scholarly journals RETRACTED ARTICLE: Evaluation of obstructed defecation syndrome (ODS) using magnetic resonance defecography (MRD)

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Arshed Hussain Parry ◽  
Abdul Haseeb Wani
Keyword(s):  
Magnetic Resonance ◽  
Physical Examination ◽  
Treatment Plan ◽  
Obstructed Defecation ◽  
Pelvic Organ ◽  
Rectal Intussusception ◽  
Obstructed Defecation Syndrome ◽  
Magnetic Resonance Defecography ◽  
Retracted Article ◽  
Age Range

Abstract Background Obstructed defecation syndrome is associated with varying combinations of a host of ano-rectal abnormalities, and no physical examination can demonstrate these abnormalities. The present study was aimed to evaluate the spectrum of various pelvic floor abnormalities in obstructed defecation syndrome (ODS). Results Of the total 302 patients imaged with age range of 18–72 years (mean age 54 years), 218 were females, and 84 were males. Ano-rectal junction descent was the commonest abnormality observed in 273 (90.3%) patients followed by rectocele (232) (76.8%), rectal intussusception (93) (30.7%), and cystocele (92) (30.4%). Cervical descent was observed in 78 (35.7%) of female patients. Spastic perineum was seen in 27 (8.9%) patients. Conclusion MRD serves as single stop shop for demonstrating and grading a gamut of pelvic organ abnormalities underpinning ODS which in turn helps in choosing the best treatment plan for the patient.

scholarly journals Retraction Note: Evaluation of obstructed defecation syndrome (ODS) using magnetic resonance defecography (MRD)

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Arshed Hussain Parry ◽  
Abdul Haseeb Wani
Keyword(s):  
Magnetic Resonance ◽  
Obstructed Defecation ◽  
Obstructed Defecation Syndrome ◽  
Magnetic Resonance Defecography

An amendment to this paper has been published and can be accessed via the original article.

Magnetic resonance defecography versus videodefecography in the study of obstructed defecation syndrome: Is videodefecography still the test of choice after 50 years?

2017 ◽  
Vol 21 (10) ◽  
pp. 795-802 ◽  
Author(s):  
G. P. Martín-Martín ◽  
J. García-Armengol ◽  
J. V. Roig-Vila ◽  
A. Espí-Macías ◽  
V. Martínez-Sanjuán ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Obstructed Defecation ◽  
Obstructed Defecation Syndrome ◽  
Magnetic Resonance Defecography

scholarly journals Role of Magnetic Resonance defecography in assessment of pelvic floor dysfunction

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M S Moussa ◽  
Y I Abdelkhaleq ◽  
S M Botros ◽  
A A Montasser
Keyword(s):  
Pelvic Organ Prolapse ◽  
Physical Examination ◽  
Pelvic Floor ◽  
Pelvic Floor Dysfunction ◽  
Pelvic Organ ◽  
Magnetic Resonance Defecography ◽  
Facial Defect ◽  
Floor Failure ◽  
Muscle Tear

Abstract Purpose to assess the role of the role of MR defecography in assessment of pelvic floor failure . Methods and Material Thirty-six patients (twenty-seven female and nine male) with female and male patients, complaining of stress urinary incontinence, constipation, fecal incontinence or pelvic organ prolapse. Results MRI revealed 18 cystocele (50%), compared to physical examination 2 cases(5.6%),MRI revealed 28 rectocele ( 77.8%) compared to physical examination that showed 13 (36.1%) , MRI revealed 10 uterine descent (40.7%), compared to physical examination 6 (22.2%) I, MRI revealed 7 enterocele (19.4%) compared to physical examination that was negative. MRI revealed level I/II facial defect in and level III facial defect in, 19 cases of Intussusception (52.8%), urethral hypermobility in 14 (38.9%), sphincteric defect 7 (19.4%), levator angle weakness in 30 cases (83.3%), iliococcygeaus muscle tear in 5 cases (13.9%), puborectalis tear in 3 cases (8.3%),anorectal decent in 26 cases (72.2%), genital hiatus width in 23 (63.9%) Conclusion Dynamic MR imaging is a necessary tool in the diagnosis of multicompartment pelvic organ prolapse and it provides good concordance with clinical examination

Apex Technique in the Treatment of Obstructed Defecation Syndrome Associated With Rectal Intussusception and Full Rectal Mucosa Prolapse

