Anismus - Definition

Definition

Several definitions have been offered:

  • "Absence of normal relaxation of pelvic floor muscles during defecation, resulting in rectal outlet obstruction".
  • "Malfunction (a focal dystonia) of the external anal sphincter and puborectalis muscle during defecation".
  • " failure of muscle to relax, resulting in maintenance of the anorectal angle and the difficulty with initiating and completing bowel movements".
  • " failure of relaxation (or paradoxic contraction) of the puborectalis muscle sling during defaecation, attempted defaecation or straining."

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