OBS (Obstructive defaecation syndrome)

ODS is the inability of a person to evacuate the rectum normally, mostly female predominant and usually associated with genitourinary prolapse. A Colorectal Surgeon can usually be able to diagnose the underlying problem. For complex etiology and psychological involvement, ODS need  multidiciplinary  approach . Treatment should be specific and low cost.

Clinical features :

Excessive strain during defecation.

Incomplete evacuation of stool with repeated visit to the toilet.

Need perineal support or manual removal of stool to empty the rectum.

May or may not be associated with constipation .

Often associated with accidental bowel leakage.

Sometimes fecal incontinence and constipation overlap.

Most of the cases, patients are laxative dependant and psychologically  handicapped.

Etiology:

Outlet Obstruction

Rectocele

Recto-rectal Intussusception

Enterocele

Pelvic Floor Dyssynergia

Rectal Hyposensation

Pudendal neuropathy

Perineal Descert Syndrome:

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Rectal Prolapse:

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Colon and Rectal Cancer:

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