Defecography is the gold standard for assessing functional anorectal disorders but limited by need a specific radiologic environment, exposure of patients to radiation, and inability show all anatomic structures involved in defecation. Echodefecography 3-dimensional dynamic ultrasound technique developed overcome these limitations.This study was designed validate effectiveness echodefecography compared with defecography assessment dysfunctions related obstructed defecation.Multicenter,...

BACKGROUND: Sphincterotomy is used to treat chronic anal fissure, but the length of sphincterotomy associated with incontinence. OBJECTIVE: We 3-dimensional ultrasonography determine proportion internal sphincter that may be divided during lateral in women without predisposing them a high risk fecal DESIGN AND SETTING: This was prospective, observational cohort study conducted at tertiary-care hospital. PATIENTS: Women treated for fissure resting pressure and no symptoms incontinence were...

PURPOSE: The aim of this study was to evaluate the role 3-dimensional anorectal ultrasonography in choice surgical technique according position fistulous tract patients with anterior transsphincteric anal fistula. METHODS: A total 33 (18 male) fistulas were evaluated by ultrasonography. length external and internal sphincters, opening, compromised sphincter, percentage sphincter muscle be transected during surgery measured, compared between sexes, used planning surgery. Postoperative...

Abstract Objective This study aimed to determine the value of three‐dimensional (3D) dynamic endosonography in assessment anismus. Method Sixty‐one women submitted anorectal manometry were enrolled including 40 healthy and 21 patients with anismus diagnosed by manometry. Patients 3D endosonography. Images acquired at rest during straining analysed axial midline longitudinal planes. Sphincter integrity was quantified. The angle between internal edge puborectalis a vertical line according anal...

Abstract Aim The purpose of the study was to describe a novel three‐dimensional dynamic anorectal ultrasonography technique (dynamic 3‐DAUS) for assessment perineal descent (PD) and establishment normal range values, comparing it with defaecography. Secondarily, compares ability two techniques identify various pelvic floor dysfunctions. Method A prospective undertaken in 29 women (mean age 43 years) obstructed defecation disorder. All patients underwent defaecography 3‐DAUS results were...

CONTEXT: Management of patients with obstructed defecation syndrome is still controversial. OBJECTIVE: To analyze the efficacy clinical, clinical treatment followed by biofeedback, and surgical in defecation, rectocele multiple dysfunctions evaluated echodefecography. METHODS: The study included 103 females aged 26-84 years grade-II/III on Patients were distributed into three groups constipation scores assigned. Group I: 34 (33%) significant improvement symptoms through management only. II:...

We assessed pubovisceral muscle (PVM) defects, levator hiatal dimensions and anal sphincter defects using three-dimensional (3D) endovaginal anorectal ultrasonography in women with previous vaginal delivery faecal incontinence to determine the relationship between anatomic/functional findings severity of symptoms.This was a prospective, observational study including 52 symptoms who had undergone delivery. Asymptomatic nulliparous (n = 17) served as controls provide reference values for...

New ultrasound techniques may complement current diagnostic tools, and combined help to overcome the limitations of individual for diagnosis anorectal dysfunction. A high degree agreement has been demonstrated between echodefecography (dynamic 3-dimensional ultrasonography) conventional defecography.Our aim was evaluate ability a approach consisting dynamic transvaginal transrectal ultrasonography by using biplane endoprobe assess posterior pelvic floor dysfunctions related obstructed...

Numerous studies have described the use of biofeedback therapy for treatment anismus. Success rates vary widely, but few data are available regarding factors predictive success.Our aim was to evaluate short-term results associated with diet in patients obstructed defecation because anismus and investigate that may affect results.Patients were identified from a single-institution prospectively maintained database.This study conducted tertiary hospital.Consecutive who had treated eligible.Each...

Abstract Objective The anatomy of the anal canal, anorectal junction and lower rectum was studied with 3‐D ultrasound. Method Seventeen women normal bowel transit, without rectocele (group 1) 17 female patients a large anterior 2) were examined B&K Medical Rawk®. Mean age 44.5 51.6 years respectively. In group 1, one (5.8%) patient nuliparous, five (29.4%) had caesarian section, 11 (64.7%) vaginal delivery while in 2, two (11.7%) four (23.5%) section delivery. Images reconstructed...

We evaluated the impact of immunosuppressive drugs on short-term outcome following loop ileostomy closure in patients with inflammatory bowel disease.Data 249 disease, who underwent from 2001 to 2008, were retrospectively reviewed a prospectively maintained database. Patients distributed among groups according disease used. Comorbidity, diagnosis, intra-operative and postoperative morbidity length stay data analysed. group (INF) receiving infliximab or without other agents (28), (S) only...

ABSTRACT BACKGROUND: Biofeedback is an effective method of treatment for fecal incontinence but there controversy regarding factors that may be correlated with its effectiveness. OBJECTIVE: To evaluate the efficacy biofeedback in incontinence, identifying predictive unsuccessful treatment. METHODS: Consecutive female patients who had and were treated a full course screened. The symptoms evaluated using Cleveland Clinic (CCF) score before six months after completion therapy. Patients...

Objective: The proximity of craniopharyngiomas to vital neurovascular structures and their high recurrence rates make them one the most challenging management dilemmas. Endoscopic endonasal surgery (EES) has recently been introduced as a treatment option both for pediatric adult craniopharyngiomas.

The study aimed to verify the role of parity, age and bowel function in pathogenesis anorectocele.A cross-sectional was conducted regarding age, obstetrical history, Cleveland Clinic Constipation Score (CCCS), cinedefecography anal manometry findings. Forty-five adult women complaining obstructed defecation were evaluated; median 46 years CCCS, 13. Fifteen patients nulliparous 23 multiparous (median parity 2). Eighteen had a history episiotomy, fourteen delivered large babies two...

The aim of the present study was to make a preoperative and postoperative clinical functional evaluation patients who underwent transanal repair rectocele rectal mucosectomy with single circular stapler (TRREMS procedure) as treatment for obstructed defecation syndrome (ODS) caused by mucosal prolapse (RMP). This prospective included 35 female patients, 34 multiparous one nulliparous, an average age 47.5 years (range 31–67 years), grade II (n = 13/37.1%) or III 22/62.9%), associated RMP....

CONTEXT: Since anorectocele is usually associated with mucosa prolapse and/or rectal intussusceptions, it was developed a stapled surgical technique using one circular stapler. OBJECTIVE: To report the results of Transanal Repair Rectocele and Rectal Mucosectomy Circular Stapler (TRREMS procedure) in treatment prospective multicenter trial. METHODS: It conducted by 14 surgeons included 75 female patients, mean aged 49.6 years, symptoms obstructed defecation due to grade 2 (26.7%) 3 (73.3%)...