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Descending perineum syndrome (also known as levator plate sagging) [1] refers to a condition where the perineum "balloons" several centimeters below the bony outlet of the pelvis during strain, although this descent may happen without straining. [2] The syndrome was first described in 1966 by Parks et al. [3]
Obstructed defecation syndrome (abbreviated as ODS, with many synonymous terms) is a major cause of functional constipation (primary constipation), [18] of which it is considered a subtype. [19] It is characterized by difficult and/or incomplete emptying of the rectum with or without an actual reduction in the number of bowel movements per week ...
Enterocele or sigmoidocele may be associated with descending perineum syndrome. [11] The enterocele can remain confined in the space between the rectum and the vagina. [5] An enterocele may co-exist with a rectocele. [5] During defecation, the enterocele may occupy a posterior colpocele before the rectocele or after it empties. [5]
DeSanctis–Cacchione syndrome; Descending perineum syndrome; Diabetic stiff hand syndrome; Dialysis disequilibrium syndrome; Diencephalic syndrome; Diffuse infiltrative lymphocytosis syndrome; DiGeorge syndrome; Diogenes syndrome; Diploid-triploid mosaicism; Disconnection syndrome; Distal 18q-Distal intestinal obstruction syndrome; Distal ...
Sigmoidocele may not cause any symptoms. [5]Obstructed defecation syndrome. [3] It has been suggested that a sigmoidocele does not cause obstruction, but rather is a compensatory mechanism which increases rectal pressure and helps evacuation in the presence of excessive perineal descent.
Descending perineum syndrome: If the perineum descends >4 cm, descending perineum syndrome may be diagnosed. Fecal incontinence : If the barium paste does not stay in the rectum. Cinedefecography and MRI defecography
Abnormal descent of the pelvic floor can also be a sign of pelvic floor weakness. Abnormal descent manifests as descending perineum syndrome (>4 cm perineal descent). [5] This syndrome initially gives constipation, and later FI. The pelvic floor is innervated by the pudendal nerve and the S3 and S4 branches of the pelvic plexus.
Descending perineum syndrome; Other inability or unwillingness to control the external anal sphincter, which normally is under voluntary control; A poor diet; An unwillingness to defecate; Nervous reactions, including prolonged and/or chronic stress and anxiety, that close the internal anal sphincter, a muscle that is not under voluntary control