What should a pelvic exam in women with constipation address?

Updated: Jul 04, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Pelvic examination in women should specifically address the posterior vaginal wall, with particular attention to any evidence of internal prolapse or rectocele. This region should be palpated while the patient is at rest and then while she is straining to defecate. Many women with rectocele do not experience constipation. Good surgical results are not guaranteed, and a thorough preoperative workup to rule out other potential causes of constipation should always be performed.


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