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Imaging Atlas of the Pelvic Floor and Anorectal Diseases pp 179–187Cite as

Cinedefecography in Functional Pelvic Floor Disorders

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Abstract

Cinedefecography is one of the most important exams to be performed in patients with pelvic floor dysfunction. Its popularity has rapidly increased compared with other routine studies for evaluating anorectal disorders, as it is inexpensive and relatively easy to perform. Additionally, it provides dynamic and static images of pelvic-floor structures during rest, squeeze, and evacuation.

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References

  1. Walldén L (1952) Defecation block in cases of deep rectogenital pouch; a surgical roentgenological and embryological study with special reference to morphological conditions. Acta Chir Scand 165(Suppl):1–122

    Google Scholar 

  2. Mahieu P, Pringot J, Bodart (1984) Defecography: I. Description of a new procedure and results in normal patients. Gastrointest Radiol 9(3):247–251

    Article  PubMed  CAS  Google Scholar 

  3. Mahieu P, Pringot J, Bodart (1984) Defecography: II. Contribution to the diagnosis of defecation disorders. Gastrointest Radiol 9(3):253–261

    Article  PubMed  CAS  Google Scholar 

  4. Bartram C (2003) Dynamic evaluation of the anorectum. Radiol Clin North Am 41(2):425–441

    Article  PubMed  Google Scholar 

  5. Maglinte DD, Bartram C (2007) Dynamic imaging of posterior compartment pelvic floor dysfunction by evacuation proctography: techniques, indications, results and limitations. Eur J Radiol 61(3):454–461

    Article  PubMed  Google Scholar 

  6. Hock D, Lombard R, Jehaes C et al (1993) Colpocystodefecography. Dis Colon Rectum 36(11):1015–1021

    Article  PubMed  CAS  Google Scholar 

  7. Bartram CI, Turnbull GK, Lennard-Jones JE (1988) Evacuation proctography: an investigation of rectal expulsion in 20 subjects without defecatory disturbance. Gastrointest Radiol 13(1):72–80

    Article  PubMed  CAS  Google Scholar 

  8. Ginai AZ (1990) Evacuation proctography (defecography). A new seat and method of examination. Clin Radiol 42(3):214–216

    Article  PubMed  CAS  Google Scholar 

  9. Bartolo DC, Bartram CI, Ekberg O et al (1988) Symposium. Proctography. Int J Colorectal Dis 3(2):67–89

    Article  PubMed  CAS  Google Scholar 

  10. Poon FW, Lauder JC, Finlay IG (1991) Technical report: evacuating proctography — a simplified technique. Clin Radiol 44(2):113–116

    Article  PubMed  CAS  Google Scholar 

  11. Goei R, Kemerink G (1990) Radiation dose in defecography. Radiology 176(1):137–139

    PubMed  CAS  Google Scholar 

  12. Jorge JM, Wexner SD, Marchetti F et al (1992) How reliable are currently available methods of measuring the anorectal angle? Dis Colon Rectum 35(4):332–338

    Article  PubMed  CAS  Google Scholar 

  13. Hardcastle JD, Parks AG (1970) A study of anal incontinence and some principles of surgical treatment. Proc R Soc Med 63(Suppl):116–118

    PubMed  Google Scholar 

  14. Burhenne HJ (1964) Intestinal evacuation study: a new roentgenologic technique. Radiol Clin 33:79–84

    PubMed  CAS  Google Scholar 

  15. Shorvon PJ, McHugh S, Diamant NE et al (1989) Defecography in normal volunteers: results and implications. Gut 30(12):1737–1749

    Article  PubMed  CAS  Google Scholar 

  16. Selvaggi F, Pesce G, Scotto Di Carlo E et al (1990) Evaluation of normal subjects by defecographic technique. Dis Colon Rectum 33(8):698–702

    Article  PubMed  CAS  Google Scholar 

  17. Grassi R, Pommeri F (1995) Defecography study of outpouchings of the external wall of the rectum: posterior rectocele and ischio-rectal hernia. Radiol Med (Torino) 90(1–2):44–48

