title: Defecating disorders: a common cause of constipation in women.
abstract: Defecating disorders are a common and complex problem. There are a range of anatomical and functional bowel abnormalities that can lead to this condition. Treatment is difficult and needs a multidisciplinary approach. First line treatment for defecating disorders is conservative. For those that fail conservative treatment, some may respond to surgical therapy but with variable results. The aim of this review is to offer an overview of defecating disorders as well as provide an algorithm on how to diagnose and treat them with the help of a multidisciplinary and multimodal approach.
authors.affiliation: 1st Department of Surgery, University of Athens, Medical School, Laiko Hospital, Athens, Greece.
authors.forename: Nikoletta
authors.initials: N
authors.lastname: Dimitriou
authors.affiliation: Department of Radiology, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK.
authors.forename: Vikas
authors.initials: V
authors.lastname: Shah
authors.affiliation: Pelvic Floor Unit, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, LE1 5WW, UK.
authors.forename: Diane
authors.initials: D
authors.lastname: Stark
authors.affiliation: Pelvic Floor Unit, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, LE1 5WW, UK.
authors.forename: Ronnie
authors.initials: R
authors.lastname: Mathew
authors.affiliation: Pelvic Floor Unit, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, LE1 5WW, UK.
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Miller
authors.affiliation: Pelvic Floor Unit, Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust, Leicester, LE1 5WW, UK.
authors.forename: Justin Mc
authors.initials: JM
authors.lastname: Yeung
mesh_terms: D001676:Biofeedback, Psychology; D003248:Constipation / Q000175:diagnosis* / Q000503:physiopathology* / Q000628:therapy; D003952:Diagnostic Imaging; D004032:Diet; D005260:Female; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D005772:Gastrointestinal Transit; D006801:Humans; D007443:Intussusception / Q000503:physiopathology; D008365:Manometry; D010808:Physical Examination; D020047:Rectocele / Q000503:physiopathology; D007507:Therapeutic Irrigation; D016387:Women's Health
chemical_list: D005765:Gastrointestinal Agents
keywords: LVR; STARR; algorithm; biofeedback; bowel functional disorders; constipation; defecating disorders; multidisciplinary; obstructive defecation; rectal intussusception; rectocele; treatment