Résumé
La rectocèle est l’un des principaux facteurs étiologiques rendus responsables de troubles fonctionnels de l’évacuation chez les malades constipés bien que le niveau de preuve scientifique reste faible. Les manoeuvres endovaginales défécatoires, les efforts de poussée et une impression d’évacuation incomplète sont bien sûr des symptômes suggestifs de rectocèle, mais d’autres troubles fonctionnels anorectaux tels que l’anisme y sont fréquemment associés. De fait et sur un plan purement physiopathologique, on peut concevoir que les approches thérapeutiques multimodales (laxatifs, rééducation et chirurgie) soient plus efficaces qu’une simple approache chirurgicale chez les malades ayant une rectocèle et souffrant de dyschésie.
Abstract
Rectocele is one of the main etiological factors thought to be responsible for dyschezia even though scientific evidence is lacking. Digitation, straining effort and a feeling of incomplete rectal emptying are indeed suggestive of rectocele but other functional disorders such as anismus are also frequently associated with it. Thus, we can suppose that multimodal therapeutic approaches (laxatives, retraining and surgery) might be more successful than the purely surgical approach to the treatment of patients with rectocele suffering from dyschezia.
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Siproudhis, L. Histoire naturelle et facteurs de risque. Colon Rectum 2, 63–66 (2008). https://doi.org/10.1007/s11725-008-0085-9
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DOI: https://doi.org/10.1007/s11725-008-0085-9