Chronic constipation is a common disorder yet it can be very hard to treat. Historically practitioners have rationalized constipation as a single disorder responsive to laxatives. However, a significant percentage of individuals failed to respond to these interventions. In these cases symptoms may be due to dysfunction of the pelvic floor (more specifically the rectum, puborectalis and/or internal and external anal sphincters). Pelvic floor dysfunction (or dyssynergic defecation) is usually identified via anorectal manometry/balloon expulsion testing and the gold-standard of treatments is pelvic floor physical therapy and biofeedback, not laxatives. This webinar will discuss when to obtain testing for pelvic floor dysfunction, how to test and predominate treatments for this condition.
Determine when in the evaluation of constipation an assessment of the pelvic floor is warranted.
Implement the appropriate diagnostic strategy for the evaluation of chronic constipation.
Understand the tools used to identify pelvic floor dysfunction.
Understand why pelvic floor physical therapy and biofeedback are first-line treatments for obstructive defecation.
Associate Professor of Medicine and Surgery,
Northwestern University- Feinberg School of Medicine
Credits: None available.
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