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Obstructive Defecation Syndrome

A condition characterized by difficulty with defecation, presenting with rectocele, intussusception, and pelvic floor dyssynergia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Obstructive Defecation Syndrome?

Obstructive defecation syndrome is a chronic defecation disorder characterized by inability to fully evacuate stool, sense of incomplete emptying, and excessive straining. Causes include rectocele, rectal intussusception, sigmoidocele, pelvic floor dyssynergia (anismus), and perineal descent syndrome.

It is more common in women; pelvic floor disorders and rectovaginal connective tissue weakness following vaginal delivery and hysterectomy contribute to its development. Defecography, dynamic pelvic MRI, and anorectal manometry are important for diagnosis.

Treatment begins with biofeedback and pelvic floor physiotherapy for functional causes. For anatomical disorders, surgical methods such as rectocele repair, STARR (Stapled Transanal Rectal Resection), and ventral rectopexy are used.

Symptoms

Sense of incomplete evacuation
Need for excessive straining
Need for digital manipulation
Pain during defecation
Chronic constipation
Pelvic pressure and fullness
Anal and perineal pain

Risk Factors

Multiparity and vaginal delivery
Hysterectomy
Menopause
Obesity
Habit of chronic straining
Collagen tissue disorders

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When defecation requires digital assistance
  • When sense of incomplete emptying impairs quality of life
  • When constipation is accompanied by rectal pressure and pelvic pain
  • When abnormal vaginal or rectal swelling is noticed
  • When constipation treatments are unresponsive

Treatment Methods

01
Defecography and dynamic pelvic MRI
02
Biofeedback and pelvic floor physiotherapy
03
Rectocele repair (transvaginal or transanal)
04
STARR procedure
05
Ventral rectopexy
06
Multidisciplinary approach (urogynecology, colorectal surgery)

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.