[Functional ano-rectal disorders: associated defecographic findings and related symptoms].
We retrospectively analyzed our latest 564 defecographies to evaluate: the frequency of each single defecographic finding on the total number of patients and in the two sexes; the frequency of the finding as single disorder and in association with other anorectal disorders; the correlation between findings and symptoms. The most common disorders were anterior rectocele (54%), mucosal prolapse (53%), puborectalis muscle syndrome (15%), and intussusception (15%); this order is respected in women (70, 57, 17 and 16% of the study population) but differs in men (mucosal prolapse 42%, puborectalis muscle syndrome 18%, posterior rectocele 14%, and intussusception 14%). Intussusception and puborectalis muscle syndrome were identified as an isolated finding in many cases (55% and 43%, respectively). The most common associations are: posterior rectocele with anterior rectocele (58% of cases), anterior rectocele with mucosal prolapse and vice versa (63% and 64%), intussusception with anterior rectocele (52%), puborectalis muscle syndrome with mucosal prolapse (36%) and with anterior rectocele (49%) and descending perineum syndrome with anterior rectocele (81%) and with mucosal prolapse (70%). The low rate of association among some disorders should be mentioned too for example, mucosal prolapse is associated, with intussusception only in 10% of cases. Clinical-defecographic correlations are less apparent: if some symptoms are found to be more typical of some disorders, this correlation is not pathognomonic and the clinical picture is quite aspecific. We stress the value of a careful correlation between clinical-anamnestic and defecographic findings for the correct evaluation of these disorders.
Grassi
R
R
II Cattedra di Radiologia, Facoltà di Medicina e Chirurgia, Università Federico II, Napoli.
Catalano
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O
Salzano
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Amitrano
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M
Parisi
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B
Rotondo
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A
D000328:Adult; D000368:Aged; D001004:Anus Diseases / Q000000981:diagnostic imaging*; D002933:Cineradiography; D003248:Constipation / Q000000981:diagnostic imaging; D003672:Defecation; D003937:Diagnosis, Differential; D005242:Fecal Incontinence / Q000000981:diagnostic imaging; D005260:Female; D006484:Hemorrhoids / Q000000981:diagnostic imaging; D006801:Humans; D007443:Intussusception / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D012002:Rectal Diseases / Q000000981:diagnostic imaging*; D012005:Rectal Prolapse / Q000000981:diagnostic imaging; D012189:Retrospective Studies
Disordini funzionali ano-rettali: reperti defecografici associati e loro corrispondenza con la sintomatologia.