ReviewInternational urogynecology journal2016
Descending perineum syndrome: a review of the presentation, diagnosis, and management.
Review in International urogynecology journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed.
- Mini-invasive J-colpo-perineo-rectopexy with titanized polypropylene mesh for global perineal descent: a technical note.Annals of coloproctology · 2026Article
- Transverse perineal support improves long-term outcomes in patients undergoing stapled transanal rectal resection for obstructed defecation syndrome: a multicenter observational case-control study.Annals of coloproctology · 2025Article
- Three-dimensional Analysis of the Distribution of Smooth and Skeletal Muscle Tissue Around the Female Urethra.International urogynecology journal · 2025Article
- Wide-bore polyester sutures may create sufficient collagen for cure of prolapse/incontinence: a work in progress.Annals of translational medicine · 2024Review
- Descending perineal syndrome cure by deep transversus perinei ligament repair: surgical options.Annals of translational medicine · 2024Review
- Twisted orientation of the muscle bundles in the levator ani functional parts in women: Implications for pelvic floor support mechanism.Journal of anatomy · 2024Article
- A novel perspective on constipation secondary to sigmoidocele: a retrospective study.Abdominal radiology (New York) · 2024Article
- Is perineal hypermobility an independent predictor of obstructive defecation?International urogynecology journal · 2021Article
- Imaging and clinical assessment of functional defecatory disorders with emphasis on defecography.Abdominal radiology (New York) · 2021Review
- Article
- Update on the Pathophysiology and Management of Anorectal Disorders.Gut and liver · 2018Review
- Anatomy and surgical cure of descending perineal syndrome.International urogynecology journal · 2018Article
- Descending Perineum Associated With Pelvic Organ Prolapse Treated by Sacral Colpoperineopexy and Retrorectal Mesh Fixation: Preliminary Results.Frontiers in surgery · 2018Article
- Comment on Chaudhry et al.: descending perineum syndrome: a review of the presentation, diagnosis, and management.International urogynecology journal · 2017Article
- Biofeedback treatment of chronic constipation: myths and misconceptions.Techniques in coloproctology · 2016Review
Corrections and comments
- Commented on by
- Commented on by
- Commented on by
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisDefecatory dysfunction is a relatively common and challenging problem among women and one that practicing pelvic reconstructive surgeons and gynecologists deal with frequently. A subset of defecatory dysfunction includes obstructed defecation, which can have multiple causes, one of which is descending perineum syndrome (DPS).
methodsA literature search was performed to identify the pathophysiology, diagnosis, and management of DPS.
resultsAlthough DPS has been described in the literature for many decades, it is still uncommonly diagnosed and difficult to manage. A high index of suspicion combined with physical examination consistent with excess perineal descent, patient symptom assessment, and imaging in the form of defecography are required for the diagnosis to be accurately made. Primary management options of DPS include conservative measures consisting of bowel regimens and biofeedback. Although various surgical approaches have been described in limited case series, no compelling evidence can be demonstrated at this point to support surgical intervention.
conclusionsKnowledge of DPS is essential for the practicing pelvic reconstructive surgeon to make a timely diagnosis, avoid harmful treatments, and initiate therapy early on.
Indexed as
Identifiers
26755058What 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.