Two Cases of Dyssynergic Defecation with Rectocele

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  • 直腸瘤を伴う骨盤底筋協調運動障害の2例

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Abstract

<p>We report two cases in which dyssynergic defecation with rectocele was considered to be the cause of defecation disorder. Case 1 was a 51-year-old woman with the main complaints of dyschezia and a feeling of incomplete evacuation. Rectocele of about 4cm was detected in defecography and radical operation for rectocele was performed. The patient complained dyschezia even after the operation, so defecography was performed again. The defecography showed dyssynergic defecation was the cause of outlet obstruction and the complaint improved by biofeedback therapy. Case 2 was a 74-year-old woman with the main complaint of dyschezia. Rectocele of about 2.5cm was detected and dyssynergic defecation was found by defecography. The complaint improved by biofeedback treatment. A rectocele can be diagnosed by digital examination, but the cause of outlet obstruction should be considered and treated not only due to rectocele but also due to dyssynergic defecation.</p>

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