAGNOSIS; DIGESTIVE TRACT PARAMETERS; DIGITAL RECTAL EXAMINATION; DISEASE ASSOCIATION; DRUG EFFICACY; DYSSYNERGIC DEFECATION; EXERCISE; FEEDBACK SYSTEM; GASTRIC BALLOON; GASTROINTESTINAL TRACT SCINTISCANNING; HEMORRHOID; HUMAN; INTESTINAL DYSMOTILITY; INTESTINE FUNCTION; INTESTINE TRANSIT TIME; LAPAROSCOPIC SURGERY; NUCLEAR MAGNETIC RESONANCE IMAGING; PATIENT COUNSELING; PATIENT EDUCATION; PELVIC ORGAN PROLAPSE; PELVIS; PELVIS FLOOR; PLUM; PRIORITY JOURNAL; PROCTOPEXY; RANDOMIZED CONTROLLED TRIAL (TOPIC); RECTOCELE; RECTOSIGMOIDECTOMY; RECTUM PROLAPSE; RECTUM RESECTION; RECTUM SURGERY; RECTUM ULCER; REVIEW; SENSITIVITY AND SPECIFICITY; SIGMOIDECTOMY; SOLITARY RECTAL ULCER SYNDROME; STAPLED TRANSANAL RECTAL RESECTION; STOMACH SCINTISCANNING; SURGICAL APPROACH; SURGICAL TECHNIQUE; THERAPY EFFECT; THREE DIMENSIONAL IMAGING; TRANSRECTAL ULTRASONOGRAPHY; WIRELESS MOTILITY CAPSULE TEST;

DEFECATION; DIAGNOSTIC IMAGING; DIGESTIVE SYSTEM SURGICAL PROCEDURES; GASTROINTESTINAL TRANSIT; HUMANS; MANOMETRY; MEDICAL HISTORY TAKING; PELVIC FLOOR; PHYSICAL EXAMINATION; RANDOMIZED CONTROLLED TRIALS AS TOPIC; RECTAL DISEASES;

EID: 84869507356     PISSN: 00029270     EISSN: 15720241     Source Type: Journal    
DOI: 10.1038/ajg.2012.247     Document Type: Review

References (87)

1. Nygaard I, Barber MD, Burgio KL et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008; 300: 1311-6.
2. Raizada V, Mittal RK. Pelvic floor anatomy and applied physiology. Gastroenterol Clin North Am 2008; 37: 493, 509, vii.
3. Azpiroz F, Fernandez-Fraga X, Merletti R et al. The puborectalis muscle. Neurogastroenterol Motil 2005; 17 (Suppl 1): 68-72. (Pubitemid 40756358)
4. Liu J, Guaderrama N, Nager CW et al. Functional correlates of anal canal anatomy: puborectalis muscle and anal canal pressure. Am J Gastroenterol 2006; 101: 1092-7. (Pubitemid 43725325)
5. Rao SS, Welcher KD, Leistikow JS. Obstructive defecation: a failure of rectoanal coordination. Am J Gastroenterol 1998; 93: 1042-50. (Pubitemid 29080947)
6. Rao SS, Tuteja AK, Vellema T et al. Dyssynergic defecation: demographics, symptoms, stool patterns, and quality of life. J Clin Gastroenterol 2004; 38: 680-5. (Pubitemid 39096799)
7. Bharucha AE. Update of tests of colon and rectal structure and function. J Clin Gastroenterol 2006; 40: 96-103. (Pubitemid 44378053)
8. Tantiphlachiva K, Rao P, Attaluri A et al. Digital rectal examination is a useful tool for identifying patients with dyssynergia. Clin Gastroenterol Hepatol 2010; 8: 955-60.
9. Wong R, Drossman D, Bharucha A et al. The utility of the digital rectal exam (DRE) amongst physicians and students: a Multi-Center Study. Gastroenterology 2010; 138: S-472.
