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Similar Publications

Functional Disorders: Rectoanal Intussusception.

Clin Colon Rectal Surg

February 2017

Department of Surgery, Division of General Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.

Rectoanal intussusception is an invagination of the rectal wall into the lumen of the rectum. Patients may present with constipation, incomplete evacuation, incontinence, or may be asymptomatic. Defecography has been the gold standard for detection.

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Purpose: to prospectively compare two rectal filling techniques for dynamic MRI of pelvic floor disorders (PFD).

Methods And Materials: Twenty-six patients with PFD underwent the two techniques during the same procedure, one based on rectal placement of a balloon-catheter filled with saline and air insufflation (air-balloon technique or AB); another based on rectal filling with 180 cc of gel (gel-filling technique or GF). The examinations were compared for assessment and staging of PFD, including rectal-descent, rectocele, cystocele, colpocele, enterocele, rectal invagination.

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Functional disorders of the ano-rectal compartment of the pelvic floor: clinical and diagnostic value of dynamic MRI.

Abdom Imaging

October 2013

Department of Radiologic Sciences, Oncology and Pathology, "Sapienza" University of Rome, Policlinico Umberto I Hospital, Viale Regina Elena 324, 00161, Rome, Italy,

The obstructed defecation syndrome is the main functional disorder of the posterior or ano-rectal pelvic floor compartment. Different mechanical and functional rectal disorders may cause this syndrome, including rectocele, rectal invagination, rectal prolapse, and pubo-rectalis muscle dyskinesia. Since pelvic floor muscles and fasciae act as a unique functional entity, dysfunctions of the posterior compartment are usually associated to variable dysfunctions of the anterior and middle urogenital compartments as well.

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Background: Internal rectal intussusception, usually occurring in women, causes constipation and incomplete evacuation of stool.

Materials And Methods: Twenty-one women and one man (median age 48) were operated with suture rectopexy and sigmoid resection. The patients were examined with anoscopy and defecography, and symptomatic outcome, patients' satisfaction and morbidity were evaluated.

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[Chronic idiopathic anal pain syndrome].

Ugeskr Laeger

April 2002

Kirurgisk gastroenterologisk afdeling D og ultralydafdelingen, Amtssygehuset i Herlev, DK-2730 Herlev.

Introduction: The study was undertaken to analyse whether intra-anal ultrasound examination, anorectal physiological evaluation, and histopathological examination of patients suffering from chronic idiopathic anal pain presented any common features and to analyse the results of various treatments.

Material And Methods: Eighteen patients who met the criteria for chronic idiopathic anal pain were studied. Treatment included 0.

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