Defecography in Katy, TX
An imaging study that shows how the rectum and pelvic floor move during a bowel movement, revealing problems a standard exam may miss.
A defecogram, or defecography, is an imaging test that records the rectum and pelvic floor while you squeeze, push and empty your bowels. It helps identify rectocele, rectal prolapse, intussusception and muscle coordination problems that cause constipation, a feeling of incomplete emptying or leakage. The study is performed in a radiology setting, and Dr. Solafa Elshatanoufy reviews the results with you at our Katy office.
Why Defecography Is Done
Many pelvic floor problems appear only during straining, which is why a test that shows movement can be so helpful.
Common reasons
- Difficulty emptying the bowel or needing to press on the vagina to do so
- A feeling of incomplete emptying
- Chronic constipation that has not improved
- Fecal incontinence
- Planning surgery for posterior vaginal prolapse
What it can show
- Rectocele: the rectum bulging into the vagina
- Rectal prolapse or intussusception
- Enterocele: small bowel descending into the pelvis
- Pelvic floor muscles that tighten instead of relax when pushing
- How completely the rectum empties
What to Expect
Before the test
- You will receive instructions from the imaging facility
- You may be asked to drink a contrast liquid
- Tell the staff if you could be pregnant, because x-ray imaging may be used
During the test
- A soft paste that shows on imaging is placed in the rectum, and sometimes the vagina
- You sit on a special commode in a private setting
- Images are taken as you squeeze, push and empty
- The test is not painful, and staff aim to keep you as comfortable as possible
You can return to normal activities right away. Drink plenty of fluids if you were given oral contrast. Dr. Elshatanoufy will discuss the results and treatment options with you.
Bowel Testing Reviewed by a Specialist
Accidental bowel leakage and constipation are pelvic floor problems, and they often occur alongside bladder leakage or prolapse. Dr. Solafa Elshatanoufy, board-certified in female pelvic medicine and reconstructive surgery, uses test results to recommend treatment such as diet changes, medication, pelvic floor physical therapy, nerve stimulation or surgery.
Defecography FAQs
Is defecography embarrassing?
Many women worry about this. The study is done privately by staff who perform it routinely, and the information it provides can be very valuable.
Is the test painful?
No. It may feel a little unusual, but it is not painful.
Where is the test performed?
Defecography is performed in a radiology setting. We will help arrange it and review the results with you.
Is there radiation?
Standard defecography uses a low dose of x-ray. MRI defecography, which uses no radiation, is an option in some cases.
How long does it take?
Usually under an hour, including preparation.
Other Tests
Anorectal Manometry
Measures anal sphincter strength, rectal sensation and coordination.
Questions About Defecography?
Call our office or request an appointment to discuss your bowel and pelvic floor symptoms.
410 W Grand Pkwy S, Suite 320, Katy, TX 77494