Diagnosis of hemorrhoids and ODS

Jayne, D. and Nugent, K. P. (2009) Diagnosis of hemorrhoids and ODS. In, Transanal Stapling Techniques For Anorectal Prolapse. Springer London, pp. 31-41. (doi:10.1007/978-1-84800-905-9_4).

Record type: Book Section

Abstract

Hemorrhoidal disease is a common complaint in the coloproctology outpatient clinic. A careful history and examination is usually all that is required to select patients for surgical intervention. Other investigations are aimed at excluding coexistent colorectal disease and assessing anorec-tal function in patients with a history of defecatory dysfunction or incontinence. Obstructed defecation may be due to a variety of pathologies. Although a careful history and examination help to defi ne the problem, further investigation of pelvic fl oor function is mandatory to characterize the underlying etiology. The clinical diagnosis of hemorrhoi-dal disease and obstructed defecation syndrome is discussed.

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