📋 Rectocele diagnostics: essential examinations скачать в хорошем качестве

📋 Rectocele diagnostics: essential examinations

Clinical examination alone is not sufficient for establishing the diagnosis of rectocele and determining the optimal treatment strategy. A comprehensive diagnostic approach is required: 🔹 Anorectal manometry and sphincterometry — provide objective assessment of anal canal pressure, sphincter tone at rest and during voluntary contraction, and help identify pelvic floor dyssynergia. 🔹 Transrectal ultrasonography (TRUS) — allows visualization of the rectal and vaginal walls, detecting structural defects that may contribute to rectocele formation. 🔹 Defecography (X-ray or MRI-based) — considered the “gold standard” for assessing the degree of prolapse, recto-rectal intussusception, and associated pelvic floor disorders (such as cystocele or enterocele). MRI additionally provides detailed evaluation of soft tissue structures. 🔹 Colonic transit studies (barium transit test, contrast enema/enteroclysis) — are essential to exclude slow-transit constipation and to differentiate motor dysfunction from anatomical causes of outlet obstruction. ✅ Only a multimodal diagnostic approach ensures an accurate diagnosis and allows for a rational choice between conservative management and surgical correction.