Affordable Access

Neurogenic colorectal and pelvic floor dysfunction

Elsevier Ltd
Publication Date
DOI: 10.1016/j.bpg.2009.04.012
  • Spinal Cord Injury
  • Myelomeningocoele
  • Multiple Sclerosis
  • Parkinson'S Disease
  • Stroke
  • Colon
  • Rectum
  • Anus
  • Constipation
  • Faecal Incontinence
  • Agricultural Science
  • Medicine


Constipation and faecal incontinence are common symptoms among patients with spinal cord injury (SCI), myelomeningocoele (MMC), multiple sclerosis (MS), Parkinson's disease (PD) and stroke. Faecal incontinence in SCI, MMC and MS is mainly due to abnormal rectosigmoid compliance and rectoanal reflexes, loss of rectoanal sensibility and loss of voluntary control of the external anal sphincter. Constipation in SCI, MMC and MS is probably due to immobilisation, abnormal colonic contractility, tone and rectoanal reflexes or side effects from medication. In PD, dystonia of the external anal sphincter causes difficult rectal evacuation and the loss of dopaminergic neurons in the enteric nervous system probably causes slow-transit constipation. Changes after stroke remain to be studied. Though dietary adjustments, oral laxatives, suppositories and other conservative treatment modalities are commonly used, evidence for their use in patients with central neurological disorders is scarce. For patients with severe symptoms trans-anal irrigation, the Malone appendicostomy or a colostomy can be recommended.

There are no comments yet on this publication. Be the first to share your thoughts.


Seen <100 times

More articles like this

Early recognition of pelvic floor dyssynergia and...

on Colorectal disease : the offic... March 2013

Pelvic floor and sexual male dysfunction.

on Archivio italiano di urologia,... March 2013

Neurourology and pelvic floor dysfunction.

on Minerva ginecologica August 2004

[Treatment of the dysfunction of the pelvic floor]...

on Actas urologicas españolas 2007
More articles like this..