Disordini funzionali ano-rettali: reperti defecografici associati e loro corrispondenza con la sintomatologia.

Translated title of the contribution: Functional ano-rectal disorders: associated defecographic findings and related symptoms

R. Grassi, O. Catalano, A. Salzano, M. Amitrano, B. Parisi, A. Rotondo

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

We retrospectively analyzed our latest 564 defecographies to evaluate: the frequency of each single defecographic finding on the total number of patients and in the two sexes; the frequency of the finding as single disorder and in association with other anorectal disorders; the correlation between findings and symptoms. The most common disorders were anterior rectocele (54%), mucosal prolapse (53%), puborectalis muscle syndrome (15%), and intussusception (15%); this order is respected in women (70, 57, 17 and 16% of the study population) but differs in men (mucosal prolapse 42%, puborectalis muscle syndrome 18%, posterior rectocele 14%, and intussusception 14%). Intussusception and puborectalis muscle syndrome were identified as an isolated finding in many cases (55% and 43%, respectively). The most common associations are: posterior rectocele with anterior rectocele (58% of cases), anterior rectocele with mucosal prolapse and vice versa (63% and 64%), intussusception with anterior rectocele (52%), puborectalis muscle syndrome with mucosal prolapse (36%) and with anterior rectocele (49%) and descending perineum syndrome with anterior rectocele (81%) and with mucosal prolapse (70%). The low rate of association among some disorders should be mentioned too for example, mucosal prolapse is associated, with intussusception only in 10% of cases. Clinical-defecographic correlations are less apparent: if some symptoms are found to be more typical of some disorders, this correlation is not pathognomonic and the clinical picture is quite aspecific. We stress the value of a careful correlation between clinical-anamnestic and defecographic findings for the correct evaluation of these disorders.

Original languageItalian
Pages (from-to)56-62
Number of pages7
JournalRadiologia Medica
Volume88
Issue number1-2
Publication statusPublished - Jul 1994

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Rectal Diseases
Rectocele
Prolapse
Intussusception
Muscles
Defecography
Perineum

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Disordini funzionali ano-rettali : reperti defecografici associati e loro corrispondenza con la sintomatologia. / Grassi, R.; Catalano, O.; Salzano, A.; Amitrano, M.; Parisi, B.; Rotondo, A.

In: Radiologia Medica, Vol. 88, No. 1-2, 07.1994, p. 56-62.

Research output: Contribution to journalArticle

Grassi, R, Catalano, O, Salzano, A, Amitrano, M, Parisi, B & Rotondo, A 1994, 'Disordini funzionali ano-rettali: reperti defecografici associati e loro corrispondenza con la sintomatologia.', Radiologia Medica, vol. 88, no. 1-2, pp. 56-62.
Grassi, R. ; Catalano, O. ; Salzano, A. ; Amitrano, M. ; Parisi, B. ; Rotondo, A. / Disordini funzionali ano-rettali : reperti defecografici associati e loro corrispondenza con la sintomatologia. In: Radiologia Medica. 1994 ; Vol. 88, No. 1-2. pp. 56-62.
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abstract = "We retrospectively analyzed our latest 564 defecographies to evaluate: the frequency of each single defecographic finding on the total number of patients and in the two sexes; the frequency of the finding as single disorder and in association with other anorectal disorders; the correlation between findings and symptoms. The most common disorders were anterior rectocele (54{\%}), mucosal prolapse (53{\%}), puborectalis muscle syndrome (15{\%}), and intussusception (15{\%}); this order is respected in women (70, 57, 17 and 16{\%} of the study population) but differs in men (mucosal prolapse 42{\%}, puborectalis muscle syndrome 18{\%}, posterior rectocele 14{\%}, and intussusception 14{\%}). Intussusception and puborectalis muscle syndrome were identified as an isolated finding in many cases (55{\%} and 43{\%}, respectively). The most common associations are: posterior rectocele with anterior rectocele (58{\%} of cases), anterior rectocele with mucosal prolapse and vice versa (63{\%} and 64{\%}), intussusception with anterior rectocele (52{\%}), puborectalis muscle syndrome with mucosal prolapse (36{\%}) and with anterior rectocele (49{\%}) and descending perineum syndrome with anterior rectocele (81{\%}) and with mucosal prolapse (70{\%}). The low rate of association among some disorders should be mentioned too for example, mucosal prolapse is associated, with intussusception only in 10{\%} of cases. Clinical-defecographic correlations are less apparent: if some symptoms are found to be more typical of some disorders, this correlation is not pathognomonic and the clinical picture is quite aspecific. We stress the value of a careful correlation between clinical-anamnestic and defecographic findings for the correct evaluation of these disorders.",
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