Abstract
Evacuation proctography is a simple radiological technique that images rectal voiding of a barium paste enema. Evacuating proctography serves two main purposes: It images rectal configuration throughout all phases of rectal evacuation and also provides an assessment of whether voiding is normal or difficult (which usually means prolonged). Thus, evacuation proctography provides both morphological and functional information.
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References
Alstrup N, Ronholt C, Chuangang F et al (1997) Viscous fluid expulsion in the evaluation of the constipated patient. Dis Colon Rectum 40:580–584
Altringer WE, Saclarides TJ, Dominguez JM et al (1995) Four-contrast defecography: pelvic “floor-oscopy.” Dis Colon Rectum 38:695–699
Archer BD, Somers S, Stevenson GW (1992) Contrast medium gel for marking vaginal position during defecography. Radiology 182:278–279
Bannister JJ, Davison P, Timms JM et al (1987) Effect of stool size and consistency on rectal evacuation. Gut 28:1246–1250
Barnes PRH, Lennard-Jones JE (1985) Balloon expulsion from the rectum in constipation of different types. Gut 26:1049–1052
Bartolo DCC, Roe AM, Locke-Edmunds JC et al (1986) Flap valve theory of anorectal continence. Br J Surg 73:1012–1014
Bremmer S, Mellgren A, Holmstrom B et al (1997) Peritoneocele: visualization with defecography and peritoneography performed simultaneously. Radiology 202:373–377
Brubaker L, Retzky S, Smith C et al (1993) Pelvic floor evaluation with dynamic fluoroscopy. Obstet Gynecol 82:863–868
Bump RC, Mattiasson A, Bo K et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175: 10–11
Ellerkmann RM, Cundiff GW, Melick CF et al (2001) Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol 185:1332–1337
Fauconnier A, Zareski E, Abichedid J et al (2007) Dynamic magnetic resonance imaging for grading pelvic organ prolapse according to the international continence society classification: Which line should be used? Neurourol Urodyn 27:191–197
Fenner DE (1996) Diagnosis and assessment of sigmoidoceles. Am J Obstet Gynecol 175:1438–1442
Finlay IG (1988) Symposium: Proctography. Int J Colorect Dis 3:67–89
Goh V, Halligan S, Kaplan G et al (2000) Dynamic MR imaging of the pelvic floor in asymptomatic subjects. Am J Roentgenol 174:661–666
Halligan S, Bartram CI (1995) Evacuation proctography combined with positive contrast peritoneography to demonstrate pelvic floor hernias. Abdom Imaging 20:442–445
Halligan S, Bartram CI, Park HY et al (1995a) The proctographic features of anismus. Radiology 197:679–682
Halligan S, Thomas J, Bartram CI (1995b) Intrarectal pressures and balloon expulsion related to evacuation proctography. Gut 31:100–104
Halligan S, Bartram C, Hall C et al (1996) Enterocele revealed by simultaneous evacuation proctography and peritoneography: does “defecation block” exist? Am J Roentgenol 167:461–466
Hare C, Halligan S, Bartram CI et al (2001) Dose reduction in evacuation eroctography. Eur Radiol 11:432–434
Healy JC, Halligan S, Reznek RH et al (1997) Patterns of prolapse in women with symptoms of pelvic floor weakness: assessment with MR imaging. Radiology 203:77–81
Ho LM, Low VHS, Freed KS (1999) Vaginal opacification during defecography: utility of placing a folded gauze square at the introitus. Abdom Imaging 24:562–564
Hock D, Lombard R, Jehaes C et al (1993) Colpocystodefecography. Dis Colon Rectum 36:1015–1021
Hudson CN (1988) Female genital prolapse and pelvic floor deficiency. Int J Colorectal Dis 3:181–185
Hutchinson R, Mostafa AB, Grant EA et al (1993) Scintigraphic defecography: Quantitative and dynamic assessment of anorectal function. Dis Colon Rectum 36:1132–1138
