Defecography: a practical approach

Faccioli, Niccolò; Comai, Alessio; Mainardi, Paride; Perandini, Simone; Moore, Farah; Mucelli, Roberto Pozzi

doi:10.4261/1305-3825.dir.2584-09.1

Cited by 27 publications

(25 citation statements)

References 20 publications

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“…Despite their low prevalence, their detection is important in the planning of the correct therapeutic approach. Conventional radiology is currently considered as the gold standard [5,7,8], because is a cost-effective procedure, simple to perform, and widely available [19]; however, it is an invasive procedure, especially if it is performed with four contrast that uses ionizing radiation and visualizes only the lumen of the opacified organs. MRI Defecography was first described by Yang et al in 1991 [7,31], is a less-invasive imaging modality that allows a multiplanar and multiparametric evaluation of the three pelvic compartments, also visualizing soft tissue, in a single procedure without exposure to ionizing radiation.…”

Section: Resultsmentioning

confidence: 99%

Role of conventional radiology and MRi defecography of pelvic floor hernias

et al. 2013

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BackgroundPurpose of the study is to define the role of conventional radiology and MRI in the evaluation of pelvic floor hernias in female pelvic floor disorders.MethodsA MEDLINE and PubMed search was performed for journals before March 2013 with MeSH major terms 'MR Defecography' and 'pelvic floor hernias'.ResultsThe prevalence of pelvic floor hernias at conventional radiology was higher if compared with that at MRI. Concerning the hernia content, there were significantly more enteroceles and sigmoidoceles on conventional radiology than on MRI, whereas, in relation to the hernia development modalities, the prevalence of elytroceles, edroceles, and Douglas' hernias at conventional radiology was significantly higher than that at MRI.ConclusionsMRI shows lower sensitivity than conventional radiology in the detection of pelvic floor hernias development. The less-invasive MRI may have a role in a better evaluation of the entire pelvic anatomy and pelvic organ interaction especially in patients with multicompartmental defects, planned for surgery.

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Section: Resultsmentioning

confidence: 99%

Role of conventional radiology and MRi defecography of pelvic floor hernias

et al. 2013

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“…Under normal conditions, it is expected that the mean anorectal angle, at rest, is 95º, with a physiological variation of 65-100º (4) . With contraction, the angle should decrease and become more acute, whereas it should increase, becoming more obtuse, due to straightening of the rectum, during evacuation.…”

Section: Methodsmentioning

confidence: 99%

Defecography by digital radiography: experience in clinical practice

et al. 2016

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ObjectiveThe objective of this study was to profile patients who undergo defecography, by age and gender, as well as to describe the main imaging and diagnostic findings in this population.Materials and MethodsThis was a retrospective, descriptive study of 39 patients, conducted between January 2012 and February 2014. The patients were evaluated in terms of age, gender, and diagnosis. They were stratified by age, and continuous variables are expressed as mean ± standard deviation. All possible quantitative defecography variables were evaluated, including rectal evacuation, perineal descent, and measures of the anal canal.ResultsThe majority (95%) of the patients were female. Patient ages ranged from 18 to 82 years (mean age, 52 ± 13 years): 10 patients were under 40 years of age; 18 were between 40 and 60 years of age; and 11 were over 60 years of age. All 39 of the patients evaluated had abnormal radiological findings. The most prevalent diagnoses were rectocele (in 77%) and enterocele (in 38%). Less prevalent diagnoses were vaginal prolapse, uterine prolapse, and Meckel's diverticulum (in 2%, for all).ConclusionAlthough defecography is performed more often in women, both genders can benefit from the test. Defecography can be performed in order to detect complex disorders such as uterine and rectal prolapse, as well as to detect basic clinical conditions such as rectocele or enterocele.

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“…Defecography is a diagnostic tool that demonstrates both physiologic and pathologic properties of the pelvic floor functionally and morphologically. Investigators who reviewed more than 2,500 reports in the previous 15 years in two different radiology departments concluded that defecography is the gold standard for the diagnosis of rectocele, enterocele, and pelvic floor disorders such as intussusception [13].…”

Section: Discussionmentioning

confidence: 99%

Two Etiological Reasons of Constipation: Anterior Rectocele and Internal Mucosal Intussusception

et al. 2014

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Chronic constipation is a common problem in the general population. Rome III criteria can be used for the diagnosis of chronic constipation. The aim of this study is to emphasize the importance of anterior rectocele and mucosal intussusception as two etiological factors for chronic constipation. One hundred patients were included in this study after excluding other causes of the constipation by medical history, physical examination, and laboratory and radiological studies in 108 total patients who were admitted consecutively to the outpatient clinic of the general surgery department of Dr. Sadi Konuk Bakirkoy Education and Research Hospital with the complaint of constipation between June 2009 and January 2010. It was found that 75 % of these patients had anterior rectocele and 66 % of them had internal intussusception which cause chronic constsipation. Anterior rectocele and internal rectal mucosal intussusception must be kept in mind as two significant reasons for chronic functional constipation.

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Defecography: a practical approach

Cited by 27 publications

References 20 publications

Role of conventional radiology and MRi defecography of pelvic floor hernias

Role of conventional radiology and MRi defecography of pelvic floor hernias

Defecography by digital radiography: experience in clinical practice

Two Etiological Reasons of Constipation: Anterior Rectocele and Internal Mucosal Intussusception

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