[The National Workshop on Defecography: anorectal deformities with a functional origin (prolapse, intussusception, rectocele)].
The nonoperative treatment--i.e., rubber band ligation and sclerotherapy--of mucous rectal prolapse, rectocele and intussusception is much less expensive than conventional surgery (Lit. 325,000 vs. 6,500,000, p < 0.0001 on the average). Symptom relief, however, has been reported in 0 to 57% of cases only, according to current literature. A possible cause is represented by improper management from misdiagnosis, relying on clinical findings only, overestimating mucous prolapse in 36.37% of cases and underestimating intussusception in 14.22% of cases (with respect to defecography). Defecography is a cost-effective method (average cost: Lit. 37,000) potentially reducing failure rate after the surgical repair of rectal prolapse.
Piloni
V
V
Istituto Geriatrico, Fermo, Ascoli Piceno.
Pomerri
F
F
Platania
E
E
Pieri
L
L
Pinto
F
F
Gasparini
G
G
Genovesi
N
N
Di Giandomenico
E
E
Grassi
R
R
Salzano
A
A
D000556:Ambulatory Surgical Procedures; D001003:Anal Canal / Q000000981:diagnostic imaging* / Q000601:surgery; D001004:Anus Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D003672:Defecation; D006547:Hernia / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000601:surgery; D007558:Italy; D011859:Radiography; D012002:Rectal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D012005:Rectal Prolapse / Q000000981:diagnostic imaging* / Q000601:surgery; D012007:Rectum / Q000000981:diagnostic imaging* / Q000601:surgery
II Workshop Nazionale sulla defecografia: le deformità ano-rettali con origine funzionale (prolasso, intussuscezione, rettocele).