Obstruktive Defäkationsstörungen

Abstract

BackgroundObstructed defecation is a subcategory of chronic constipation, representing an outlet obstruction of the rectum that can be associated with severe functional impairment and decreased quality of life.ObjectivesThe aim is to present the diagnostic assessment, differential diagnoses, and treatment options for obstructed defecation and their evaluation against the background of current studies.Materials and methodsSelected studies are presented.ResultsDiagnosis of obstructed defecation syndrome requires a meticulous workup in order to rule out pelvic floor dyssynergia or slow transit constipation. After primary conservative treatment with medication, pelvic floor retraining and irrigation, surgical procedures can be considered in case of refractory course and evidence of morphological changes as rectocele or intussusception, with adequate functional results.ConclusionsPatient selection and an accurate diagnostic evaluation are decisive for successful treatment of obstructed defecation syndrome.