J Korean Radiol Soc.  1998 Dec;39(6):1143-1148. 10.3348/jkrs.1998.39.6.1143.

The Value of Additional Videorecording on Defecography

• Cho SK
• Choi SH
• Kim SH
• Kim SK
• Lim HK
• Lee SJ
• Kim B

• KMID: 2201084
• DOI: http://doi.org/10.3348/jkrs.1998.39.6.1143

Abstract

PURPOSE: To determine the value of additional videorecording during defecography.
MATERIALS AND METHODS
Ninety-nine consecutive patients (20 males, 79 females; mean age: 48 yrs) who between august 1996 and June 1997 had undergone defecography due to defecation difficulty were included in this study. In all patients, spotfilming(at rest, during squeezing, during straining) and videorecording during defecography were simultaneouslyperformed. Two radiologists retrospectively reviewed spot films and video images, analyzed discrepancies betweenthe two methods, and reached a consensus.
RESULTS
In 52% of patients (51/99), the results of the twoexaminations were discrepant. The most common finding was anterior rectocele(n=33), followed by spastic pelvicfloor syndrome(n=16), rectal intussusception(n=5), posterior rectocele(n=3), mucosal prolapse(n=2), descendingperineal syndrome(n=2), and rectal prolapse(n=1). All findings except spastic pelvic floor syndrome were alsoshown by videorecording.
CONCLUSIONS
Because videorecording during defecography showed additional findings in52% of patients, it is a necessary procedure for the diagnosis and management of patients with defecationdifficulty.

Keyword

Rectum, radiography; Defecography

MeSH Terms

Consensus
Defecation
Defecography*
Diagnosis
Female
Humans
Male
Muscle Spasticity
Pelvic Floor
Retrospective Studies
Video Recording*