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American Urogynecologic Society Best-Practice Statement on Evaluation of Obstructed Defecation

Ridgeway, Beri M., MD; Weinstein, Milena M., MD; Tunitsky-Bitton, Elena, MD

Female Pelvic Medicine & Reconstructive Surgery: November/December 2018 - Volume 24 - Issue 6 - p 383–391
doi: 10.1097/SPV.0000000000000635
AUGS Communication

The symptoms of constipation and obstructed defecation are common in women with pelvic floor disorders. Female pelvic medicine and reconstructive surgery specialists evaluate and treat women with these symptoms, with the initial consultation often occurring when a woman has the symptom or sign of posterior compartment pelvic organ prolapse (including rectocele or enterocele) or if a rectocele or enterocele is identified in pelvic imaging. This best-practice statement will review techniques used to evaluate constipation and obstructed defecation, with a special focus on the relationship between obstructed defecation, constipation, and pelvic organ prolapse.

From the American Urogynecologic Society, Silver Spring, MD.

Correspondence: Beri M. Ridgeway, MD, American Urogynecologic Society, 1100 Wayne Avenue, Suite 825, Silver Spring, MD, 20910. E-mail: ridgewb@ccf.org.

Beri Ridgeway is a Consultant for Coloplast, Inc. and a legal expert for Ethicon, Inc. The other authors have declared they have no conflicts of interest.

This document was developed by the American Urogynecologic Society (AUGS) Guidelines and Statements Committee with the assistance of Drs Beri M. Ridgeway, Milena M. Weinstein, and Elena Tunitsky-Bitton. This document reflects clinical and scientific advances and expert opinion as of the date issued and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Its content is not intended to be a substitute for professional medical judgment, diagnosis, or treatment. The ultimate judgment regarding any specific procedure or treatment is to be made by the physician and patient in light of all circumstances presented by the patient.

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