ReviewWorld journal of gastroenterology2015
Management of obstructed defecation.
Review in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Surgical Treatment of Internal Rectal Prolapse Associated With Obstructed Defecation: Transanal Prolassectomy Versus Laparoscopic Ventral Rectopexy. Randomized Controlled Trial.
Prospective Randomized Controlled Trial Comparing Transvaginal Rectopexy and Ventral Mesh Rectopexy for Obstructed Defecation in Pelvic Organ Prolapse (PROD Trial)
Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 108 citations in OpenAlex.
- Anatomical and functional outcomes of combined ventral rectopexy and sacrocolpo/hysteropexy for multicompartment pelvic organ prolapse: a systematic review and meta-analysis.Techniques in coloproctology · 2025Pooled it
- Stapled Transanal Rectal Resection (Starr) in the Treatment of Obstructed Defecation: A Systematic Review.Frontiers in surgery · 2022Pooled it
- Imaging modalities for the detection of posterior pelvic floor disorders in women with obstructed defaecation syndrome.The Cochrane database of systematic reviews · 2021Pooled it
- Management of patients with rectal prolapse: the 2017 Dutch guidelines.Techniques in coloproctology · 2018Guideline
- [Irritable bowel syndrome with constipation and functional constipation in adults: Treatment (Part 2 of 2)].Atencion primaria · 2017Guideline
- Bilateral posterior tibial nerve stimulation as a neuromodulation strategy for obstructed defecation: a randomized controlled trial.Techniques in coloproctology · 2025Trial
- Efficacy of a Modified Training Program of Adaptive Biofeedback Therapy for Dyssynergic Defecation in Patients with Chronic Constipation.Digestive diseases and sciences · 2022Trial
- Prevalence and Determinants of Constipation in Community-Dwelling Adult Women in the Democratic Republic of Congo: A Cross-Sectional Study.International urogynecology journal · 2026Article
- Beyond stapled transanal rectal resectionWorld journal of gastrointestinal surgery · 2026Review
- Long-Term Outcomes of Transvaginal Sacrospinous Ligament Suture Rectopexy.International urogynecology journal · 2025Article
- Role of magnetic resonance defecography in the assessment of obstructed defecation syndrome.World journal of radiology · 2025Review
- Short-Term Complications Following Transvaginal Sacrospinous Ligament Rectopexy: A Retrospective Cohort Study.International urogynecology journal · 2025Article
- The Results of Transperineal Surgery for Rectal Prolapse (10-Year Experience).World journal of plastic surgery · 2025Article
- Non-linear relationship between Dietary Inflammatory Index and constipation: threshold identification and insights from NHANES [2005-2010] and Mendelian randomization analysis.Translational gastroenterology and hepatology · 2025Article
- Sexual Dimorphism in the Architectural Design of Rat and Human Pelvic Floor Muscles.Journal of biomechanical engineering · 2024Article
- Results of medical treatment with psyllium, lactobacillus, and tryptophan (Plurilac® Trio) in obstructive defecation syndrome.Frontiers in surgery · 2024Article
- Prevalence of Obstructed Defecation among Patients Who Underwent Hemorrhoidectomy and Correlation between Preoperative Constipation Score and Postoperative Patients' Satisfaction: A Prospective Study in Two Centers.Healthcare (Basel, Switzerland) · 2023Article
- Time trend in the surgical management of obstructed defecation syndrome: a multicenter experience on behalf of the Italian Society of Colorectal Surgery (SICCR).Techniques in coloproctology · 2022Article
- Correlation Between Poor Defecation Habits and Postoperative Hemorrhoid Recurrence.Frontiers in surgery · 2022Article
- High Anal Canal Pressure and Rectal Washouts Contribute to the Decrease of Anal Basal Pressure After Botulinum Toxin Injections in Paediatric Patients With Chronic Constipation.Frontiers in pediatrics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The management of obstructed defecation syndrome (ODS) is mainly conservative and mainly consists of fiber diet, bulking laxatives, rectal irrigation or hydrocolontherapy, biofeedback, transanal electrostimulation, yoga and psychotherapy. According to our experience, nearly 20% of the patients need surgical treatment. If we consider ODS an "iceberg syndrome", with "emerging rocks", rectocele and rectal internal mucosal prolapse, that may benefit from surgery, at least two out of ten patients also has "underwater rocks" or occult disorders, such as anismus, rectal hyposensation and anxiety/depression, which mostly require conservative treatment. Rectal prolapse excision or obliterative suture, rectocele and/or enterocele repair, retrograde Malone's enema and partial myotomy of the puborectalis muscle are effective in selected cases. Laparoscopic ventral sacral colporectopexy may be an effective surgical option. Stapled transanal rectal resection may lead to severe complications. The Transtar procedure seems to be safer, when dealing with recto-rectal intussusception. A multidisciplinary approach to ODS provides the best results.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.