Defecating disorders: a common cause of constipation in women.

Nikoletta Dimitriou, Vikas Shah, Diane Stark, Ronnie Mathew, Andrew S Miller, Justin Mc Yeung

Journal: Women's health (London, England) 2016;11(4):485-500

PMID: 26238417

Abstract

Defecating disorders are a common and complex problem. There are a range of anatomical and functional bowel abnormalities that can lead to this condition. Treatment is difficult and needs a multidisciplinary approach. First line treatment for defecating disorders is conservative. For those that fail conservative treatment, some may respond to surgical therapy but with variable results. The aim of this review is to offer an overview of defecating disorders as well as provide an algorithm on how to diagnose and treat them with the help of a multidisciplinary and multimodal approach.

Address: 1st Department of Surgery, University of Athens, Medical School, Laiko Hospital, Athens, Greece.; Department of Radiology, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK.; Pelvic Floor Unit, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, LE1 5WW, UK.

DOI: 10.2217/whe.15.25

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MeSH Terms: Biofeedback, Psychology, Constipation, Diagnostic Imaging, Diet, Female, Gastrointestinal Agents, Gastrointestinal Transit, Humans, Intussusception, Manometry, Physical Examination, Rectocele, Therapeutic Irrigation, Women's Health