Document Detail


Defecography: does parity play a role in the development of rectal prolapse?
MedLine Citation:
PMID:  10087114     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Few studies related to parity address the changes in anorectal function in women. Since the majority of patients with rectal prolapse are women, we undertook this study to assess the role of parity in the development of rectal prolapse. We retrospectively reviewed defecography studies performed on 354 female patients over a 10-year period. Studies noting the presence of intra-anal and external rectal prolapse (full thickness protrusion of the rectum into and through the anal sphincter) were reviewed. Cases with intrarectal or hidden rectal prolapse, a condition of lesser clinical importance, were excluded. The obstetric histories of the patients with rectal prolapse (n = 27) were compared to those of patients without rectal prolapse (n = 88). There was a larger proportion of nulliparous women in the rectal prolapse group than in the group without rectal prolapse, suggesting that factors in addition to parity play a role in the development of rectal prolapse. However, parous women with rectal prolapse had delivered significantly more children (3.3) than parous women without prolapse (2.5) (P = 0.03). The exact cause of rectal prolapse remains unclear. Childbearing appears to play a limited role in its pathogenesis since nulliparous women are also at risk of developing rectal prolapse.
Authors:
S Karasick; C M Spettell
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  European radiology     Volume:  9     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  1999  
Date Detail:
Created Date:  1999-05-04     Completed Date:  1999-05-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  450-3     Citation Subset:  IM    
Affiliation:
Department of Radiology, Thomas Jefferson University Hospital, 111 South 11th Street, Suite G3390, Philadelphia, PA 19107, USA.
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MeSH Terms
Descriptor/Qualifier:
Defecography*
Female
Follow-Up Studies
Humans
Middle Aged
Parity*
Pelvic Floor / radiography
Questionnaires
Rectal Prolapse / etiology*,  radiography*
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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