Document Detail


Effect of anoreceptive intercourse on anorectal function.
MedLine Citation:
PMID:  8459377     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study is the first published assessment of the effect of anoreceptive intercourse (ARI) on anal sphincter tone and function. Forty anoreceptive (AR) male homosexuals were compared with 18 age matched non-anoreceptive (non-AR) heterosexual males. Subjects were questioned about ARI, defaecation and faecal incontinence. Anal resting pressure, maximum voluntary squeeze pressure, anal mucosal electrosensitivity, perineal descent and rectal sensation were measured in all subjects. Fourteen of the AR subjects but only one of the non-AR subjects had symptoms of frequent anal incontinence (P < 0.05). There was a significant reduction in both maximum anal resting pressure (P < 0.01) and anal mucosal electrosensitivity (P < 0.05) and a significant difference in the anal resting pressure profile (P = 0.02) in the AR subjects compared with the non-AR subjects. There was a significant reduction in maximum squeeze pressure in AR subjects with anal incontinence compared with either AR subjects without anal incontinence (P < 0.01) or non-AR subjects (P < 0.01). There were no significant differences in stoll consistency, frequency of defaecation, perineal descent or rectal sensation between the groups. ARI is associated with reduced resting pressure in the anal canal and an increased risk of anal incontinence. The risk of incontinence is greatest amongst AR subjects with reduced maximum squeeze pressure.
Authors:
A J Miles; T G Allen-Mersh; C Wastell
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the Royal Society of Medicine     Volume:  86     ISSN:  0141-0768     ISO Abbreviation:  J R Soc Med     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-04-27     Completed Date:  1993-04-27     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7802879     Medline TA:  J R Soc Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  144-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, Westminster Hospital, London.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anal Canal / physiopathology*
Electromyography
Fecal Incontinence / physiopathology*
Homosexuality
Humans
Male
Middle Aged
Pressure
Rectum / physiopathology
Sensation / physiology
Sexual Behavior / physiology*
Comments/Corrections

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


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