Document Detail


Effect of perineal compression on the rectal tone: a study of the mechanism of action.
MedLine Citation:
PMID:  14530676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Digital pressure on the perineum was reported to result in an increase of the rectal tone. This effect has been related to a reflex action named perineorectal reflex but was not verified. The mechanism of action of perineal pressure on the rectal tone was studied. METHODS: Eighteen healthy volunteers (mean age +/- standard deviation, 39.7 +/- 11.8 years; 10 males) were studied. The barostat system used consisted of a polyethylene balloon connected to a strain gauge and a computer-controlled, air-injection system. The balloon was introduced into the rectum, and the rectal tone was assessed by recording the balloon volume variations in response to digital pressure on the perineum. The test was repeated after individual anesthetization of perineum and rectum. It was performed again using normal saline instead of Xylocaine. RESULTS: During perineal pressure, all the volunteers exhibited rectal tone increase with a mean decrease in the balloon volume of 72.3 +/- 14.7 percent. There was no significant difference (P > 0.05) in the rectal tone response between females and males nor between young and elderly patients. The mean latency was 17.3 +/- 1.8 ms. Perineal pressure 20 minutes after individual anesthetization of perineum and rectum effected no significant rectal tone changes. The response returned after the anesthetic effect had waned. The rectal tone response after saline administration was similar to that before administration. CONCLUSION: The study has shown that rectal tone increase during digital perineal pressure represents most probably a reflex action. This was evidenced by absence of rectal tone response on individual anesthetization of the assumed two arms of the reflex arc: perineum and rectum. The perineorectal reflex may be of diagnostic significance in rectal motor disorders and has the potential to be used as an investigative tool, provided further studies are performed to prove these points.
Authors:
Ahmed Shafik; Ismail Ahmed; Olfat El-Sibai
Related Documents :
8633496 - Impaired small intestinal peristaltic reflexes and sensory thresholds are independent f...
12404226 - Beta3 adrenergic stimulation inhibits the opossum lower esophageal sphincter.
9950806 - Basal pressure patterns and reflexive motor responses in the human ileocolonic junction.
37816 - Lower esophageal sphincter function after highly selective vagotomy.
7852756 - A north-south comparison of blood pressure and factors related to blood pressure in the...
23659386 - Relation of coronary flow reserve and diastolic function to fractional pulse pressure i...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  46     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-07     Completed Date:  2003-11-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1366-70     Citation Subset:  IM    
Affiliation:
Department of Surgery and Experimental Research, Faculty of Medicine, Cairo University, Cairo, Egypt.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Local
Female
Humans
Male
Middle Aged
Muscle Tonus / physiology
Perineum / physiology*
Pressure
Rectum / physiology*
Reference Values
Reflex / physiology*

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


Previous Document:  Postoperative follow-up of anal condylomata acuminata in HIV-positive patients.
Next Document:  Multidimensional analysis of learning curves in laparoscopic sigmoid resection: eight-year results.