Novosti
Khirurgii

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Year 2016 Vol. 24 No 4

REVIEWS

Y.V. PEROV, I.S. POPOVA, I.A. MIHAILOV

OBSTRUCTED DEFECATION SYNDROME: A REVIEW OF THE LITERATURE

SBEE HPE "Volgograd State Medical University",
Volgograd
The Russian Federation

An obstructed defecation is a widespread problem encountered by coloproctology and gastroenterology in the practice. These disorders socially and psychologically distress patients and greatly diminished quality of life at the other. Despite the terminological distinction in naming etiopathogenic causes of obstructive defecation syndrome (ODS), they all can be reduced to two principal points: functional - (dysfunction and dyssynergia of the pelvic fundus muscles) and mechanical - (rectocele, rectal intussusception) and their combinations. Problems of treatment of ODS are in the correct choice of conservative and operative treatment, and combinations thereof. The management of obstructed defecation syndrome (ODS) is mainly conservative and consists of diet, laxatives, hydrocolontherapy, biofeedback, transanal electrostimulation and psychotherapy. The goal of surgical treatment is to restore various pelvic organs to their appropriate anatomic positions. However, there is a poor correlation between anatomic and functional results. Until today there is not a surgical gold standard. Functional outcomes of stapled transanal rectal resection for obstructed defecation are still controversial.

Keywords: constipation, obstructed defecation, pelvic dyssynergy, rectocele, rectal prolapse, hydrocolontherapy, psychotherapy
p. 394-400 of the original issue
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Address for correspondence:
400131, Russian Federation, Volgograd, Fallen Fighters Sq., 1, Volgograd State Medical University, chair of surgical diseases and neurosurgery of advanced medical faculty. Tel: +7 (8442) 54-60-16
E-mail: yvperov@list.ru
Perov Yuriy Vadimovich
Information about the authors:
Perov Y.V. PhD, Coloproctologist, SME "Emergency City Clinical Hospital ¹25", laboratory assistant, SBEE HPE "Volgograd State Medical University", chair of surgical diseases and neurosurgery.
Popova I.S. MD, Professor, SBEE HPE "Volgograd State Medical University", chair of surgical diseases and neurosurgery.
Mihailov I.A. Post-graduate student, SBEE HPE "Volgograd State Medical University", chair of surgical diseases and neurosurgery.
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