10. Faccioli N, Comai A, Mainardi P et al. Defecography: a practical approach. Diagn Interv Radiol 2010; 16: 209-16.
11. Rao SS, Hatfield R, Soffer E et al. Manometric tests of anorectal function in healthy adults. Am J Gastroenterol 1999; 94: 773-83. (Pubitemid 29124880)
12. Rao SS, Azpiroz F, Diamant N et al. Minimum standards of anorectal manometry . Neurogastroenterol Motil 2002; 14: 553-9. (Pubitemid 35216339)
13. Rao SS, Kavlock R, Rao S. Influence of body position and stool characteristics on defecation in humans. Am J Gastroenterol 2006; 101: 2790-6. (Pubitemid 44902652)
14. Rao SS. Dyssynergic defecation and biofeedback therapy. Gastroenterol Clin North Am 2008; 37: 569-86.
15. Jones MP, Post J, Crowell MD. High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-erfused manometry. Am J Gastroenterol 2007; 102: 850-5. (Pubitemid 46496612)
16. Minguez M, Herreros B, Sanchiz V et al. Predictive value of the balloon expulsion test for excluding the diagnosis of pelvic floor dyssynergia in constipation. Gastroenterology 2004; 126: 57-62. (Pubitemid 38040724)
17. Hinton JM, Lennard-Jones JE, Young AC. A new method for studying gut transit times using radioopaque markers. Gut 1969; 10: 842-7.
18. Rao SS, Camilleri M, Hasler WL et al. Evaluation of gastrointestinal transit in clinical practice: position paper of the American and European Neurogastroenterology and Motility Societies. Neurogastroenterol Motil 23; 1: 8-23.
19. Camilleri M, Thorne NK, Ringel Y et al. Wireless pH-motility capsule for colonic transit: prospective comparison with radiopaque markers in chronic constipation. Neurogastroenterol Motil 2010; 22: 874-82.
20. Rao SS, Kuo B, McCallum RW et al. Investigation of colonic and whole-gut transit with wireless motility capsule and radiopaque markers in constipation . Clin Gastroenterol Hepatol 2009; 7: 537-44.
21. Etienney I, de Parades V. Three-dimensional endoanal ultrasonography in daily proctological practice. Clin Res Hepatol Gastroenterol 2011; 35: 260-70.
22. Flusberg M, Sahni VA, Erturk SM et al. Dynamic MR defecography: assessment of the usefulness of the defecation phase. AJR Am J Roentgenol 2011; 196: W394-9.
23. Fiaschetti V, Squillaci E, Pastorelli D et al. Dynamic MR defecography with an open-configuration, low-field, tilting MR system in patients with pelvic floor disorders. Radiol Med 2011; 116: 620-33.
24. Leung FW, Rao SS. Fecal incontinence in the elderly. Gastroenterol Clin North Am 2009; 38: 503-11.
25. American College of Gastroenterology Chronic Constipation Task Force. An evidence-based approach to the management of chronic constipation in North America. Am J Gastroenterol 2005; 100 (Suppl 1): S1-4.
26. Attaluri A, Donahoe R, Valestin J et al. Randomised clinical trial: dried plums (prunes) vs. psyllium for constipation. Aliment Pharmacol Ther 2011; 33: 822-8.
27. Ramkumar D, Rao S. Efficacy and safety of traditional medical therapies for chronic constipation: systematic review. Am J Gastroenterol 2005; 100: 936-71. (Pubitemid 40592390)
28. Lembo AJ, Johanson JF, Parkman HP et al. Long-term safety and effectiveness of lubiprostone, a chloride channel (ClC-2) activator, in patients with chronic idiopathic constipation. Dig Dis Sci 2011; 56: 2639-45.
29. Tack J. Prucalopride: a new drug for the treatment of chronic constipation. Expert Rev Gastroenterol Hepatol 2009; 3: 337-43.
