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Constipation, dyschésie et lésions neurogéniques centrales

Constipation, dyschesia, and central neurogenic lesions

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Pelvi-périnéologie

Résumé

Les troubles anorectaux (TAR) sont fréquents dans les pathologies neurologiques centrales telles que la sclérose en plaques (SEP), les pathologies médullaires, les accidents vasculaires cérébraux (AVC), les traumatismes crâniens (TC) et la maladie de Parkinson. Leurs mécanismes sont complexes, secondaires à la maladie neurologique mais aussi aux médicaments quotidiens, à l’alitement prolongé ou encore au manque d’exercice physique. Leur retentissement sur la vie quotidienne est important. Leur prise en charge spécifique repose avant tout sur une optimisation de la défécation et du transit et sur une éducation spécifique des patients. Une bonne prise en charge, en facilitant le transit et l’évacuation des selles, améliore le quotidien des patients.

Abstract

Bowel symptoms (e.g., constipation and dyschesia or difficult defecation) are frequent in neurological diseases such as multiple sclerosis, spinal cord lesion, stroke, cranial trauma, and Parkinson’s disease. Mechanisms are complex and may be due to an autonomic dysfunction and/or general factors (drugs, impaired mobility). Bowel symptoms induce an alteration of quality of life that can be important. Treatment is based on specific education of the patients and optimization of the mechanisms of defecation. When the treatment is a success, the quality of life is ameliorated.

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Authors and Affiliations

  1. Unité de recherche Er6 UPMC, service de neuro-urologie, hôpital Tenon AP-HP, 4, rue de la Chine, F-75020, Paris, France

    A. Guinet, M. Jousse, D. Verollet & G. Amarenco

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  1. A. Guinet
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  2. M. Jousse
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  3. D. Verollet
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  4. G. Amarenco
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Correspondence to A. Guinet.

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Guinet, A., Jousse, M., Verollet, D. et al. Constipation, dyschésie et lésions neurogéniques centrales. Pelv Perineol 5, 181–184 (2010). https://doi.org/10.1007/s11608-010-0319-9

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  • DOI: https://doi.org/10.1007/s11608-010-0319-9

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