Tu2009 Evidence-Based Approach to Diagnostic Testing for Pelvic Floor Dysfunction in Chronic Constipation: Meta-Analysis of 94 Clinical Studies

2012 ◽  
Vol 142 (5) ◽  
pp. S-900 ◽  
Author(s):  
Elizabeth J. Videlock ◽  
Linda M. Veglia ◽  
Cheng Vivian ◽  
Elizabeth A. Friedlander ◽  
Anthony Lembo ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Clinical Studies ◽  
Chronic Constipation ◽  
Meta Analysis ◽  
Pelvic Floor Dysfunction ◽  
Diagnostic Testing ◽  
Evidence Based

scholarly journals ADVANCED DIAGNOSTIC TESTING FOR FEMALE PELVIC FLOOR DYSFUNCTIONS

2010 ◽  
Vol 23 (1) ◽  
pp. 5
Author(s):  
G. Vignoli
Keyword(s):  
Pelvic Floor ◽  
Multidisciplinary Approach ◽  
Pelvic Floor Dysfunction ◽  
Diagnostic Testing ◽  
Interdisciplinary Approach ◽  
Therapeutic Strategies ◽  
Female Pelvic Floor

The word “pelvic floor dysfunction” has different meanings in different specialties, i.e. radiology, urology, gynaecology, coloproctology. Despite the fact that the concept of perineology is not exactly new, most clinicians have only slowly adapted their practice to this transversal view. The multidisciplinary approach (several specialists dealing with various pelvic floor problems) still prevails over the interdisciplinary one (one specialist explaining what is happening) with several problems in the choice of therapeutic strategies. Obviously, the interdisciplinary approach requires a wide knowledge of the principles and techniques of each specialty. This monographic issue reviews advanced diagnostic testing for female pelvic floor dysfunctions from the perspective of a single specialist, namely a urologist.

scholarly journals 694 PELVIC FLOOR DYSFUNCTION IN CHILDREN WITH CHRONIC CONSTIPATION

1985 ◽  
Vol 19 (4) ◽  
pp. 226A-226A
Author(s):  
Vera A Loening-Baucke ◽  
Robert Thompson
Keyword(s):  
Pelvic Floor ◽  
Chronic Constipation ◽  
Pelvic Floor Dysfunction

scholarly journals Pelvic floor and abdominal muscle cocontraction in women with and without pelvic floor dysfunction: a systematic review and meta-analysis

Clinics ◽  
2019 ◽  
Vol 74 ◽  
Author(s):  
Giovana Vesentini ◽  
Regina El Dib ◽  
Leonardo Augusto Rachele Righesso ◽  
Fernanda Piculo ◽  
Gabriela Marini ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pelvic Floor ◽  
Meta Analysis ◽  
Pelvic Floor Dysfunction ◽  
Abdominal Muscle

Developing evidence-based standards for diagnosis and management of lower urinary tract or pelvic floor dysfunction

2012 ◽  
Vol 31 (5) ◽  
pp. 621-624 ◽  
Author(s):  
Peter F.W.M. Rosier ◽  
Dirk de Ridder ◽  
Jane Meijlink ◽  
Ralph Webb ◽  
Kristene Whitmore ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Pelvic Floor ◽  
Lower Urinary Tract ◽  
Pelvic Floor Dysfunction ◽  
Evidence Based ◽  
Diagnosis And Management ◽  
Lower Urinary

scholarly journals Summary of Glaucoma Diagnostic Testing Accuracy: An Evidence-Based Meta-Analysis

2016 ◽  
Vol 8 (9) ◽  
pp. 641-649 ◽  
Author(s):  
Saad Ahmed ◽  
Zainab Khan ◽  
Francie Si ◽  
Alex Mao ◽  
Irene Pan ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Diagnostic Testing ◽  
Evidence Based ◽  
Testing Accuracy

Constipation

2018 ◽  
Author(s):  
Satish Keshav ◽  
Alexandra Kent
Keyword(s):  
Irritable Bowel Syndrome ◽  
Pelvic Floor ◽  
Chronic Constipation ◽  
Secondary Care ◽  
Pelvic Floor Dysfunction ◽  
The Elderly ◽  
Normal Pattern ◽  
Normal Frequency ◽  
Slow Transit ◽  
Irritable Bowel

Patients and doctors often define constipation differently. The normal frequency of defaecation is once every 3 days to three times per day, and constipation may be defined as abnormally infrequent defaecation. A change in the normal pattern and frequency for the particular patient is pertinent. There are numerous causes of constipation, and most can be encountered in both primary and secondary care. In patients with chronic constipation without an evident cause, irritable bowel syndrome (IBS) is the cause in 59%, pelvic floor dysfunction in 25%, slow transit in 13%, and a combination of pelvic floor dysfunction and slow transit in 3%. Constipation affects twice as many women as men, with a higher prevalence in pregnant women. Prevalence is also greater in the elderly, affecting ~20% in the community.

scholarly journals Chronic constipation - the role of clinical assessment and colorectal physiologic tests to obtain an etiologic diagnosis

2008 ◽  
Vol 45 (1) ◽  
pp. 50-57 ◽  
Author(s):  
Antônio Lacerda-Filho ◽  
Marcílio José Rodrigues Lima ◽  
Marisa Fonseca Magalhães ◽  
Rodrigo de Almeida Paiva ◽  
José Renan da Cunha-Melo
Keyword(s):  
Irritable Bowel Syndrome ◽  
Differential Diagnosis ◽  
Pelvic Floor ◽  
Clinical Assessment ◽  
Chronic Constipation ◽  
Pelvic Floor Dysfunction ◽  
Fecal Impaction ◽  
Clinical Parameters ◽  
Irritable Bowel ◽  
Etiologic Diagnosis

BACKGROUND: Diagnosis of subtypes of chronic constipation has been considered difficult to achieve even in specialized centers. Although colorectal physiologic tests have brought an important contribution, it remains unclear in which patients these tests should be indicated for. AIMS: This study aims to establish a differential diagnosis for chronic constipation cases using clinical assessment and physiologic tests and to identify clinical parameters that could predict which patients need physiologic tests. METHODS: One hundred and seventy nine patients (83% females; mean age, 45) with chronic constipation according to Rome II criteria were initially treated by dietary advice and functional reeducation and those unresponsive (110 or 61.5%) were submitted to colonic transit time, defecography, anorectal manometry and electromyography, as needed. RESULTS: A differential diagnosis was achieved in 63.6% of patients tested. However, 61.5% of 179 patients with chronic constipation (69 with no need to tests and 40 with normal tests) have etiologic diagnosis established only on clinical basis. Irritable bowel syndrome (32%), pelvic floor dysfunction (29%) and functional constipation due to faulty diet and life style habits (22%) were the main causes of chronic constipation. Alternating constipation and nausea/vomiting were symptoms significantly related to the diagnosis of irritable bowel syndrome; younger age, larger intervals between bowel movements, occurrence of fecal impaction and necessity of enema were related to the diagnosis of non-chagasic megacolon and digital assistance to evacuate and large rectocele or spastic pelvic floor on rectal exam were associated to pelvic floor dysfunction. Patients with long-standing constipation, fecal impaction, abdominal pain not eased after defecation, necessity for enemas, digital assistance and evidence of rectocele tended to be in need for physiologic tests to define the cause of chronic constipation. CONCLUSIONS: The etiologic diagnosis of chronic constipation can be achieved in most of patients on a clinical basis and some symptoms may be significantly related to specific diagnoses. Indications for physiologic tests should be based on specific clinical parameters.

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