Ikenberry S, Lappas JC, Hana MP et al (1996) Defecography in healthy subjects: comparison of three contrast media. Radiology 201:233–238
Jelovsek JE, Maher C, Barber MD (2007) Pelvic organ prolapse. Lancet 369:1027–1038
Jorge JMN, Ger GC, Gonzalez L et al (1994a) Patient position during cinedefecography. Dis Colon Rectum 37:927–931
Jorge JMN, Yang Y-K, Wexner SD (1994b) Incidence and clinical significance of sigmoidoceles as determined by a new classification system. Dis Colon Rectum 37:1112–1117
Kamm MA, Bartram CI, Lennard-Jones JE (1989) Rectodynamics-Quantifying rectal evacuation. Int J Colorect Dis 4:161–163
Kaufman HS, Buller JL, Thompson JR et al (2001) Dynamic pelvic magnetic resonance imaging and cystocolpoproctography alter surgical management of pelvic floor disorders. Disease Colon Rectum 44:1575–1583
Kelvin FM, Maglinte DDT (2000) Radiologic investigation of prolapse. J Pelv Surg 6:218–220
Kelvin FM, Maglinte DDT (2003) Dynamic evaluation of female pelvic organ prolapse by extended proctography. Radiol Clin N Am 41:395–407
Kelvin FM, Maglinte DDT, Hornback JA et al (1992) Pelvic prolapse: assessment with evacuation proctography (defecography). Radiology 184:547–551
Kelvin FM, Maglinte DDT, Benson JT et al (1994) Dynamic cystoproctography: a technique for assessing disorders of the pelvic floor in women. Am J Roentgenol 163:368–370
Kelvin FM, Hale DS, Maglinte DDT et al (1999) Female pelvic organ prolapse: diagnostic contribution of dynamic cystoproctography and comparison with physical examination. Am J Roentgenol 173:31–37
Kelvin FM, Maglinte DDT, Hale DS et al (2000) Female pelvic organ prolapse: a comparison of triphasic dynamic MR imaging and triphasic fluoroscopic cystocolpoproctography. Am J Roentgenol 174:8–88
Lienemann A, Anthuber C, Baron A et al (1997) Dynamic MR colpocystorectography assessing pelvic-floor descent. Eur Radiol 7:1309–1317
Maglinte DDT, Kelvin FM, Hale DS et al (1997) Dynamic cystoproctography: a unifying diagnostic approach to pelvic floor and anorectal dysfunction. Am J Roentgenol 169:759
Maglinte DDT, Kelvin FM, Fitzgerald K et al (1999) Association of compartment defects in pelvic floor dysfunction. Am J Roentgenol 172:439–444
Mahieu P, Pringot J, Bodart P (1984) Defecography: 1. Description of a new procedure and results in normal patients. Gastrointest Radiol 9:247–251
McGee SG, Bartram CI (1993) Intra-anal intussusception: diagnosis by posteroanterior stress proctography. Abdom Imaging 2:136–140
Olsen AL, Smith VJ, Bergstrom JO et al (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506
Pannu HK (2004) MRI of pelvic organ prolapse. Eur Radiol 14:1456–1464
Pannu HK, Kaufman HS, Cundiff GW et al (2000) Dynamic MR imaging of pelvic organ prolapse: spectrum of abnormalities. Radiographics 20:1567–1582
Poon FW, Lauder JC, Finlay IG (1991) Technical report: Evacuating proctography-A simplified technique. Clin Radiol 44:113–116
Preston DM, Lennard-Jones JE, Thomas BM (1984) The balloon proctogram. Br J Surg 71:29–31
Shorvon PJ, McHugh S, Diamant NE et al (1989) Defecography in normal volunteers: results and implications. Gut 30:1737–1749
Wallden L (1952) Defecation block in cases of deep rectogenital pouch. A surgical, roentgenological and embryological study with special reference to morphological conditions. Acta Chir Scandinav (Suppl):165
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Taylor, S.A., Halligan, S. (2008). Evacuation Proctography and Dynamic Cystoproctography. In: Imaging Pelvic Floor Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71968-7_4
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DOI: https://doi.org/10.1007/978-3-540-71968-7_4
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-71966-3
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