[Diagnosis of dyschezia].

Outlet constipation is a frustrating condition for both patients and clinicians. The former are reluctant to evoke this disabling condition. For the latter, decision-making remains uncertain since non-specific strategies are unhelpful (constipation). Thus, careful symptomatic assessment (stool consistencies), dynamic examination of the anorectal area (anismus, rectocele) and balloon expulsion test may plan therapeutic options in current situations.