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<p>Patients with pelvic organ prolapse (POP) often have simultaneous defecation disorders in the form of obstructive defecation syndrome (ODS) or anal incontinence. The underlying causes include functional pelvic floor dyssynergia, spasms of the pelvic floor muscles and anatomical changes such as rectocele, enterocele, rectal intussusception and external rectal prolapse. Although conservative and surgical treatment of POP alone often leads to an improvement in bowel function, these symptoms can persist or worsen postoperatively. Therefore, in patients with combined symptoms, interdisciplinary diagnostics and treatment planning are advisable in order to provide a&#xa0;multimodal treatment concept consisting of interprofessional conservative strategies and joint surgical planning adapted to the existing disorders.</p>

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Descensus genitalis und obstruktives Defäkationssyndrom

  • 期刊论文

  • 发表日期：

    2025年2月3日

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  • Miriam Deniz,
  • Marko Kornmann

摘要

Patients with pelvic organ prolapse (POP) often have simultaneous defecation disorders in the form of obstructive defecation syndrome (ODS) or anal incontinence. The underlying causes include functional pelvic floor dyssynergia, spasms of the pelvic floor muscles and anatomical changes such as rectocele, enterocele, rectal intussusception and external rectal prolapse. Although conservative and surgical treatment of POP alone often leads to an improvement in bowel function, these symptoms can persist or worsen postoperatively. Therefore, in patients with combined symptoms, interdisciplinary diagnostics and treatment planning are advisable in order to provide a multimodal treatment concept consisting of interprofessional conservative strategies and joint surgical planning adapted to the existing disorders.