Article
Gastroenterology & Hepatology
S. Ascanelli, M. Portinari, M. Canella, S. Solari, F. Dall'Omo, S. Danese, A. De Troia, P. Carcoforo
Summary: This study compared the effectiveness of osteopathy and biofeedback in the treatment of dyssynergic defecation. The short-term results showed both treatments were effective, with some differences observed between the two. Long-term follow-up results indicated that osteopathy has promising long-lasting effects in treating dyssynergic defecation.
TECHNIQUES IN COLOPROCTOLOGY
(2021)
Article
Gastroenterology & Hepatology
Yoav Mazor, Margaret Schnitzler, Michael Jones, Anastasia Ejova, Allison Malcolm
Summary: There is variation in the management approach for patients with obstructed defecatory symptoms between gastroenterologists and colorectal surgeons. Gastroenterologists are more likely to refer for anorectal manometry while colorectal surgeons are more likely to refer for dynamic imaging. Knowledge of dynamic imaging findings influences treatment decisions for both specialties.
NEUROGASTROENTEROLOGY AND MOTILITY
(2023)
Review
Surgery
Dimitrios K. Manatakis, Nikolaos Gouvas, George Pechlivanides, Evangelos Xynos
Summary: This study evaluates the efficacy of Ventral Prosthesis Rectopexy (VPR) for treating Obstructed Defecation Syndrome (ODS) and found a significant improvement in constipation symptoms within the 12-month postoperative period. Most patients experienced symptomatic relief and improved constipation-like symptoms and fecal incontinence for at least 1-2 years after surgery, with some studies indicating sustained improvement even after longer follow-up.
UPDATES IN SURGERY
(2022)
Article
Gastroenterology & Hepatology
A. Picciariello, M. Rinaldi, U. Grossi, M. Trompetto, G. Graziano, D. F. Altomare, G. Gallo
Summary: The study evaluated the trends in surgical management of obstructed defecation syndrome (ODS) over a 10-year period in Italian referral centers. The data showed that surgical techniques varied depending on the clinical scenarios and sphincter function. The complexity of ODS treatment was highlighted by the changing trend in surgical management over time.
TECHNIQUES IN COLOPROCTOLOGY
(2022)
Article
Pediatrics
Ahmed B. Radwan, Mohamed A. Gadallah, Mohammed R. Shahawy, Ayman A. Albagdady, Ayman A. Talaat
Summary: This study compared the changes in Rintala scores in children with FC and ODS managed by BT injection, BMP, and SBL, versus a control group managed by only BMP and SBL. The results showed no statistically significant difference between the two groups, indicating that BT injection did not provide additional improvement in defecatory function when assessed by Rintala score.
JOURNAL OF PEDIATRIC SURGERY
(2021)
Article
Computer Science, Interdisciplinary Applications
Megan R. Routzong, Ghazaleh Rostaminia, Shaniel T. Bowen, Roger P. Goldberg, Steven D. Abramowitch
Summary: Through magnetic resonance defecography and statistical shape modeling, it was found that obstructed defecation is related to pelvic floor shape variations. Significant differences in pelvic floor shape were identified among women with and without OD and during different states and groups.
COMPUTER METHODS IN BIOMECHANICS AND BIOMEDICAL ENGINEERING
(2021)
Review
Surgery
Lorenzo Ripamonti, Angelo Guttadauro, Giulia Lo Bianco, Maria Rennis, Matteo Maternini, Gerardo Cioffi, Marco Chiarelli, Matilde De Simone, Ugo Cioffi, Francesco Gabrielli
Summary: Obstructed defecation syndrome (ODS) is a common form of constipation that significantly affects patients' quality of life. The Stapled Trans-Anal Rectal Resection (STARR) procedure introduced by Longo in 2004 has shown to be a minimally invasive approach for correcting mechanical disorders associated with ODS. This study reviewed the literature on preoperative assessment, operative features, and outcomes of the STARR technique for ODS treatment. The findings suggest that the STARR surgical procedure is safe and effective in treating ODS symptoms and improving patients' quality of life. The development of international guidelines is necessary to optimize the diagnostic and therapeutic process and enhance treatment outcomes.
FRONTIERS IN SURGERY
(2022)
Article
Surgery
Mirac Ilker Pala, Muhammed Kadir Yildirak, Ilker Sucullu
Summary: Rectocele is a common pelvic floor disorder with symptoms of prolonged straining and splinting. Surgery may be necessary for symptomatic cases, and pelvic approaches, including transperineal repair, have gained attention. This study analyzed the outcomes of 50 patients who underwent transperineal rectocele repair, showing successful relief of symptoms and low complications.
