Pelvic Floor Obstruction

The cause of obstructive defecation can be associated to structural abnormalities such as a rectocele and internal or external rectal prolapse.

Pelvic floor obstruction. Pelvic floor dysfunction is an umbrella term for a variety of disorders that occur when pelvic floor muscles and ligaments are impaired. Patients with obstructed defecation appear to have impaired pelvic floor function. Straining hard or thin stools and a feeling of incomplete elimination are common signs and symptoms. It can also be associated to the inability to coordinate the pelvic floor muscles to relax properly to produce a bowel movement.

Bio feedback of pelvic floor muscles obstructed defecation usually does not respond to laxative and fibre treatments. Distension palpation of mass hardened stool pelvic floor evaluation. Initial treatments include biofeedback pelvic floor physical therapy and medications. One review stated that the most common causes of disruption to the defecation cycle are associated with pregnancy and childbirth gynaecological descent or neurogenic disturbances of the brain bowel axis.

Symptoms include constipation straining to defecate having urine or stool leakage and experiencing a frequent need to pee. In those with pelvic floor dyssynergia a condition where the pelvic floor muscles contract. Physical examination abdominal examination. Anismus puborectalis dyssynergia paradoxical puborectalis obstructive defecation dyssynergic defecation pelvic outlet obstruction and pelvic floor dysfunction.

How is obstructive defecation diagnosed. Puborectalis muscle at rest and during defecation as many as 50 percent of people with chronic constipation have pelvic floor dysfunction pfd impaired relaxation and coordination of pelvic floor and abdominal muscles during evacuation. Biofeedback helps individuals to relax these muscles. To put it simply the pelvic floor muscles are overactive tight or non relaxing.

Pelvic floor dysfunction is the inability to correctly relax and coordinate your pelvic floor muscles to have a bowel movement. During bowel movements your pelvic floor muscles are meant to relax to allow the passage of poop. These symptoms can include. Vaginal perineal and rectal examination to evaluate for rectocele full thickness rectal.

Although this condition predominantly affects females up to 16 of males suffer as well. Pelvic floor dyssynergia is known by many different names including. It is believed that the cause of this type of constipation arises from a failure of the pelvic floor muscles and anal sphincter muscles to relax during the attempt to defecate.