Archive for February 2012

Diagnosing Rectocele through Defecography: How is it done?

As one of the six main types of pelvic organ prolapse, rectocele may become serious. Its complications may range from simple pelvic pressure to painful bowel movement, fecal incontinence, and even problems in sexual functions. Because of these, women should never delay medical appointments with their doctors once the symptoms arise.

Pelvic Organ Prolapse

Symptoms may not be apparent in mild rectoceles, but in severe situations they may be totally devastating to some patients. In all of the diagnostic tests carried on by doctors, defecography is the most precise, since it is used to examine the movement of the rectum and anus while the patient defecates.


There are certain preparations that need to be done to complete this procedure. Firstly, the patient is informed about the need of this procedure, and that it may really be discomforting. With this, she may be able to give her consent for the procedure to be performed.


At least two hours before the procedure, fleet enema is carried out. This may be done by the patient at home or by a medical professional if the patient is admitted in the hospital. Meanwhile, the patient is also instructed on a liquid diet for 24 to 48 hours and restricted from  taking anything by mouth two hours before the test. If the patient is currently taking medications, she should tell her doctor about it so proper instructions may be given to her. There are other medications however that may be allowed but only with a few sips of water.


The test involves an introduction of barium sulfate through a small tube inserted into the rectum. The patient may feel a slight pressure in the rectum or an urge to move bowels. The radiopaque contrast medium may be seen through X-ray. During the procedure, the patient will be asked to move in different positions and strain the pelvic muscles like in defecating. The movement of the rectum and anus with these activities is compared to when the patient is at rest such as in sitting or lying down. Also, the pelvic floor muscles are assessed as well.


After the procedure, the patient may resume regular diet unless otherwise indicated by the doctor. Most of the time, patient’s stools appear white for a few days. Some patients may also experience constipation, since barium sulfate is a dehydrating substance. It is important that the patient drinks a lot of water after the procedure to keep hydrated and to cleanse the intestines and rectum.


Once diagnosed, it would be easier for physicians to plan on a medical or surgical treatment, depending on what best suits the patient’s condition. Today, a non-biological material known as mesh is becoming more and more known to patients since it is the latest and the most recommended by doctors. But like most products, it also has its downsides which caused hundreds of transvaginal mesh lawsuit filings to move up.


References:

http://www.motilitysociety.org/patient/pdf/Defecography%20Patient%20Information%208%2015%202005.pdf
http://en.wikipedia.org/wiki/Pelvic_examination
http://www.enotes.com/barium-enema-reference/barium-enema-171759

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