Document Detail

Accuracy of measurement of puborectal contraction by perineal ultrasound in patients with faecal incontinence.
MedLine Citation:
PMID:  21689327     Owner:  NLM     Status:  Publisher    
Aim:  The study aimed to determine the accuracy of puborectal contraction measured by perineal ultrasound during anal voluntary contraction in patients with incontinence. Method:  Puborectalis sling contraction in 32 consecutive patients investigated for faecal incontinence was determined by two examiners on two occasions (four measurements per patient). The examiners were blinded to each other's results. Results:  The mean anterior movement of the puborectalis sling was between 11 and 12 mm for both examiners on both occasions. The global intraclass correlation coefficient for examiners and occasions together was 0.92. The absolute agreement on the movement exceeding or not 8 mm was 87.5% (28/32) and the corresponding kappa statistic was 0.84. The differences between the two experts were minimal. Conclusion:  The study confirms the reliability of puborectalis sling contraction measurement and its value as a preoperative predictive tool to assess the prognosis of sphincter repair for post delivery faecal incontinence.
G Z Zufferey Guillaume; P T Perneger Thomas; J R Robert-Yap Joan; K S Skala Karel; B R Roche Bruno
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-11
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-6-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 The Association of Coloproctology of Great Britain and Ireland.
Department of Visceral SurgeryClinical Research University Hospitals of Geneva Geneva.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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