{"id":683,"date":"2019-09-23T21:58:16","date_gmt":"2019-09-23T20:58:16","guid":{"rendered":"http:\/\/www.www.thebirminghamcolorectalclinic.com\/?page_id=683"},"modified":"2020-01-15T12:44:14","modified_gmt":"2020-01-15T12:44:14","slug":"obstructed-defaecation","status":"publish","type":"page","link":"https:\/\/www.thebirminghamcolorectalclinic.com\/conditions\/colorectal-conditions\/obstructed-defaecation\/","title":{"rendered":"Obstructed Defaecation"},"content":{"rendered":"<p><section class=\"ffb-id-3dk0jm9v fg-section fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#24949e&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; background-color: #24949e;\"><\/span><\/span><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row fg-row-no-gutter   fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-3dk0jma0 fg-col col-xs-7 col-sm-5 col-sm-push-1 col-md-5 col-lg-6 col-lg-push-0 fg-text-dark\"><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><h1 class=\"ffb-id-3dk0jma2 fg-heading text-center    fg-text-light\">Obstructed Defaecation<\/h1><\/div><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-3dk0jm9v{ padding-top: 30px;padding-bottom: 30px;}@media (min-width:768px) { .ffb-id-3dk0jm9v{ padding-top: 40px;padding-bottom: 40px;}}@media (min-width:1200px) { .ffb-id-3dk0jm9v{ padding-top: 80px;padding-bottom: 80px;}}.ffb-id-3dk0jma0{ padding-top: 0px;padding-bottom: 0px;}@media (min-width:768px) { .ffb-id-3dk0jma0{ padding-top: 100px;padding-bottom: 100px;}}.ffb-id-3dk0jma0{ text-transform: none !important;}.ffb-id-3dk0jma0:before,.ffb-id-3dk0jma0:after,.ffb-id-3dk0jma0:hover,.ffb-id-3dk0jma0:focus,.ffb-id-3dk0jma0 *,.ffb-id-3dk0jma0 *:before,.ffb-id-3dk0jma0 *:after,.ffb-id-3dk0jma0 *:hover,.ffb-id-3dk0jma0 *:focus{ text-transform: none !important;}.ffb-id-3dk0jma0{ font-weight: 400 !important;text-align: left !important;}.ffb-id-3dk0jma0 ,.ffb-id-3dk0jma0:before,.ffb-id-3dk0jma0:after,.ffb-id-3dk0jma0:hover,.ffb-id-3dk0jma0:focus,.ffb-id-3dk0jma0 *,.ffb-id-3dk0jma0 *:before,.ffb-id-3dk0jma0 *:after,.ffb-id-3dk0jma0 *:hover,.ffb-id-3dk0jma0 *:focus{ font-weight: 400 !important;text-align: left !important;}.ffb-id-3dk0jma2 ,.ffb-id-3dk0jma2:before,.ffb-id-3dk0jma2:after,.ffb-id-3dk0jma2 *,.ffb-id-3dk0jma2 *:before,.ffb-id-3dk0jma2 *:after{ color: #ffffff !important;}.ffb-id-3dk0jma2{ text-transform: uppercase !important;}.ffb-id-3dk0jma2:before,.ffb-id-3dk0jma2:after,.ffb-id-3dk0jma2:hover,.ffb-id-3dk0jma2:focus,.ffb-id-3dk0jma2 *,.ffb-id-3dk0jma2 *:before,.ffb-id-3dk0jma2 *:after,.ffb-id-3dk0jma2 *:hover,.ffb-id-3dk0jma2 *:focus{ text-transform: uppercase !important;}.ffb-id-3dk0jma2{ line-height: 1 !important;}.ffb-id-3dk0jma2 ,.ffb-id-3dk0jma2:before,.ffb-id-3dk0jma2:after,.ffb-id-3dk0jma2:hover,.ffb-id-3dk0jma2:focus,.ffb-id-3dk0jma2 *,.ffb-id-3dk0jma2 *:before,.ffb-id-3dk0jma2 *:after,.ffb-id-3dk0jma2 *:hover,.ffb-id-3dk0jma2 *:focus{ line-height: 1 !important;}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-3dju5jtk