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

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

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.

scholarly journals Pelvic floor dysfunction at transperineal ultrasound and chronic constipation in women with endometriosis

2022 ◽  
Author(s):  
Diego Raimondo ◽  
Laura Cocchi ◽  
Antonio Raffone ◽  
Simona Del Forno ◽  
Raffaella Iodice ◽  
...  
Keyword(s):  
Pelvic Floor ◽  
Chronic Constipation ◽  
Pelvic Floor Dysfunction ◽  
Transperineal Ultrasound

290: The Prevalence of Abuse in Women with Interstitial Cystitis and Pelvic Floor Dysfunction

2006 ◽  
Vol 175 (4S) ◽  
pp. 96-97
Author(s):  
Donna J. Carrico ◽  
Ananias C. Diokno ◽  
Kenneth M. Peters
Keyword(s):  
Pelvic Floor ◽  
Interstitial Cystitis ◽  
Pelvic Floor Dysfunction

Possibilities of using neodymium laser (Nd:YAG) in patients with concomitant diseases which are accompanied by pathological discharge from the genital tract

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 75-81
Author(s):  
Olga A. Pauzina ◽  
Inna A. Apolikhina ◽  
Darya A. Malyshkina
Keyword(s):  
Drug Therapy ◽  
Pelvic Floor ◽  
Genital Tract ◽  
Vaginal Discharge ◽  
Muscle Tone ◽  
Pelvic Floor Muscle ◽  
Pelvic Floor Dysfunction ◽  
Vaginal Wall ◽  
Neodymium Laser ◽  
Frequent Relapses

Background. Pathological vaginal discharge is the most common disorder in women after giving birth who have vaginal relaxation syndrome and vaginal wall prolapse, as well as in women during menopause. To date, there are no clear treatment regimens for mixed vulvovaginal infections, and the use of only drug therapy in patients with pelvic organ prolapse and genitourinary syndrome of menopause in combination with diseases which are accompanied by pathological vaginal discharge does not give a long lasting result and is characterized by frequent relapses. In this regard, the use of laser methods in combination with drug therapy may lead to the recovery of vaginal microbiocenosis and a decrease in the number of relapses of diseases which are accompanied by pathological discharge from the genital tract. Results. Description. This article presents a clinical case and description of the experience of using a neodymium laser for the treatment of a patient with recurrent mixed vulvovaginitis, 2nd- degree vaginal wall prolapse, loss of pelvic floor muscle tone, vaginal relaxation syndrome and sexual dysfunction using neodymium laser. The woman received 3 procedures of exposure to a neodymium laser with an interval of 2830 days. After 3 procedures of exposure to a neodymium laser, the patient has a good clinical efficacy in the recovery of vaginal microbiocenosis. Conclusions. An innovative technique of exposure to Nd:YAG neodymium laser in the practice of a gynecologist has shown high clinical efficiency in the treatment of not only pelvic floor dysfunction, but also mixed vulvovaginitis. And, despite this aspect of the use of laser technologies requires further study, we can use a neodymium laser in combination with traditional drug therapy to treat diseases which are accompanied by pathological discharge from the genital tract in cases of ineffective drug monotherapy and frequent relapses.

Sign in / Sign up

Export Citation Format

Share Document