Document Detail

Importance of evacuatory disturbance in evaluation of faecal incontinence after third degree obstetric tear.
MedLine Citation:
PMID:  15606579     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To correlate anorectal function including rectal evacuation with anorectal physiology and endoanal ultrasound in women with third degree obstetric anal sphincter injury repaired at the time of delivery. PATIENTS AND METHODS: Forty-four women with repaired third degree tears underwent anorectal physiology, anal ultrasonography and clinical assessment using the St. Marks incontinence score (0-24). Evacuatory disturbance was assessed by questionnaire. RESULTS: There was a significant correlation between disturbed evacuation and incontinence symptoms (P=0.030). There was also a significant correlation between disturbed evacuation and internal anal sphincter (IAS) injury (P=0.026), but there was no correlation with external anal sphincter (EAS) injury. There was a correlation between disturbed evacuation and low resting anal pressure (P=0.013). Although IAS defects were associated with low anal pressure, only the correlation with Maximum Squeeze Pressure reached statistical significance (P=0.018). CONCLUSION: Women with evacuatory disturbance after repaired third degree tears have a greater level of incontinence than those whose emptying is normal. This association is related to internal sphincter injury and reduced anal sphincter pressures.
T Shatari; J Hayes; S Pretlove; P Toosz-Hobson; S Radley; M R B Keighley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  7     ISSN:  1462-8910     ISO Abbreviation:  Colorectal Dis     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2004-12-20     Completed Date:  2005-05-03     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  18-21     Citation Subset:  IM    
Department of Surgery, University of Birmingham, Birmingham, UK.
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MeSH Terms
Anal Canal / injuries*,  physiopathology*,  ultrasonography
Defecation / physiology*
Delivery, Obstetric / adverse effects*
Fecal Incontinence / etiology*,  physiopathology*,  ultrasonography
Muscle Contraction / physiology
Sensation / physiology
Trauma Severity Indices

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

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