Digital rectal examination—A reliable screening tool for dyssynergic defecation
Dyssynergic defecation (DD) is an important cause of chronic constipation among patients seen at centers offering gastrointestinal motility services. However, it is difficult for primary physicians, surgeons, and gastroenterologists to determine which patients are likely to have DD based on symptom profile and refer them to specialist centers for further testing. Digital rectal examination (DRE) has been reported to be a reliable tool to detect dyssynergia and facilitate selection of patients for further manometry testing [1, 2]. However, the utility of DRE in Indian setting for detection of DD remains untested. The present study was done with the aim to determine the utility of DRE in detecting DD in Indian patients.
The present study was done at Choithram Hospital and Research Centre, Indore. It included all patients with constipation referred for anorectal manometry (ARM) between December 2012 and March 2016. Patients who were referred for evaluation for causes other than...