INDIAN JOURNAL OF SURGERY
(2023)
Article
Health Care Sciences & Services
Walid M. Abd El M. Maksoud, Khaled S. S. Abbas, Mohammed A. A. Bawahab, Fares Rayzah, Sultan M. M. Alkorbi, Abdulelah G. G. Alfaifi, Abdulrahman N. N. Alqahtani, Abdullah F. F. Alahmari, Turki B. B. Alotaibi
Summary: The aim of this study was to determine the prevalence of obstructed defecation syndrome (ODS) among patients who underwent hemorrhoidectomy and to assess the correlation between preoperative constipation score and postoperative patients' satisfaction. The study included 120 patients, and 24.2% of them had obstructed defecation. The postoperative constipation score significantly improved and had a negative correlation with preoperative total constipation score. Therefore, routine preoperative measurement of ODS is recommended for patients who need further evaluation and counseling.
Article
Surgery
Silvia Degasperi, Marco Scarpa, Oscar Zini, Cesare Ruffolo, Mario Gruppo, Romeo Bardini, Imerio Angriman
Summary: For patients with obstructed defecation syndrome, laparoscopic ventral mesh rectopexy (LVR) appears to provide sustained improvements in functional outcomes and Health-Related Quality of Life for internal and/or rectocele prolapse, without exacerbating constipation. Additionally, the procedure has low morbidity and recurrence rates.
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
(2021)
Review
Surgery
Anders Mellgren, Muhammad Huzaifa Zafar
Summary: Constipation is a common symptom that can be classified into obstructed defecation and prolonged bowel transit time. Clinical diagnosis of obstructed defecation syndrome (ODS) requires detailed history and various examinations. Non-surgical management is the initial treatment for ODS patients, while biofeedback therapy is the primary treatment for dyssynergic defecation. Surgical interventions may be considered for certain patients.
ANNALS OF LAPAROSCOPIC AND ENDOSCOPIC SURGERY
(2022)
Article
Obstetrics & Gynecology
Nishamini Subramaniam, Francisca Andrea Solar Altamirano, Talia Friedman Barhum, Bernadette Brown, Hans Peter Dietz
Summary: In this study, the records of 754 women with pelvic floor dysfunction and normal anorectal anatomy were retrospectively evaluated. The authors aimed to determine the role of parity in the development of obstructed defecatory symptoms, specifically investigating the potential neuropathic effect of pregnancy and childbirth. The results suggest that parity is unlikely to be a significant cause of obstructed defecation in women with normal anorectal anatomy.
INTERNATIONAL UROGYNECOLOGY JOURNAL
(2022)
Article
Obstetrics & Gynecology
Keila S. Muniz, Julia Wainger, Sophia Diaz, Glory E. Mgboji, Lisa R. Yanek, Prerna R. Pandya, Jacqueline Y. Kikuchi, Danielle Patterson, Chi Chiung Grace Chen, Joan Blomquist, Stephanie Jacobs, Victoria L. Handa
Summary: Research showed that about 23.6% of female patients developed obstructed defecation syndrome (ODS) in the week after pelvic reconstructive surgery, with preoperative ODS being a significant risk factor for this complication.
INTERNATIONAL UROGYNECOLOGY JOURNAL
(2022)
Article
Surgery
Dongxing Cao, Zhenhua Wang, Ye Zhang, Weiyi Li, Jie Wang, Xiaohui Wang, Jingkai Cao, Yong Chen, Guangyu Wu, Zhe Cui
Summary: This study investigated the relationship between postoperative anxiety/depression and functional outcomes in patients with obstructed defecation who underwent laparoscopic ventral rectopexy (LVR). The results showed that postoperative anxiety/depression did not undermine the long-term functional outcomes of LVR in patients with overt pelvic structural abnormalities.
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES
(2022)
Article
Surgery
Mahmoud Abdelnaby, Sameh Hany Emile, Mohammad Fathy, Mohamed Balata, Mohamed Arnous, Hossam Elfeki
Summary: Surgical treatment including laparoscopic ventral mesh rectopexy and sigmoid colon resection was effective in improving obstructed defecation syndrome caused by internal rectal prolapse and anterior rectocele with associated dolichocolon in a 39-year-old woman, with no postoperative complications and significant symptom improvement at 6 months follow-up.
INDIAN JOURNAL OF SURGERY
(2022)
