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Pelvic floor disorders of women from the point of coloproctologist‘s view


Authors: Berková A. 1;  Vlček P. 1;  Červeňák V. 2;  Dolina J. 3;  Vystrčilová T. 1;  Hemmelová B. 1;  Chovanec Z. 1
Authors place of work: I. chirurgická klinika LF MU a FN u sv. Anny v Brně 1;  Klinika zobrazovacích metod LF MU a FN u sv. Anny v Brně 2;  Interní gastroenterologická klinika LF MU a FN Brno 3
Published in the journal: Gastroent Hepatol 2022; 76(4): 319-326
Category: Clinical and Experimental Gastroenterology: Review Article
doi: https://doi.org/10.48095/ccgh2022319

Summary

Disorders of the pelvic floor and anorectal dysfunction are a major cause of discomfort for many women. As a result of shyness and embarrassment, women come for medical examination after a longer period of difficulties, mostly for progressive disorder of defecation and continence. Despite the low morbidity, anorectal dysfunctions have a very significant impact on patient’s quality of life and therefore dia­gnosis and subsequent treatment should be aimed at every possible cause. Gastroenterological examination can play an important part In primary detection, but also in the multidisciplinary dia­gnostic process of pelvic floor pathology. Likewise, coloproctology is an integral part of the dia­gnostic-therapeutic algorithm of pelvic dysfunctions. The aim of the article is to provide information on the pathophysiology, dia­gnosis and treatment of anorectal disorders from the perspective of coloproctology. Anorectal dysfunctions are a multidisciplinary problem, therefore, to achieve good treatment results, the cooperation of different specializations is essential.

Keywords:

Incontinence – Defecation – prolapse – anorectal dysfunction – rectocele – rectopexy


Zdroje

1. Chapman GC, Sheyn D, Slopnick EA et al. Perioperative Safety of Surgery for Pelvic Organ Prolapse in Elderly and Frail Patients. Obstet Gynecol 2020; 135 (3): 599–608. doi: 10.1097/AOG.0000000000003682.

2. Rogers, RG, Fashokun, TB. Pelvic organ prolapse in females: Epidemiology, risk factors, clinical manifestations, and management. 2022 [online]. Available from: https: //www.uptodate.com/contents/pelvic-organ-prolapse-in-females-epidemiology-risk-factors-clinical-manifestations-and-management.

3. Barber MD, Maher C. Epidemiology and outcome assessment of pelvic organ prolapse. Int Urogynecol J 2013; 24: 1783–1790. doi: 10.1007/s00192-013-2169-9.

4. Kim JK, Kim YJ, Choo MS et al. The urethra and its supporting structures in women with stress urinary incontinence: MR imaging using an endovaginal coil. AJR Am J Roentgenol 2003; 180 (4): 1037–1044.

5. Horák L, Skřička T, Šlauf P et al. Praktická proktologie. Praha: Grada 2013.

6. Patcharatrakul T, Rao SSC. Update on the Pathophysiology and Management of Anorectal Disorders. Gut Liver 2018; 12 (4): 375–384. doi: 10.5009/gnl17172.

7. Raizada V, Bhargava V, Karsten A et al. Functional morphology of anal sphincter complex unveiled by high definition anal manometery and three dimensional ultrasound imaging. Neurogastroenterol Motil 2011; 23 (11): 1013–1019. doi: 10.1111/j.1365-2982.2011.01782.x.

8. DeLancey JO. The anatomy of the pelvic floor. Curr Opin Obstet Gynecol 1994; 6 (4): 313–316.

9. Attaallah W. Update on the pathophysiology of rectal prolapse. Turk J Gastroenterol 2019; 30 (12): 1074–1075. doi: 10.5152/tjg.2019.19 196.

10. Rockwood TH, Church JM, Fleshman JW et al. Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severity index. Dis Colon Rectum 1999; 42 (12): 1525–1532. doi: 10.1007/BF02236199.

11. Moalli PA, Ivy AJ, Meyn LA et al. Risk factors associated with pelvic floor disorders in women undergoing surgical repair. Obstet Gynecol 2003; 101 (5): 869–874. doi: 10.1016/s0029- 7844 (03) 00078-4.

12. Ortega AE, Cologne KG, Lee SW. Management of Rectal Prolapse – The State of the Art. JSM Gen Surg Cases Image 2017; 2 (1): 1018.

13. Maccioni F. Functional disorders of the ano-rectal compartment of the pelvic floor: clinical and dia­gnostic value of dynamic MRI. Abdom Imaging 2013; 38 (5): 930–951. doi: 10.1007/s00261-012-9955-6.

14. Bertschinger KM, Hetzer FH, Roos JE et al. Dynamic MR imaging of the pelvic floor performed with patient sitting in an open-magnet unit versus with patient supine in a closed-magnet unit. Radiology 2002; 223 (2): 501–508. doi: 10.1148/radiol.2232010665.

15. Roos JE, Weishaupt D, Wildermuth S et al. Experience of 4 years with open MR defecography: pictorial review of anorectal anatomy and disease. Radiographics 2002; 22 (4): 817–832. doi: 10.1148/radiographics.22.4.g02jl02817.

16. Sákra L, Šiller J. ODS – Obstrukční defekační syndrom – souhrnné sdělení. Rozhl Chir 2017; 96 (6): 247–251.

17. Martínek J. Zácpa – častý problém. Prakt Lékáren 2010; 6 (1): 15–21.

18. Pescatori M, Boffi F, Russo A et al. Complications and recurrence after excision of rectal internal mucosal prolapse for obstructed defaecation. Int J Colorectal Dis 2006; 21 (2): 160–165. doi: 10.1007/s00384-005-0758-x.

19. Örhalmi J. Proktologie vyššího věku – prolaps rekta. Postgraduální gastroenterologie & hepatologie 2016; 2 (4): 150–153.

20. Ihnát P, Jelínek P, Guňková P et al. Chirurgická léčba rektokély – mnoho technik, málo jednoznačných závěrů. Rozhl Chir 2014; 93 (4): 188–193.

21. De Wachter S, Knowles CH, Elterman DS et al. New Technologies and Applications in Sacral Neuromodulation: An Update. Adv Ther 2020; 37 (2): 637–643. doi: 10.1007/s12325- 019-01205-z.

22. Jelovsek JE, Gantz MG, Lukacz E et al. Success and failure are dynamic, recurrent event states after surgical treatment for pelvic organ prolapse. Am J Obstet Gynecol 2021; 224 (4): 362.e1–362.e11. doi: 10.1016/j.ajog.2020.10.009.

23. Dunivan GC, Sussman AL, Jelovsek JE et al. Gaining the patient perspective on pelvic floor disorders‘ surgical adverse events. Am J Obstet Gynecol 2019; 220 (2): 185.e1–185.e10. doi: 10.1016/j.ajog.2018.10.033.

Štítky
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Článok vyšiel v časopise

Gastroenterology and Hepatology

Číslo 4

2022 Číslo 4
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