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Pelvic dyssynergia

Pelvic floor dyssynergia or anismus, also known as spastic pelvic floor, is a malfunction of the external anal sphincter and puborectalis muscle.

During defecation, muscles of rectal wall contract, while puborectalis sling and external anal sphincter relax, allowing the rectum to because straight and consequently feces to pass. 

If the puborectalis does not relax, faces are blocked in the upper part of the rectum, get more and more dry and then is even more difficult for them to pass.

Diagnosis

First of all, a correct diagnosis has to be performed with visit, digital rectal examination (DRE), anoscopy and, if necessary, anorectal manometry and rectal sensation, tone and compliance test. Colonoscopy is also available if a colon check-up is required. We also offer also endorectal 3D ultrasound, very useful for studying muscular damage after episiotomy and childbirth. In selected cases, we also perform MR defecogram or proctogram, a special magnentic resonance exam performed in order to correctly evaluate pelvic floor prolapses.

 

Therapy... [read more]