This chapter focuses on Pelvic Floor Dyssynergia (PFD) and Its Relationship to Anorectal Bowel Dysfunctions, as well as Treatment Options. PFD is characterised by straining at stools and a sense of incomplete evacuation. A key indication to its diagnosis is the necessity for perineal or vaginal pressure with a relaxed pelvic floor to allow faeces to be evacuated. Anorectal Manometry is now frequently utilised to diagnose persistent constipation-related stool emptying issues. In the majority of patients, a bowel programme for appropriate evacuation is tailored with a defined time, diet control, and digital stimulation with and without a glycerin suppository; for those who have difficulties building an efficient bowel routine, more than one procedure may be required.
Author(S) Details
Inder Perkash
Department of Urology and Division of Gastroenterology and Hepatology, Stanford University, California, USA.
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