30. Lembo AJ, Kurtz CB, Macdougall JE et al. Efficacy of linaclotide for patients with chronic constipation. Gastroenterology 2010; 138: 886-95.
31. Rao SS, Welcher KD, Pelsang RE. Effects of biofeedback therapy on anorectal function in obstructive defecation. Dig Dis Sci 1997; 42: 2197-205. (Pubitemid 28004978)
32. Chiarioni G, Whitehead WE, Pezza V et al. Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia. Gastroenterology 2006; 130: 657-64. (Pubitemid 43374515)
33. Heymen S, Scarlett Y, Jones K et al. 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. (Pubitemid 46701610)
34. Chiarioni G, Salandini L, Whitehead WE. Biofeedback benefits only patients with outlet dysfunction, not patients with isolated slow transit constipation. Gastroenterology 2005; 129: 86-97. (Pubitemid 41002045)
35. Rao SS, Valestin J, Brown CK et al. Long-term efficacy of biofeedback therapy for dyssynergic defecation: randomized controlled trial. Am J Gastroenterol 2010; 105: 890-6.
36. Rao SS, Valestin J, Brown CK et al. Home or office biofeedback therapy for dyssynergic defecation-randomized controlled trail. 2011; 2:Abstract DDW.
37. Go JT, Valestin J, Brown CK et al. Is biofeedback therapy effective in improving quality of life in dyssynergic defecation? A randomized clinical trial. Gastroenterology 2011; 140: S52.
38. Felt-Bersma RJ, Stella MT, Cuesta MA. Rectal prolapse, rectal intussusception, rectocele, solitary rectal ulcer syndrome, and enterocele. Gastroenterol Clin North Am 2008; 37: 645, 68, ix.
39. Madoff RD, Mellgren A. One hundred years of rectal prolapse surgery. Dis Colon Rectum 1999; 42: 441-50. (Pubitemid 29183939)
40. Tou S, Brown SR, Malik AI et al. Surgery for complete rectal prolapse in adults. Cochrane Database Syst Rev 2008: (2): CD001758.
41. Deen KI, Grant E, Billingham C et al. Abdominal resection rectopexy with pelvic floor repair versus perineal rectosigmoidectomy with pelvic floor repair for full thickness rectal prolapse. Br J Surg 1994; 81: 302-4. (Pubitemid 24122384)
42. HCUP Nationwide Inpatient Sample (NIS). Healthcare Cost and Utilization Project (HCUP) 2007-2009. Agency for Healthcare Research and Quality: Rockville, MD. www.hcup-us.ahrq.gov/nisoverview.jsp.
43. Hoel AT, Skarstein A, Ovrebo KK. Prolapse of the rectum, long-term results of surgical treatment. Int J Colorectal Dis 2009; 24: 201-7.
44. Agachan F, Reisman P, Pfeifer J et al. Comparison of three perineal procedures for treatment of rectal prolapse. South Med J 1997; 90: 925-32. (Pubitemid 27396517)
45. Chun SW, Pikarsky AJ, You SY et al. Perineal rectosigmoidectomy for rectal prolapse: role of levatorplasty. Tech Coloproctol 2004; 8: 3-8. (Pubitemid 38391438)
46. Zimmern A, Prasad L, Desouza A et al. Robotic colon and rectal surgery: a series of 131 cases. World J Surg 2010; 34: 1954-8.
47. Boons P, Collinson R, Cunningham C et al. Laparoscopic ventral rectopexy for external rectal prolapse improves constipation and avoids de novo constipation. Colorectal Dis 2010; 12: 526-32.
48. Dietz HP, Clarke B. Prevalence of rectocele in young nulliparous women. Aust NZ J Obstet Gynaecol 2005; 45: 391-4. (Pubitemid 41830360)
49. Beevors MA, Lubowski DZ, King DW et al. Pudendal nerve function in women with symptomatic utero-vaginal prolapse. Int J Colorectal Dis 1991; 6: 24-8.
