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Marc Levitt

Pediatric Surgery · View profile →

Colorectal Quiz: Episode 45 - Pelvic Floor Dyssynergia

Video Published 2026-07-29 Updated 2026-07-29

Topic Overview

Expert discussion on diagnosing and managing pelvic floor dyssynergia in adolescents, featuring a case of urinary retention and testicular pain. Covers diagnostic approaches including SITZ markers and defecography, plus treatment options from physical therapy to Botox injections for puborectalis relaxation.

Key Takeaways

  • Pelvic floor dyssynergia can present with urinary retention and pelvic pain, requiring high clinical suspicion for diagnosis.
  • SITZ marker studies and defecography are essential diagnostic tools for identifying pelvic floor tightness and dysfunction.
  • Pelvic floor physical therapy is first-line treatment; Botox injections to puborectalis muscle are effective for refractory cases.
  • Multidisciplinary collaboration between pediatric and adult colorectal specialists improves outcomes in transitional-age patients.
  • Manual assessment of pelvic floor tone during physical exam can reveal dyssynergia missed by imaging alone.

Keywords

Pelvic Floor Dyssynergia Colorectal Surgery Pediatric Urology Defecography Pelvic Floor Physical Therapy Botox Injection Puborectalis Dysfunction

Hashtags

#PelvicFloorDysfunction #ColorectalSurgery #PediatricSurgery #PelvicFloorTherapy

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