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Age Ageing. 2003 May;32(3):347-50.

Defecography in symptomatic older women living at home.

Author information

  • 1Radiology Department, Pr Jacques Thiebot, Quant-If, France. Aden, Rouen University Hospital Charles Nicolle, Rouen, France. savoyecel@hotmail.com

Abstract

BACKGROUND:

complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population.

OBJECTIVE:

this study aimed to analyse the yield of defecography in women older than 75 years, living at home and complaining of defecation disorders.

DESIGN AND SETTINGS:

prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France.

SUBJECTS AND METHODS:

52 women (mean age: 78, range: 75-93) complaining of constipation, faecal incontinence or pelvic pain underwent defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria.

RESULTS:

defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by defecography.

CONCLUSIONS:

defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77% rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities.

PMID:
12720625
[PubMed - indexed for MEDLINE]
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