Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

Fifty-nine evacuating proctograms were performed over a 4 month period. We sought to identify how useful this technique is in diagnosing the cause of various anorectal symptoms and indicating which treatment option may be beneficial to the patient. The main reasons for referral were faecal soiling (60%) and obstructed defaecation (47%). Of the proctograms, 90% revealed some pathology. The most common abnormalities detected were rectocele (56%), rectal intussusception (39%), enterocele (19%) and rectal prolapse (12%). Of the patients, 45% were treated with an operation specific to the pathology detected on the proctogram; 29% did not require any active treatment and the remainder were managed with biofeedback conditioning or injection sclerotherapy. Evacuating proctography is of value in providing a diagnosis in patients with anorectal symptoms and thereby allowing specific treatment, operative or nonoperative, to be directed to the underlying pathology.

Type

Journal article

Journal

Annals of the Royal College of Surgeons of England

Publication Date

01/1998

Volume

80

Pages

40 - 45

Addresses

Department of Surgery, Mayday University Hospital, Thornton Health, Surrey.

Keywords

Humans, Hernia, Intussusception, Rectal Diseases, Fecal Incontinence, Rectal Prolapse, Constipation, Defecography, Prospective Studies, Adult, Aged, Aged, 80 and over, Middle Aged, Medical Audit, Female, Male