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Dyssynergic Defecation: A Comprehensive Review on Diagnosis and Management Publisher Pubmed



Sadeghi A1 ; Akbarpour E1 ; Majidirad F2 ; Bor S3 ; Forootan M4 ; Hadian MR5 ; Adibi P6
Authors
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Authors Affiliations
  1. 1. Digestive Disease Research Institute (DDRI), Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Physical Therapy Department, Tehran University of Medical Sciences Faculty of Rehabilitation Sciences, Tehran, Iran
  3. 3. Department of Gastroenterology, Ege University Faculty of Medicine, Izmir, Turkey
  4. 4. Department of Gastroenterology, Gastrointestinal and Liver Diseases Research Center (RCGLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Department of Physical Therapy, Brain & Spinal Cord Injury Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences (TUMS) Faculty of Rehabilitation Sciences, Tehran, Iran
  6. 6. Gastroenterology and Hepatology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Turkish Journal of Gastroenterology Published:2023


Abstract

About one-third of chronically constipated patients have an evacuation disorder, and dyssynergic defecation is a common cause of the pelvic evacuation disorder. In dyssynergic defecation, the coordination between abdominal and pelvic floor muscles during defecation is disrupted and patients cannot produce a normal bowel movement. The etiology of dyssynergic defecation is still unknown. Although a detailed history taking and a careful examination including digital rectal examination could be useful, other modalities such as anorectal manometry, balloon expulsion test and magnetic resonance or conventional defecography are necessary for the diagnosis. Biofeedback therapy is one of the most effective and safe treatments. Here, we provide an overview of dyssynergic defecation as well as how to diagnose and manage this condition. © 2023 AVES. All rights reserved.
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