50. Mellgren A, Lopez A, Schultz I et al. Rectocele is associated with paradoxical anal sphincter reaction. Int J Colorectal Dis 1998; 13: 13-6. (Pubitemid 28241381)
51. Go JT, Balawi T, Schneider M et al. Is dyssynergia associated with rectoceles? Neurogastroenterol Mot 2011; 19: 63.
52. Ben Amna M, Grise P, Michot F et al. Impact of rectal prolapse and rectocele on TVT results. Prog Urol 2003; 13: 453-8. (Pubitemid 40104415)
53. Van Dam JH, Ginai AZ, Gosselink MJ et al. Role of defecography in predicting clinical outcome of rectocele repair. Dis Colon Rectum 1997; 40: 201-7. (Pubitemid 27074293)
54. Marrufo-Garc í a CA, S ánchez-Avila MT, Morales-Garza LA et al. Manometry and defecography in constipated patients with dyschezia. Rev Gastroenterol Mex 2005; 70: 424-9.
55. Hecht EM, Lee VS, Tanpitukpongse TP et al. MRI of pelvic floor dysfunction: dynamic true fast imaging with steady-state precession versus HASTE. AJR Am J Roentgenol 2008; 191: 352-8.
56. Pescatori M, Spyrou M, Pulvirenti d'Urso A. A prospective evaluation of occult disorders in obstructed defecation using the ' iceberg diagram'. Colorectal Dis 2007; 9: 452-6. (Pubitemid 46773635)
57. Kudish BI, Iglesia CB. Posterior wall prolapse and repair. Clin Obstet Gynecol 2010; 53: 59-71.
58. Farid M, Madbouly KM, Hussein A et al. Randomized controlled trial between perineal and anal repairs of rectocele in obstructed defecation. World J Surg 2010; 34: 822-9.
59. Nieminen K, Hiltunen KM, Laitinen J et al. Transanal or vaginal approach to rectocele repair: a prospective, randomized pilot study. Dis Colon Rectum 2004; 47: 1636-42. (Pubitemid 39331974)
60. Zhang B, Ding JH, Yin SH et al. Stapled transanal rectal resection for obstructed defecation syndrome associated with rectocele and rectal intussusception . World J Gastroenterol 2010; 16: 2542-8.
61. Madbouly KM, Abbas KS, Hussein AM. Disappointing long-term outcomes aft er stapled transanal rectal resection for obstructed defecation. World J Surg 2010; 34: 2191-6.
62. Harewood GC, Coulie B, Camilleri M et al. Descending perineum syndrome: audit of clinical and laboratory features and outcome of pelvic floor retraining. Am J Gastroenterol 1999; 94: 126-30. (Pubitemid 29063455)
63. Pucciani F, Boni D, Perna F et al. Descending perineum syndrome: are abdominal hysterectomy and bowel habits linked? Dis Colon Rectum 2005; 48: 2094-9. (Pubitemid 43035118)
64. Marcio J, Jorge N. Perineal descent syndrome. In: Diseases of the Colon, Wexner SD, Stollman N (eds). Informa Healthcare USA, Inc., CRC Press: New York, NY, 2006, pp 127.
65. Karulf RE, Coller JA, Bartolo DC et al. Anorectal physiology testing. A survey of availability and use. Dis Colon Rectum 1991; 34: 464-8.
66. Chi TW, Chen SH. Dynamic magnetic resonance imaging used in evaluation of female pelvic prolapse: experience from nine cases. Kaohsiung J Med Sci 2007; 23: 302-8. (Pubitemid 47051583)
67. Lesaffer L, Milo R. Descending perineum syndrome: control defecogram with a " perineum device ", perspective in prevention and conservative therapy. J Belge Radiol 1988; 71: 709-12. (Pubitemid 19076302)
68. Beco J. Interest of retro-anal levator plate myorrhaphy in selected cases of descending perineum syndrome with positive anti-sagging test. BMC Surg 2008; 8: 13.
