[Puborectalis syndrome: a cause of obstinate constipation].
Two patients with severe chronic constipation caused by spasmodic hypertrophy of puborectalis underwent partial resection of the muscle. Pre-operative anorectal manometry showed increased length of the anal canal. Concentric electromyography showed that the puborectalis muscle failed to relax during attempted defecation and patients were unable to expel a water-filled balloon from the rectum. After surgery they have a regular defecation without difficulty. We consider that partial resection of the puborectalis muscle is a useful procedure for the puborectalis syndrome.
Yu
D H
DH
D000368:Aged; D001003:Anal Canal / Q000601:surgery; D003248:Constipation / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000150:complications; D008297:Male; D009130:Muscle, Smooth / Q000473:pathology / Q000601:surgery; D012007:Rectum / Q000473:pathology*; D013035:Spasm / Q000150:complications; D013577:Syndrome