Colpocystodefecography.

Purpose: To assess, in one single procedure, a complete study of the female pelvis, including the Douglas pouch.

Methods: Colpocystodefecography (CCD) combines vaginal opacification, voiding cystography, and defecography. Three hundred examinations are reviewed.

[Defecation disorders. Characteristics of manometric studies and rehabilitation].

The authors review the literature and their personal experience about the systematic exploration of defecation disorders by anorectal manometry and colpocystodefecography. They stress the importance of combining functional and morphological evaluation, in order to avoid inappropriate surgery. Concerning anorectal manometry, the determination of the smallest volume of rectal distention inducing a complete relaxation of the internal anal sphincter was found more useful than the maximal tolerable volume in the exploration of defecation disorders.

[Unstable bladder and kinesitherapy. The concept of deficient unstable bladder].

The authors present a series of 30 unstable bladders treated only by perineal muscular reeducation by contact. The best results are obtained in the group presenting with pelvic floor hypotonia and USI (efficiency 71.5%), especially when the closure pressure is normal (100%).

[2 classical contraindications for enteroplasty in spina bifida].

The authors report two cases of spina bifida which illustrate the two major contraindications of enteroplasty and stress the importance of a detubulated intestinal patch and an isometric ureterocystometry in the diagnosis and treatment of neurogenic bladder.