69. Haray PN, Morris-Stiff GJ, Foster ME. Solitary rectal ulcer syndrome: an underdiagnosed condition. Int J Colorectal Dis 1997; 12: 313-5. (Pubitemid 27478337)
70. Tjandra JJ, Fazio VW, Church JM et al. Clinical conundrum of solitary rectal ulcer. Dis Colon Rectum 1992; 35: 227-34.
71. Womack NR, Williams NS, Mist JH et al. Anorectal function in the solitary rectal ulcer syndrome. Dis Colon Rectum 1987; 30: 319-23. (Pubitemid 17078512)
72. Rao SS, Ozturk R, De Ocampo S et al. Pathophysiology and role of biofeedback therapy in solitary rectal ulcer syndrome. Am J Gastroenterol 2006; 101: 613-8. (Pubitemid 43340940)
73. Ho YH, Ho JM, Parry BR et al. Solitary rectal ulcer syndrome: the clinical entity and anorectal physiological findings in Singapore. Aust NZ J Surg 1995; 65: 93-7.
74. Kang YS, Kamm MA, Engel AF et al. Pathology of the rectal wall in solitary rectal ulcer syndrome and complete rectal prolapse. Gut 1996; 38: 587-90. (Pubitemid 26111380)
75. Halligan S, Sultan A, Rottenberg G et al. Endosonography of the anal sphincters in solitary rectal ulcer syndrome. Int J Colorectal Dis 1995; 10: 79-82.
76. Tsuchida K, Okayama N, Miyata M et al. Solitary rectal ulcer syndrome accompanied by submucosal invasive carcinoma. Am J Gastroenterol 1998; 93: 2235-8. (Pubitemid 29076882)
77. Daya D, O' Connell G, DeNardi F. Rectal endometriosis mimicking solitary rectal ulcer syndrome. Mod Pathol 1995; 8: 599-602.
78. 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: 91-5.
79. Keighley MR, Shouler P. Clinical and manometric features of the solitary rectal ulcer syndrome. Dis Colon Rectum 1984; 27: 507-12. (Pubitemid 14060272)
80. Ederle A, Bulighin G, Orlandi PG et al. Endoscopic application of human fibrin sealant in the treatment of solitary rectal ulcer syndrome. Endoscopy 1992; 24: 736-7.
81. Somani SK, Ghosh A, Avasthi G et al. Healing of solitary rectal ulcers with multiple sessions of argon plasma coagulation. Dig Endosc 2010; 22: 107-11.
82. Jarrett ME, Emmanuel AV, Vaizey CJ et al. Behavioural therapy (biofeedback) for solitary rectal ulcer syndrome improves symptoms and mucosal blood flow. Gut 2004; 53: 368-70. (Pubitemid 38241331)
83. Sitzler PJ, Kamm MA, Nicholls RJ et al. Long-term clinical outcome of surgery for solitary rectal ulcer syndrome. Br J Surg 1998; 85: 1246-50. (Pubitemid 28430428)
84. Torres C, Khaikin M, Bracho J et al. Solitary rectal ulcer syndrome: clinical findings, surgical treatment, and outcomes. Int J Colorectal Dis 2007; 22: 1389-93. (Pubitemid 47456726)
85. Rao SS. Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation. Clin Gastroenterol Hepatol 2010; 8: 910-9.
86. Rao SS, Seaton K, Miller M et al. Randomized controlled trial of biofeedback, sham feedback, and standard therapy for dyssynergic defecation. Clin Gastroenterol Hepatol 2007; 5: 331-8. (Pubitemid 46401529)
87. Roos J, Weishaput D, Wildermuth S et al. Experience of 4 years with open MR defecography: pictorial review of anorectal anatomy and disease. Radiographics 2002; 22: 819 825.