Defecography: a still needful exam for evaluation of pelvic floor diseases

Defecography: a still needful exam for evaluation of pelvic floor diseases

Authors

  • Silvia Eleonora Gazzani Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Emanuela Angela Marcantoni Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Giovanni Capretti Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Vincenzo Trunfio Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Emanuele Bacchini Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Giulia Artioli Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Ilaria Paladini Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Valeria Seletti Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Gianluca Milanese Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Sandro Barbalace Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy
  • Daniele Borgia ASL Lecce, Italy
  • Paolo Bresciani Department of Surgical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Parma, Italy

Keywords:

defecography, pelvic floor, rectum, anal canal

Abstract

The aim of this discussion is to describe what is a defecography, how we have to perform it, what can we see and to present the main physio-pathological illnesses of pelvic floor and anorectal region that can be studied with this method and its advantages over other screening techniques. Defecography is a contrastographic radiological examination that highlights structural and functional pelvic floor diseases. Upon preliminary ileum-colic opacification giving to patient radiopaque contrast, are first acquired static images (at rest, in maximum voluntary contraction of the pelvic muscles, while straining) and secondarily dynamic sequences (during evacuation), allowing a complete evaluation of the functionality of the anorectal region and the pelvic floor. Defecography is an easy procedure to perform widely available, and economic, carried out in conditions where the patient experiences symptoms, the most realistic possible. It can be still considered reliable technology and first choice in many patients in whom the clinic alone is not sufficient and it is not possible or necessary to perform a study with MRI 

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Published

28-07-2016

How to Cite

1.
Defecography: a still needful exam for evaluation of pelvic floor diseases. Acta Biomed [Internet]. 2016 Jul. 28 [cited 2024 Mar. 29];87(3 - S):34-9. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/5640