    CAS  Google Scholar 

  18. Chen HH, Iroatulam A, Alabaz O et al (2001) Associations of defecography and physiologic findings in male patients with rectocele. Tech Coloproctol 5(3):157–161

    Article  PubMed  CAS  Google Scholar 

  19. Yoshioka K, Matsui Y, Yamada O et al (1991) Physiologic and anatomic assessment of patients with rectocele. Dis Colon Rectum 34(8):704–708

    Article  PubMed  CAS  Google Scholar 

  20. Jorge JM, Habr-Gama A, Wexner SD (2001) Clinical applications and techniques of cinedefecography. Am J Surg 182(1):93–101

    Article  PubMed  CAS  Google Scholar 

  21. Porter NH (1962) A physiological study of the pelvic floor in rectal prolapse. Ann R Coll Surg Engl 31:379–404

    PubMed  CAS  Google Scholar 

  22. Parks AG, Porter NH, Hardcastle J (1966) The syndrome of the descending perineum. Proc R Soc Med 59(6):477–482

    PubMed  CAS  Google Scholar 

  23. MacDonald A, Shearer M, Paterson PJ et al (1991) Relationship between outlet obstruction constipation and obstructed urinary flow. Br J Surg 78(6):693–695

    Article  PubMed  CAS  Google Scholar 

  24. Kuijpers HC, Bleijenberg G (1985) The spastic pelvic floor syndrome. A cause of constipation. Dis Colon Rectum 28(9):669–672

    Article  PubMed  CAS  Google Scholar 

References

  1. O’Kelly TJ, Mortensen NJ (1992) Test of anorectal function (editorial). Br J Surg 79:988–989

    Article  PubMed  CAS  Google Scholar 

  2. Taraska JM (1994) Tort reform. In: Taraska, JM. Legal guide for physicians. Matthew Bender, New York, pp 1–64

    Google Scholar 

  3. Walldén L (1952) Defecation block in cases of deep rectogenital pouch. A surgical, roentgenological and embryological study with special reference to morphological conditions. Acta Chir Scand 165:1–122

    Google Scholar 

  4. Finlay JG, Bartolo DCC., Bartram CI et al (1988) Symposium: Proctography. Int J Colorectal Dis 3:67–89

    Article  Google Scholar 

  5. Mahieu P, Pringet J, Bodart (1984) Defecography: contribution to the diagnosis of defecation disorders. Gastrointest Radiol 9:253–261

    Article  PubMed  CAS  Google Scholar 

  6. Halligan S, Megee, Bartran CI (1994) Qualification of evacuation proctography. Dis Colon Rectum 37:(1)151–154

    Article  Google Scholar 

  7. Burhennè HJ (1964) Intestinal evacuation study: a new roentgenologic technique. Radiol Clin North Am 33:79–84

    Google Scholar 

  8. Mahieu P, Pringot J, Bodart P et al (1984) Defecography: I. Description of a new procedure and results in normal patients. Gastrointest Radiol 9:247–251

    Article  PubMed  CAS  Google Scholar 

  9. Wexner SD, Jorge JMN (1994) Colorectal physiological tests: Use or abuse of technology? Eur J Surg 160:167–174

    PubMed  CAS  Google Scholar 

  10. Agachan F, Pfeifer J, Wexner SD (1996) Defecography and proctography. Results of 744 patients. Dis Colon Rectum 39(8):899–905

    Article  PubMed  CAS  Google Scholar 

  11. Freimauis MG, Wald A, Carvana B, Bauman DH (1991) Evacuation proctography in normal volunteers. Invest Radiol 26(6):581–585

    Article  Google Scholar 

  12. Harvey CJ, Halligan S, Bartram CL et al (1999) Evacuation proctography: a prospective study of diagnostic and therapeutic effects. Radiology 211(1):223–237

    PubMed  CAS  Google Scholar 

  13. Altringer WE, Saclarides TJ, Dominguez JM et al (1995) Four-contrast defecography: pelvic “flooroscopy”. Dis Colon Rectum 38(7):685–689

