| Importance of evacuatory disturbance in evaluation of faecal incontinence after third degree obstetric tear. | |
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MedLine Citation:
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PMID: 15606579 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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T Shatari; J Hayes; S Pretlove; P Toosz-Hobson; S Radley; M R B Keighley |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2004-12-20 Completed Date: 2005-05-03 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
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Languages: eng Pagination: 18-21 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Birmingham, Birmingham, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anal Canal / injuries*, physiopathology*, ultrasonography Defecation / physiology* Delivery, Obstetric / adverse effects* Endosonography Fecal Incontinence / etiology*, physiopathology*, ultrasonography Female Humans Manometry 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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