fg-section fg-text-dark\"><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row    fg-row-match-cols\"  data-fg-match-cols=\"{&quot;1&quot;:&quot;0&quot;,&quot;2&quot;:&quot;1&quot;,&quot;3&quot;:&quot;1&quot;,&quot;4&quot;:&quot;1&quot;}\" ><div class=\"ffb-id-3dju5jtl fg-col col-xs-12 col-sm-6 col-md-6 fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;image&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;url&quot;:&quot;http:\\\/\\\/www.thebirminghamcolorectalclinic.com\\\/wp-content\\\/uploads\\\/2019\\\/09\\\/Hand-Opening-the-Toilet-Door.jpg&quot;,&quot;size&quot;:&quot;cover&quot;,&quot;repeat&quot;:&quot;no-repeat&quot;,&quot;attachment&quot;:&quot;scroll&quot;,&quot;position&quot;:&quot;Center Top&quot;}\" class=\"fg-bg-layer fg-bg-type-image \" style=\"opacity: 1; background-image: url(&quot;http:\/\/www.thebirminghamcolorectalclinic.com\/wp-content\/uploads\/2019\/09\/Hand-Opening-the-Toilet-Door.jpg&quot;); background-repeat: no-repeat; background-attachment: scroll; background-position: Center Top; background-size: cover;\"><\/span><span data-fg-bg=\"{&quot;type&quot;:&quot;slant&quot;,&quot;opacity&quot;:&quot;1&quot;,&quot;color&quot;:&quot;#ffffff&quot;,&quot;edge&quot;:&quot;right&quot;,&quot;direction&quot;:&quot;up&quot;,&quot;angle&quot;:&quot;15&quot;,&quot;hidden_xs&quot;:&quot;yes&quot;,&quot;hidden_sm&quot;:&quot;yes&quot;}\" class=\"fg-bg-layer fg-bg-type-slant hidden-xs hidden-sm\" style=\"opacity: 1\"><\/span><\/span><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><\/div><\/div><\/div><\/div><div class=\"ffb-id-3dju5jtm fg-col col-xs-12 col-sm-6 col-md-6 fg-text-dark\"><div class=\"fg-vcenter-wrapper\"><div class=\"fg-vcenter\"><div class=\"fg-match-column-inside-wrapper\"><section class=\"ffb-id-3dju5jtp section-heading fg-text-dark\"><h2 style=\"font-weight:400;  text-transform:uppercase; \" class=\"fg-text-dark ffb-h2-1\">What is Obstructed Defaecation?<\/h2><\/section><div class=\"ffb-id-3dju5jtq fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<p>Obstructed defaecation syndrome (ODS) is the medical name given to a number of conditions in which there is a normal desire to defaecate, but the ability to evacuate the rectum is impaired. Often, multiple conditions co-exist and contribute to the overall syndrome of obstructed defaecation.<\/p>\n<p style=\"text-transform: uppercase\"><strong>Symptoms of obstructed defaecation syndrome<\/strong><\/p>\n<p>Patients with ODS find it difficult to pass bowel motions, often leading to multiple, unsuccessful visits to the toilet. They perceive a sensation of a blockage and, when they do defaecate, a feeling of inadequate or incomplete emptying. Patients with ODS may need to use their finger to help them to empty, pushing on the perineum (the skin in front of the anal canal), on the back wall of the vagina or in the anal canal itself. Paradoxically for patients who struggle to empty their rectum, patients often describe symptoms of anal incontinence.