    Article  Google Scholar 

  14. Kelvin FM, Maglinte DD, Homback JA et al (1992) Pelvic prolapse: assessment with evacuation proctography (defecography): Radiology 184(2):547–551

    PubMed  CAS  Google Scholar 

  15. Turnbull GH, Bartram RW Jr, Lennard-Jones JE (1988) Radiologic studies of rectal evacuation in adults with idiopathic constipation. Dis Colon Rectum 31:190–197

    Article  PubMed  CAS  Google Scholar 

  16. Bartram CL, Turnbull GK, Lennard-Jones JE (1988) Evaluation proctography: an investigation of rectal expulsion in 20 subjects without defecatory disturbance. Gastrointest Radiol 13:72–80

    Article  PubMed  CAS  Google Scholar 

  17. Barthed M, Portier F, Heynies L et al (2003) Dynamic anal endosonography may challenge defecography for assessing dynamic anorectal disorders: results of a prospective pilot study. Endoscopy 32(4):300–305

    Article  Google Scholar 

  18. Van Outryve SM, Van Outryve MJ, De Writer BY, Pelckmans PA (2002) Is anorectal endosonography valuable in dyschezia? Gut 51(5):695–700

    Article  PubMed  Google Scholar 

  19. Murad-Regadas SM, Regadas FSP, Rodrigues LV et al (2008) A novel three-dimensional dynamic anorectal ultrasonography technique (Echodefecography) to assess obstructed defecation comparison with defecography. Surg Endoscopy 22(4):974–979

    Article  Google Scholar 

  20. Kelvin FM, Maglinte DD, Hale DS et al (2000) Female pelvic organ prolapse: a comparison of triphasic dynamic MR imaging and triphasic fluoroscopic cystocoloproctography. AJR Am J Roentgenol 174:81–88

    PubMed  CAS  Google Scholar 

  21. Beer-Gabel M, Teshler M, Barzilai N et al (2002) Dynamic trans-perineal ultrasound (DPT-US) — a new method for diagnosis of pelvic-floor disorders: technical details and preliminary results. Dis Colon Rectum 45:239–248

    Article  PubMed  Google Scholar 

  22. Regadas SMM, Regadas FSP, Rodrigues LV et al (2006) A novel procedure to assess anismus using three-dimensional dynamic ultrasonography. Colorect Dis 9(2):159–165

    Article  Google Scholar 

  23. Beer-Gabel M, Teshler M, Barzilai N et al (2002) Dynamic transperineal ultrasound in the diagnosis of pelvic floor disorders: pilot study. Dis Colon Rectum 45:239–245, discussion 245–248

    Article  PubMed  Google Scholar 

  24. Schafik A (2001) Magnetic pudendal neurostimulation: a novel method for measuring pudendal nerve terminal motor latency. Clin Neurophysial 112:1049–1052

    Article  Google Scholar 

  25. Kumar S, Rao SSC (2003) Diagnostic test in fecal Incontinence. Current Gastroenterol Rep 5:406–413

    Article  Google Scholar 

  26. Diamant NE, Kamm MA, Wald A, Whitehead WE (1999) AGA technical review on anorectal testing techniques. Gastroenterology 116:735–760

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Bianca Santoni

  2. Department of Surgery Division of General Surgery, University of South Florida College of Medicine, Tampa, FL, USA

    Steven D. Wexner

  3. Department of Colorectal Surgery Division of Research and Education, Cleveland Clinic Florida, Weston, FL, USA

    Steven D. Wexner

Authors
  1. Bianca Santoni
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  2. Steven D. Wexner
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© 2008 Springer-Verlag Italia

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Santoni, B., Wexner, S.D. (2008). Cinedefecography in Functional Pelvic Floor Disorders. In: Imaging Atlas of the Pelvic Floor and Anorectal Diseases. Springer, Milano. https://doi.org/10.1007/978-88-470-0809-0_19

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  • DOI: https://doi.org/10.1007/978-88-470-0809-0_19

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0808-3

  • Online ISBN: 978-88-470-0809-0

  • eBook Packages: MedicineMedicine (R0)

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