| Dynamic magnetic resonance imaging evaluation of the structural and functional results of postanal repair for neuropathic fecal incontinence. | |
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MedLine Citation:
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PMID: 12473886 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The aim of this study was to determine whether dynamic magnetic resonance imaging of the pelvic floor can discriminate between patients who improve after postanal repair for neurogenic fecal incontinence and those who remain symptomatic. METHODS: Pelvic floor measurements obtained during dynamic magnetic resonance imaging in eight females whose anal incontinence had improved after postanal repair were compared with those from nine females who remained symptomatic. All subjects also underwent standard anorectal physiology testing. RESULTS: There was no significant difference between groups with respect to any measurement of anterior or middle pelvic floor compartments. Additionally, there was no difference in posterior pelvic floor configuration when symptomatic patients were compared with those who had improved. However, dynamic magnetic resonance measurements revealed patients who remained symptomatic had significantly greater posterior pelvic floor weakness. Anorectal physiology was unable to differentiate between groups. CONCLUSIONS: There is no difference in static pelvic floor measurements when subjects remaining symptomatic after postanal repair are compared with those who have improved. In contrast, dynamic measurements may be able to predict failure in those who demonstrate excessive posterior pelvic floor mobility. |
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Authors:
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Jeremiah C Healy; Steve Halligan; Clive I Bartram; Michael A Kamm; Robin K S Phillips; Rodney Reznek |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 45 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 2002 Dec |
Date Detail:
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Created Date: 2002-12-10 Completed Date: 2003-01-07 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: United States |
Other Details:
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Languages: eng Pagination: 1629-34 Citation Subset: IM |
Affiliation:
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Department of Radiology, Chelsea & Westminster Hospital, London, United Kingdom. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Anal Canal / surgery* Fecal Incontinence / pathology*, surgery* Female Humans Magnetic Resonance Imaging* Male Middle Aged Pelvic Floor / physiology*, radiography Predictive Value of Tests Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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