scholarly journals Asymmetric sphincter innervation is associated with fecal incontinence after anal sphincter trauma during childbirth

2006 ◽  
Vol 26 (1) ◽  
pp. 134-139 ◽  
Author(s):  
Beate M. Wietek ◽  
Heidemarie Hinninghofen ◽  
Ekkehard C. Jehle ◽  
Paul Enck ◽  
Heiko B. Franz
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Anal Sphincter Trauma

scholarly journals A rare off-site aperture of the anal canal following an obstetric anal sphincter trauma.

2021 ◽  
Author(s):  
Sofoklis Stavros ◽  
Ioannis Papapanagiotou ◽  
Dimitris Zacharakis ◽  
Kyriaki Migklis ◽  
Rafail Mantzioros ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anal Canal ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Common Complication ◽  
Sphincter Injury ◽  
Anal Sphincter Injury ◽  
Perineal Injuries ◽  
Anal Sphincter Trauma

Obstetric anal sphincter injury is a common complication of vaginal delivery. Such injuries are more likely to result in postpartum fecal incontinence and thus diagnosis and restoration of perineal injuries at the time of vaginal delivery is of paramount importance.

Do endoflip assessments of anal sphincter distensibility provide more information on patients with fecal incontinence than high-resolution anal manometry?

2015 ◽  
Vol 28 (3) ◽  
pp. 399-409 ◽  
Author(s):  
G. Gourcerol ◽  
S. Granier ◽  
V. Bridoux ◽  
J. F. Menard ◽  
P. Ducrotté ◽  
...  
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Anal Manometry

Ten-Year Outcome After Anal Sphincter Repair for Fecal Incontinence

2009 ◽  
Vol 52 (6) ◽  
pp. 1089-1094 ◽  
Author(s):  
Massarat Zutshi ◽  
Tracy Hull ◽  
Jane Bast ◽  
Amy Halverson ◽  
Jeanie Na
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Sphincter Repair ◽  
Anal Sphincter Repair

Anal sphincter defects and bowel symptoms in women with and without recognized anal sphincter trauma

2006 ◽  
Vol 194 (5) ◽  
pp. 1450-1454 ◽  
Author(s):  
Catherine M. Nichols ◽  
Marie Nam ◽  
Viswanathan Ramakrishnan ◽  
Elizabeth H. Lamb ◽  
Nancy Currie
Keyword(s):  
Anal Sphincter ◽  
Bowel Symptoms ◽  
Sphincter Defects ◽  
Anal Sphincter Defects ◽  
Anal Sphincter Trauma

scholarly journals Comparison of Anorectal Function Measured using Wearable Digital Manometry and a High Resolution Manometry System

2020 ◽  
Author(s):  
Ali Attari ◽  
William D. Chey ◽  
Jason R. Baker ◽  
James A. Ashton-Miller
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Chronic Constipation ◽  
Anorectal Function ◽  
Puborectalis Muscle ◽  
Myoelectric Activity ◽  
Sphincter Pressure ◽  
High Resolution Manometry ◽  
Anal Sphincter Pressure

AbstractThere is a need for a lower cost manometry system for assessing anorectal function in primary and secondary care settings. We developed an index finger-based system (termed “digital manometry”) and tested it in healthy volunteers, patients with chronic constipation, and fecal incontinence. Anorectal pressures were measured in 16 participants with the digital manometry system and a 23-channel high-resolution anorectal manometry system. The results were compared using a Bland-Altman analysis at rest as well as during maximum squeeze and simulated defecation maneuvers. Myoelectric activity of the puborectalis muscle was also quantified simultaneously using the digital manometry system. The limits of agreement between the two methods were −7.1 ± 25.7 mmHg for anal sphincter resting pressure, 0.4 ± 23.0 mmHg for the anal sphincter pressure change during simulated defecation, −37.6 ± 50.9 mmHg for rectal pressure changes during simulated defecation, and −20.6 ± 172.6 mmHg for anal sphincter pressure during the maximum squeeze maneuver. The change in the puborectalis myoelectric activity was proportional to the anal sphincter pressure increment during a maximum squeeze maneuver (slope = 0.6, R2 = 0.4). Digital manometry provided a similar evaluation of anorectal pressures and puborectalis myoelectric activity at an order of magnitude less cost than high-resolution manometry, and with a similar level of patient comfort. Digital Manometry provides a simple, inexpensive, point of service means of assessing anorectal function in patients with chronic constipation and fecal incontinence.

THE ANAL SPHINCTER IN FECAL INCONTINENCE

PEDIATRICS ◽  
1968 ◽  
Vol 41 (4) ◽  
pp. 750-754
Author(s):  
Joyce D. Gryboski ◽  
Howard M. Spiro ◽  
Martin Gelfand
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Imperforate Anus ◽  
Fecal Impaction ◽  
Simple Method ◽  
Squeeze Pressure ◽  
Fecal Soiling ◽  
Normal Controls ◽  
Pressure Plateau

Anal sphincter characteristics were studied in eight children who had repair of an imperforate anus. Six of the eight had problems with fecal impaction and soiling. Resting yield pressure (RYP) was measured by gradual distension of a balloon within the sphincter and defined as the point at which a pressure plateau was reached and further distension of the balloon produced no further increase in recorded pressure. At this point the patients were asked to "squeeze down on the balloon" and this superimposed voluntary pressure was termed the "squeeze pressure." Both of these pressures were lower in the patients who had been operated on than in age-matched controls. Two patients who had developed continence had pressures approaching normal. Six patients with psychogenic constipation had sphincter pressures similar to the normal controls. This simple method of recording anal pressures may help to differentiate organic from non-organic types of fecal soiling.

Sign in / Sign up

Export Citation Format

Share Document