Constipation and pelvic outlet obstruction

Gastroenterol Clin North Am. 2013 Dec;42(4):863-76. doi: 10.1016/j.gtc.2013.09.004. Epub 2013 Nov 6.

Abstract

Caring for patients with constipation and pelvic outlet obstruction can be challenging, requiring skill, patience, and empathy on the part of the medical professional. The mainstay of treatment is behavioral with surgery reserved for a select group of patients. The evaluation, diagnostic, and treatment modalities of both constipation and pelvic outlet with a focus on current advancements and technology are explored in depth.

Keywords: Constipation; Defecography; Manometry; Obstructed defecation; Pelvic outlet obstruction; Slow transit constipation.

Publication types

  • Review

MeSH terms

  • Cathartics / therapeutic use
  • Colonoscopy
  • Constipation / diagnosis*
  • Constipation / etiology
  • Constipation / therapy
  • Defecography
  • Dietary Fiber / therapeutic use
  • Electromyography
  • Female
  • Gastrointestinal Motility
  • Gastrointestinal Transit
  • Humans
  • Intestinal Obstruction / diagnosis*
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / therapy
  • Male
  • Manometry
  • Muscle, Smooth
  • Pelvic Floor Disorders / complications
  • Pelvic Floor Disorders / diagnosis*
  • Pelvic Floor Disorders / therapy
  • Rectocele

Substances

  • Cathartics
  • Dietary Fiber