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Section X

Evacuation Disorders

Section X

Evacuation Disorders

Steven D.Wexner

Evacuatory disorders are very difficult to both evaluate and treat. Both urinary and fecal retention are troubling symptoms to the patients if they cannot completely void or evacuate and yet have the persistent urgency to repeatedly attempt evacuation. Patients can often spend significant parts of their lives in the bathroom seated on the commode and, between such episodes,contemplate the need to return to the bathroom.In many cases,they have such severe life-compromise that they would prefer major surgery. Because of the lack of uniform success with any of the procedures, these patients are often managed by psychologists and psychiatrists for depression. Prior psychological assessments of these patients have noted significant elevations in the "neurotic triad"including somatic sensation,hypochondriasis,and depression.As can be seen in the five chapters within this section, urinary and fecal retention is a vexing problem to which no adequate solution is universally applicable.These chapters do offer a review of the currently available therapies and discuss their anticipated rates of success and complications.


51 Tips for Dealing with Endometriosis

51 Tips for Dealing with Endometriosis

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