Obstructed defecation mainly affects women and may be due both to functional and organic disorders. Two out of ten patients present with occult causes which are more difficult to diagnose. Due to its complex etiology and psychological involvement, obstructed defecation needs a multidisciplinary approach.
ODS is a type of constipation characterized by fragmented stools, need for straining at defecation, sense of incomplete evacuation, tenesmus, urgency, pelvic heaviness, and self-digitation. Self-digitation may cause anorectal ulcerations followed by bleeding and discomfort and anal fibrosis leading to a stricture. Assessment of ODS Modalities used to assess ODS are: Transanal-vaginal ultrasound (US) Defecography Anorectal manometry and the balloon expulsion test Entero defecography, dynamic perineal US and magnetic resonance imaging defecography pudendal nerve motor latency Conservative…
