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:
Dr. Ismat Jahan Lima is a best female Colorectal & Laparoscopic Surgeon in Dhaka, Bangladesh. She is best for piles, fistula, anal fissure, colon and rectal cancer, polyp, rectal prolapse & diverticulitis.
Rectal Prolapse:
Dr. Ismat Jahan Limais a best female Colorectal & Laparoscopic Surgeon in Dhaka, Bangladesh. She is best for piles, fistula, anal fissure, colon and rectal cancer, polyp, rectal prolapse & diverticulitis.
Colon and Rectal Cancer:
Dr. Ismat Jahan Lima is a best female Colorectal & Laparoscopic Surgeon in Dhaka, Bangladesh. She is best for piles, fistula, anal fissure, colon and rectal cancer, polyp, rectal prolapse & diverticulitis.