2025 AUGS Clinical Meeting-Surgical Treatment of Obstructed Defecation: New Insights

Video Transcription

Video Summary

Dr. Roger Goldberg, a course co-director from the University of Chicago Endeavor Health, discusses advances in addressing obstructed defecation syndrome (ODS) and pelvic floor disorders in women. He highlights a significant portion of women suffer from constipation and pelvic organ prolapse impacts their quality of life. Traditional methods focused on correcting rectocele proved unreliable for improving bowel function. Goldberg emphasizes the importance of identifying the correct defect, often involving rectal support, detectable through ultrasound. His team developed minimally invasive surgical solutions, including sacrospinous rectopexy, which shows promising outcomes for treating ODS by stabilizing rectal support. He addresses the need for comprehensive diagnostic approaches and the importance of understanding the different causes and treatments for bowel dysfunction. Emphasizing teamwork, continued research, and the integration of new techniques like ultrasound and surgical innovation, Goldberg advocates for gynecologists to lead in providing effective care. This work aims to shift the focus from solely addressing cosmetic prolapse to improving functional defects, encouraging the integration of pelvic floor assessments into routine practice.

Asset Subtitle

The learner will be exposed to all the newest techniques of both sides of bowel storage.

Speaker - Roger Goldberg, MD, MPH

Keywords

obstructed defecation syndrome

pelvic floor disorders

minimally invasive surgery

sacrospinous rectopexy

rectal support

ultrasound diagnostics

gynecological care