Defecation disorders: An important subgroup of functional constipation, its pathophysiology, evaluation and treatment with biofeedback

Ramazan Öztürk, Satish Sanku Chander Rao

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Functional defecation disorders are common and affect approximately 50% of patients with chronic constipation. The etiology of functional defecation disorders is not well known, but several pathophysiologic mechanisms have been described, including failure of rectoanal coordination, paradoxical anal contraction or insufficient relaxation of anal sphincter during defecation and impairment of rectal sensation as well as secondary slowing of colonic transit. Symptoms alone are inadequate to distinguish patients with defecation disorders from those with other types of constipation. Detailed clinical evaluation and anorectal physiologic tests are required for definitive diagnosis. There is also a pathophysiological association between functional defecation disorders and other anorectal conditions such as solitary rectal ulcer syndrome. Among the various treatment modalities, biofeedback therapy has emerged as an effective and specific treatment method for functional defecation disorders. The main goals of biofeedback therapy are to relax the pelvic floor and anal sphincter muscles during defecation and to improve rectoanal coordination and sensory perception. Today, it is possible to diagnose most functional disorders of defecation and either effectively treat or ameliorate symptoms in a majority of these patients.

Original languageEnglish (US)
Pages (from-to)139-149
Number of pages11
JournalTurkish Journal of Gastroenterology
Volume18
Issue number3
StatePublished - Dec 1 2007
Externally publishedYes

Fingerprint

Defecation
Constipation
Anal Canal
Therapeutics
Rectal Diseases
Pelvic Floor
Biofeedback (Psychology)
Ulcer
Muscles

Keywords

  • Biofeedback therapy
  • Constipation
  • Defecation disorders

ASJC Scopus subject areas

  • Gastroenterology

Cite this

@article{bea82397984f4808a071f770d86834d6,
title = "Defecation disorders: An important subgroup of functional constipation, its pathophysiology, evaluation and treatment with biofeedback",
abstract = "Functional defecation disorders are common and affect approximately 50{\%} of patients with chronic constipation. The etiology of functional defecation disorders is not well known, but several pathophysiologic mechanisms have been described, including failure of rectoanal coordination, paradoxical anal contraction or insufficient relaxation of anal sphincter during defecation and impairment of rectal sensation as well as secondary slowing of colonic transit. Symptoms alone are inadequate to distinguish patients with defecation disorders from those with other types of constipation. Detailed clinical evaluation and anorectal physiologic tests are required for definitive diagnosis. There is also a pathophysiological association between functional defecation disorders and other anorectal conditions such as solitary rectal ulcer syndrome. Among the various treatment modalities, biofeedback therapy has emerged as an effective and specific treatment method for functional defecation disorders. The main goals of biofeedback therapy are to relax the pelvic floor and anal sphincter muscles during defecation and to improve rectoanal coordination and sensory perception. Today, it is possible to diagnose most functional disorders of defecation and either effectively treat or ameliorate symptoms in a majority of these patients.",
keywords = "Biofeedback therapy, Constipation, Defecation disorders",
author = "Ramazan {\"O}zt{\"u}rk and Rao, {Satish Sanku Chander}",
year = "2007",
month = "12",
day = "1",
language = "English (US)",
volume = "18",
pages = "139--149",
journal = "Turkish Journal of Gastroenterology",
issn = "1300-4948",
publisher = "Turkish Society of Gastroenterology",
number = "3",

}

TY - JOUR

T1 - Defecation disorders

T2 - An important subgroup of functional constipation, its pathophysiology, evaluation and treatment with biofeedback

AU - Öztürk, Ramazan

AU - Rao, Satish Sanku Chander

PY - 2007/12/1

Y1 - 2007/12/1

N2 - Functional defecation disorders are common and affect approximately 50% of patients with chronic constipation. The etiology of functional defecation disorders is not well known, but several pathophysiologic mechanisms have been described, including failure of rectoanal coordination, paradoxical anal contraction or insufficient relaxation of anal sphincter during defecation and impairment of rectal sensation as well as secondary slowing of colonic transit. Symptoms alone are inadequate to distinguish patients with defecation disorders from those with other types of constipation. Detailed clinical evaluation and anorectal physiologic tests are required for definitive diagnosis. There is also a pathophysiological association between functional defecation disorders and other anorectal conditions such as solitary rectal ulcer syndrome. Among the various treatment modalities, biofeedback therapy has emerged as an effective and specific treatment method for functional defecation disorders. The main goals of biofeedback therapy are to relax the pelvic floor and anal sphincter muscles during defecation and to improve rectoanal coordination and sensory perception. Today, it is possible to diagnose most functional disorders of defecation and either effectively treat or ameliorate symptoms in a majority of these patients.

AB - Functional defecation disorders are common and affect approximately 50% of patients with chronic constipation. The etiology of functional defecation disorders is not well known, but several pathophysiologic mechanisms have been described, including failure of rectoanal coordination, paradoxical anal contraction or insufficient relaxation of anal sphincter during defecation and impairment of rectal sensation as well as secondary slowing of colonic transit. Symptoms alone are inadequate to distinguish patients with defecation disorders from those with other types of constipation. Detailed clinical evaluation and anorectal physiologic tests are required for definitive diagnosis. There is also a pathophysiological association between functional defecation disorders and other anorectal conditions such as solitary rectal ulcer syndrome. Among the various treatment modalities, biofeedback therapy has emerged as an effective and specific treatment method for functional defecation disorders. The main goals of biofeedback therapy are to relax the pelvic floor and anal sphincter muscles during defecation and to improve rectoanal coordination and sensory perception. Today, it is possible to diagnose most functional disorders of defecation and either effectively treat or ameliorate symptoms in a majority of these patients.

KW - Biofeedback therapy

KW - Constipation

KW - Defecation disorders

UR - http://www.scopus.com/inward/record.url?scp=43549089275&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=43549089275&partnerID=8YFLogxK

M3 - Review article

C2 - 17891686

AN - SCOPUS:43549089275

VL - 18

SP - 139

EP - 149

JO - Turkish Journal of Gastroenterology

JF - Turkish Journal of Gastroenterology

SN - 1300-4948

IS - 3

ER -