<\/p>\n<p>ODS is usually the result of either a physical or functional problem related to the pelvic floor anatomy during defaecation. Physical problems can arise due to a weakness or defect in the pelvic floor musculature, and it is therefore more common in women due to changes that occur during childbirth.<\/p>\n<p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-3dk0jm9v{ \npadding-top: 30px;\npadding-bottom: 30px;\n\n}\n@media (min-width:768px) { \n.ffb-id-3dk0jm9v{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-3dk0jm9v{ \npadding-top: 80px;\npadding-bottom: 80px;\n\n}\n}.ffb-id-3dk0jma0{ \npadding-top: 0px;\npadding-bottom: 0px;\n\n}\n@media (min-width:768px) { \n.ffb-id-3dk0jma0{ \npadding-top: 100px;\npadding-bottom: 100px;\n\n}\n}.ffb-id-3dk0jma0{ \ntext-transform: none !important;\n}\n.ffb-id-3dk0jma0:before,\n.ffb-id-3dk0jma0:after,\n.ffb-id-3dk0jma0:hover,\n.ffb-id-3dk0jma0:focus,\n.ffb-id-3dk0jma0 *,\n.ffb-id-3dk0jma0 *:before,\n.ffb-id-3dk0jma0 *:after,\n.ffb-id-3dk0jma0 *:hover,\n.ffb-id-3dk0jma0 *:focus{ \ntext-transform: none !important;\n}\n.ffb-id-3dk0jma0{ \nfont-weight: 400 !important;\ntext-align: left !important;\n}\n.ffb-id-3dk0jma0 ,\n.ffb-id-3dk0jma0:before,\n.ffb-id-3dk0jma0:after,\n.ffb-id-3dk0jma0:hover,\n.ffb-id-3dk0jma0:focus,\n.ffb-id-3dk0jma0 *,\n.ffb-id-3dk0jma0 *:before,\n.ffb-id-3dk0jma0 *:after,\n.ffb-id-3dk0jma0 *:hover,\n.ffb-id-3dk0jma0 *:focus{ \nfont-weight: 400 !important;\ntext-align: left !important;\n}\n.ffb-id-3dk0jma2 ,\n.ffb-id-3dk0jma2:before,\n.ffb-id-3dk0jma2:after,\n.ffb-id-3dk0jma2 *,\n.ffb-id-3dk0jma2 *:before,\n.ffb-id-3dk0jma2 *:after{ \ncolor: #ffffff !important;\n}\n.ffb-id-3dk0jma2{ \ntext-transform: uppercase !important;\n}\n.ffb-id-3dk0jma2:before,\n.ffb-id-3dk0jma2:after,\n.ffb-id-3dk0jma2:hover,\n.ffb-id-3dk0jma2:focus,\n.ffb-id-3dk0jma2 *,\n.ffb-id-3dk0jma2 *:before,\n.ffb-id-3dk0jma2 *:after,\n.ffb-id-3dk0jma2 *:hover,\n.ffb-id-3dk0jma2 *:focus{ \ntext-transform: uppercase !important;\n}\n.ffb-id-3dk0jma2{ \nline-height: 1 !important;\n}\n.ffb-id-3dk0jma2 ,\n.ffb-id-3dk0jma2:before,\n.ffb-id-3dk0jma2:after,\n.ffb-id-3dk0jma2:hover,\n.ffb-id-3dk0jma2:focus,\n.ffb-id-3dk0jma2 *,\n.ffb-id-3dk0jma2 *:before,\n.ffb-id-3dk0jma2 *:after,\n.ffb-id-3dk0jma2 *:hover,\n.ffb-id-3dk0jma2 *:focus{ \nline-height: 1 !important;\n}\n.ffb-id-3dju5jtm{ padding-top: 40px;padding-bottom: 40px;}@media (min-width:768px) { .ffb-id-3dju5jtm{ padding-left: 40px;}}@media (min-width:1200px) { .ffb-id-3dju5jtm{ padding-top: 80px;padding-bottom: 80px;padding-left: 80px;}}.ffb-id-3dju5jtp .ffb-h2-1 ,.ffb-id-3dju5jtp .ffb-h2-1:before,.ffb-id-3dju5jtp .ffb-h2-1:after,.ffb-id-3dju5jtp .ffb-h2-1 *,.ffb-id-3dju5jtp .ffb-h2-1 *:before,.ffb-id-3dju5jtp .ffb-h2-1 *:after{ color: #24949e !important;}.ffb-id-3dju5jtp{ margin-bottom: 0px;padding-top: 20px;padding-bottom: 20px;}@media (min-width:992px) { .ffb-id-3dju5jtp{ padding-top: 0px;}}.ffb-id-3dju5jtp{ text-transform: uppercase !important;}.ffb-id-3dju5jtp:before,.ffb-id-3dju5jtp:after,.ffb-id-3dju5jtp:hover,.ffb-id-3dju5jtp:focus,.ffb-id-3dju5jtp *,.ffb-id-3dju5jtp *:before,.ffb-id-3dju5jtp *:after,.ffb-id-3dju5jtp *:hover,.ffb-id-3dju5jtp *:focus{ text-transform: uppercase !important;}.ffb-id-3dju5jtp{ line-height: 1 !important;text-align: left !important;}.ffb-id-3dju5jtp ,.ffb-id-3dju5jtp:before,.ffb-id-3dju5jtp:after,.ffb-id-3dju5jtp:hover,.ffb-id-3dju5jtp:focus,.ffb-id-3dju5jtp *,.ffb-id-3dju5jtp *:before,.ffb-id-3dju5jtp *:after,.ffb-id-3dju5jtp *:hover,.ffb-id-3dju5jtp *:focus{ line-height: 1 !important;text-align: left !important;}@media (min-width:768px) { .ffb-id-3dju5jtp{ text-align: left !important;}}@media (min-width:768px) { .ffb-id-3dju5jtp ,.ffb-id-3dju5jtp:before,.ffb-id-3dju5jtp:after,.ffb-id-3dju5jtp:hover,.ffb-id-3dju5jtp:focus,.ffb-id-3dju5jtp *,.ffb-id-3dju5jtp *:before,.ffb-id-3dju5jtp *:after,.ffb-id-3dju5jtp *:hover,.ffb-id-3dju5jtp *:focus{ text-align: left !important;}}.ffb-id-3dju5jtl{ padding-top: 100px;padding-bottom: 100px;}@media (min-width:768px) { .ffb-id-3dju5jtl{ padding-top: 0px;padding-bottom: 0px;}}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-3dju49pi fg-section fg-text-dark\"><div class=\"fg-container container fg-container-large fg-container-lvl--1 \"><div class=\"fg-row row    \" ><div class=\"ffb-id-3dk706gi fg-col col-xs-12 col-md-12 fg-text-dark\"><div class=\"ffb-id-3dk70huc ffg-empty-space fg-text-dark\"><\/div><\/div><div class=\"ffb-id-3dju49pj fg-col col-xs-12 col-md-12 fg-text-dark\"><div class=\"ffb-id-3dk6tfao fg-paragraph ff-richtext text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>Assessment of patients with ODS<\/strong><\/p>\n<p>A thorough clinical history and examination is essential, usually prior to investigations into the bowel and pelvic floor function. Investigations can include <a href=\"https:\/\/www.thebirminghamcolorectalclinic.com\/diagnostics\/flexible-sigmoidoscopy\/\">flexible sigmoidoscopy<\/a>, <a href=\"https:\/\/www.thebirminghamcolorectalclinic.com\/diagnostics\/anorectal-physiology-ultrasound\/\">endoanal ultrasound<\/a>, <a href=\"https:\/\/www.thebirminghamcolorectalclinic.com\/diagnostics\/anorectal-physiology-ultrasound\/\">anorectal physiology studies<\/a> and examination under anaesthetic. However, most information is usually gained by a <a href=\"https:\/\/www.thebirminghamcolorectalclinic.com\/diagnostics\/mr-defaecography\/\">proctogram<\/a> (either conventional or magnetic resonance).<\/p>\n<p><\/div><\/div><div class=\"ffb-id-3dk74734 fg-col col-xs-12 col-md-12 fg-text-dark\"><p class=\"ffb-id-3dk74735 fg-paragraph text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>Treatment for ODS<\/strong><\/p>\n<p>The treatment of ODS depends on the underlying cause.  Sometimes, simple changes in diet or the addition of stool softeners can be helpful.  