2014 ◽  
Vol 57 (11) ◽  
pp. 1324-1328 ◽  
Author(s):  
F. Sergio P. Regadas ◽  
Mario Abedrapo ◽  
Jose Vinicius Cruz ◽  
Sthela M. Murad Regadas ◽  
F. Sergio P. Regadas Filho
Keyword(s):  
Obstructed Defecation ◽  
Rectal Mucosa ◽  
Rectal Intussusception ◽  
Obstructed Defecation Syndrome

Comparison of pre and post-operative ODS (Obstructed Defecation Syndrome) score in patient with ODS undergoing Stapled Transanal Rectal Resection (STARR)

2020 ◽  
Vol 23 (2) ◽  
pp. 67-70
Author(s):  
Md Touhidul Islam ◽  
Shahadat Hossain Sheikh ◽  
Md Abu Taher ◽  
Tariq Akhter Khan ◽  
Md Ahsan Habib ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Rectal Resection ◽  
Obstructed Defecation ◽  
Surgical Approaches ◽  
Rectal Intussusception ◽  
Complication Rates ◽  
Stapled Transanal Rectal Resection ◽  
Obstructed Defecation Syndrome ◽  
Quasi Experimental ◽  
Surgery Department

Background: There are a variety of surgical approaches for correction of ODS, most of these have high recurrence and complication rates. Stapled transanal rectal resection (STARR) was introduced in 2003 by Antonio Longo as a minimally invasive transanal operation for ODS associated with rectocele and or rectal intussusception. Objective: This study was designed to assess the efficacy of Stapled Transanal Rectal Resection (STARR) as a surgical treatment of Obstructed Defecation Syndrome(ODS). Methodology: This is a quasi experimental study that was carried out at Colorectal surgery unit of surgery department in Bangabandhu Sheikh Mujib Medical University. The sample size was 17. The admitted patient of Obstructed Defecation Syndrome with Rectocele and or Rectal intussusception was selected according to inclusion and exclusion criteria. The patient was evaluated by history, clinical examination, proctoscopy, colonoscopy and defecography. Preoperative Longo’s ODS score was determined for each patient and it was compared with postoperative ODS score. Regular follow up was done for each patient at one, three and six months after each operation. Results: Significant improvement of ODS score was observed in 82.35% patients. Only 02 (11.8%) patients didn’t respond to STARR procedure and their postoperative score was 13-15 may be due to coexistence of pelvic floor dysynergy. Postoperative defecatory urgency developed only in 02(11.76%) patients. No patient developed significant postoperative complication like hemorrhage or rectovaginal fistula. Conclusion: STARR is a simple, less invasive and effective procedure for the treatment of ODS due to rectocele and/or rectal intussusception without major morbidity but pelvic floor dyssynergy should be excluded preoperatively because it’s presence makes the surgical intervention fruitless. Journal of Surgical Sciences (2019) Vol. 23(2): 67-70

scholarly journals Stapled Transanal Rectal Resection for the Surgical Treatment of Obstructed Defecation Syndrome Associated with Rectocele and Rectal Intussusception

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Hesham M. Hasan ◽  
Hani M. Hasan
Keyword(s):  
Surgical Technique ◽  
Rectal Resection ◽  
Obstructed Defecation ◽  
Circular Stapler ◽  
Rectal Intussusception ◽  
Prospective Clinical Study ◽  
Safe Procedure ◽  
Stapled Transanal Rectal Resection ◽  
Obstructed Defecation Syndrome

Obstructed defecation syndrome (ODS) is one of the most widespread clinical problems which frequently affects middle-aged females. There is a new surgical technique called stapled transanal rectal resection (STARR) that makes it possible to remove the anorectal mucosa circumferential and reinforce the anterior anorectal junction wall with the use of a circular stapler. This surgical technique developed by Antonio Longo was proposed as an effective alternative for the treatment of ODS. In this study we present our preliminary results with the STARR operation for the treatment of ODS. For this purpose, 40 consecutive female patients with ODS due to rectal intussusception (RI) and/or rectocele (RE) were recruited in this prospective clinical study, from May 2008 to October 2010. No major operative or postoperative complications were recorded, and after 12-month follow-up, significant improvement in the ODS score system was observed, and the symptoms of constipation improved in 90% of patients; 20% of patients judged their final clinical outcome as excellent, 55% as good, and 15% as moderate, with only 10% having poor results. After analyzing our results we can conclude that STARR is an effective and safe procedure for the treatment of obstructed defecation syndrome due to rectal intussusception and/or rectocele and can be performed safely without major morbidity.

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