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Age and Ageing 2003; 32: 347-350
© 2003, British Geriatrics Society

Short report

Defecography in symptomatic older women living at home

Céline Savoye-Collet1,, Guillaume Savoye2, Edith Koning1, Anne-Marie Leroi2 and Jean-Nicolas Dacher1

1 Radiology Department, Pr Jacques Thiebot, Quant-If, France
2 Aden, Rouen University Hospital Charles Nicolle, Rouen, France

Abstract

Background: complaints of defecation disorders in older patients living at home is an emerging problem. Little is known about radiological examination of this population.

Objective: this study aimed to analyse the yield of defecography in women older than 75 years, living at home and complaining of defecation disorders.

Design and settings: prospective study of patients referred to a radiology department in a tertiary-care medical centre in Rouen, France.

Subjects and methods: 52 women (mean age: 78, range: 75–93) complaining of constipation, faecal incontinence or pelvic pain underwent defecography. Defecography was performed after intake of a barium meal and vaginal opacification. Radiographs were analysed accordingly with the established criteria.

Results: defecography showed perineal descent in 27 patients, rectocele in 29, intussusception in 33 and enterocele in 14. A combination of abnormalities was found in 40 women. Only 3 studies were normal. There was no significant association between symptoms and pelvic disorders revealed by defecography.

Conclusions: defecography in symptomatic women aged 75 years and over did not raise any technical difficulty. It revealed a 77% rate of abnormalities, but there was no relationship between the symptoms and the detected abnormalities.

Keywords: faecal incontinence, defecography, rectum abnormalities, pelvic floor disorders, elderly


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