| Changes in fatigability of the striated anal canal after childbirth. | |
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MedLine Citation:
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PMID: 19486090 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: Anal manometry is an established assessment tool for patients with faecal incontinence. Fatigue rate index (FRI) has been shown to discriminate between symptomatic patients and controls. The aim of this study was to compare manometry and fatigability of the anal canal in nulliparous women before and after childbirth. METHOD: An air-filled manometry device was used to record maximum resting and squeeze pressures, fatigue rate (recorded over 20 s) and FRI. Recordings were made before and after vaginal delivery. RESULTS: Nineteen women were studied. Resting anal canal pressure was not significantly different before and after delivery (57.1 +/- 13.6 vs 51.1 +/- 11.9 cmH(2)O, P = 0.1). Squeeze pressure was significantly lower postpartum (106.5 +/- 43.6 vs 75.5 +/- 45.6 cmH(2)O, P < 0.001). Fatigue rate was significantly reduced postpartum (-129.5 +/- 74.7 vs-76.1 +/- 54.8 cmH(2)O/min, P = 0.001), but FRI was not significantly altered (1.23 +/- 1.49 vs 1.41 +/- 1.27 min, P = 0.09). CONCLUSION: Maximal squeeze pressure and fatigue rate of the anal canal are significantly reduced after childbirth. Resting anal canal pressure and FRI are not significantly different. |
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Authors:
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K R Cattle; K Telford; E S Kiff |
Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-04-10 |
Journal Detail:
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Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 12 ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-19 Completed Date: 2010-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
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Languages: eng Pagination: 880-4 Citation Subset: IM |
Affiliation:
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Department of General Surgery, University Hospital of South Manchester NHS Foundation Trust, UK. kirstymcdowell@doctors.org.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anal Canal / physiopathology* Fecal Incontinence / diagnosis, physiopathology* Female Humans Manometry / methods Muscle Fatigue / physiology* Postpartum Period / physiology* Pregnancy Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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