Abstract
Obstructed defecation is a common problem that adversely affects the quality of life
for many patients. Known causes of obstructed defecation include pelvic dyssynergy,
rectocele, rectal intussusception, enterocele, pelvic organ prolapse, and overt rectal
prolapse. Management of this condition requires an understanding of urinary, defecatory,
and sexual function to achieve an optimal outcome. The goal of surgical treatment
is to restore the various pelvic organs to their appropriate anatomic positions. However,
there is a poor correlation between anatomic and functional results. As the pelvis
contains many structures, a pelvic support or function defect frequently affects other
pelvic organs. Optimal outcomes can only be achieved by selecting appropriate treatment
modalities that address all of the components of a patient's problem.
Keywords
rectocele - pelvic dyssynergy - biofeedback - enterocele - rectal prolapse