Supervised pelvic floor retraining can greatly improve symptoms without the need for surgery.  For some patients with structural abnormality of the rectum, surgical treatment, such as laparoscopic ventral rectopexy or STARR procedure may be helpful.  Your surgeon will advise you on the most appropriate treatment, and will discuss with you fully any risks involved.<\/p>\n<p><\/p><\/div><div class=\"ffb-id-3dk760bg fg-col col-xs-12 col-md-12 fg-text-dark\"><p class=\"ffb-id-3dk760bh fg-paragraph text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>Laparoscopic ventral rectopexy<\/strong><\/p>\n<p>Where appropriate, ventral rectopexy can be used to treat ODS.  Using keyhole surgery, the rectum is pulled straight and fixed to the sacrum (low back bone) using a mesh.  This is carried out with the aim to eliminate the internal rectal prolapse that often accounts for ODS.  The procedure is carried out under a general anaesthetic and usually needs 1 or 2 nights in hospital.<\/p>\n<p><\/p><\/div><div class=\"ffb-id-3dk775u5 fg-col col-xs-12 col-md-12 fg-text-dark\"><p class=\"ffb-id-3dk775u6 fg-paragraph text-center text-sm-left   fg-text-dark\"><\/p>\n<p style=\"text-transform: uppercase\"><strong>STARR procedure<\/strong><\/p>\n<p>Stapled transanal rectal resection (STARR) employs a stapling devise to surgically remove the redundant rectal tissue (internal rectal prolapse) that causes ODS.<\/p>\n<p><\/p><div class=\"ffb-id-3dk7e0tj ffg-empty-space fg-text-dark\"><\/div><\/div><\/div><\/div><\/section><style>.ffb-id-3dju5jtm{ \npadding-top: 40px;\npadding-bottom: 40px;\n\n}\n@media (min-width:768px) { \n.ffb-id-3dju5jtm{ \npadding-left: 40px;\n\n}\n}@media (min-width:1200px) { \n.ffb-id-3dju5jtm{ \npadding-top: 80px;\npadding-bottom: 80px;\npadding-left: 80px;\n\n}\n}.ffb-id-3dju5jtp .ffb-h2-1 ,\n.ffb-id-3dju5jtp .ffb-h2-1:before,\n.ffb-id-3dju5jtp 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1 !important;\ntext-align: left !important;\n}\n@media (min-width:768px) { \n.ffb-id-3dju5jtp{ \ntext-align: left !important;\n}\n}@media (min-width:768px) { \n.ffb-id-3dju5jtp ,\n.ffb-id-3dju5jtp:before,\n.ffb-id-3dju5jtp:after,\n.ffb-id-3dju5jtp:hover,\n.ffb-id-3dju5jtp:focus,\n.ffb-id-3dju5jtp *,\n.ffb-id-3dju5jtp *:before,\n.ffb-id-3dju5jtp *:after,\n.ffb-id-3dju5jtp *:hover,\n.ffb-id-3dju5jtp *:focus{ \ntext-align: left !important;\n}\n}.ffb-id-3dju5jtl{ \npadding-top: 100px;\npadding-bottom: 100px;\n\n}\n@media (min-width:768px) { \n.ffb-id-3dju5jtl{ \npadding-top: 0px;\npadding-bottom: 0px;\n\n}\n}.ffb-id-3dk7e0tj{ height: 50px;}.ffb-id-3dk70huc{ height: 50px;}<\/style><script type=\"text\/javascript\"><\/script><section class=\"ffb-id-3dk7bqps fg-section fg-el-has-bg fg-text-dark\"><span class=\"fg-bg\"><span data-fg-bg=\"{&quot;type&quot;:&quot;color&quot;,&quot;opacity&quot;:1,&quot;color&quot;:&quot;#f5f5f5&quot;}\" class=\"fg-bg-layer fg-bg-type-color \" style=\"opacity: 1; 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