scholarly journals Anal sphincter defects and fecal incontinence 15-24 years after first delivery: a cross-sectional study

2018 ◽  
Vol 51 (5) ◽  
pp. 677-683 ◽  
Author(s):  
R. A. Guzmán Rojas ◽  
K. Å. Salvesen ◽  
I. Volløyhaug
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Tu1776 Anorectal Neuropathy and Anal Sphincter Defects: Independent or Associated Risk Factors in Fecal Incontinence

2016 ◽  
Vol 150 (4) ◽  
pp. S941-S942
Author(s):  
Tanisa Patcharatrakul ◽  
Mercedes Amieva-Balmori ◽  
Amol Sharma ◽  
Annie DeWitt ◽  
Satish S. Rao
Keyword(s):  
Risk Factors ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Sphincter Defects ◽  
Anal Sphincter Defects ◽  
Associated Risk Factors

scholarly journals IIIB-IV Degree Perineal Rupture Repair Using Overlapping and End-to-End Techniques with Pudendal Block Anesthesia

2016 ◽  
Author(s):  
Nuring Pangastuti ◽  
Junizaf Junizaf ◽  
Ibnu Pranoto ◽  
Budi I Santoso ◽  
Tyas Priyatini
Keyword(s):  
Fecal Incontinence ◽  
General Hospital ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Control Group ◽  
Sphincter Defects ◽  
Anal Sphincter Defects ◽  
End To End ◽  
Successful Repair ◽  
Fecal Urgency

Objective: To compare the incidence of persistent sonographic anal sphincter defect, fecal urgency, anal and fecal incontinence after IIIb- IV degree perineal rupture repair using overlapping and end-to-end technique. Method: An open clinical trial with randomization was carried out in July 2010-April 2012. The population consisted of the patients who underwent vaginal delivery in Dr. Sardjito Central General Hospital, Sleman District General Hospital, as well as Tegalrejo, Jetis and Mergangsan Community Health Centers who did no have complaints of fecal urgency, anal incontinence, and/or fecal incontinence, and suffered IIIb-IV degree perineal rupture repaired within less than 24 hours of rupture. The exclusion criteria included conditions in which patients could not undergo repair at the moment (shock, uncooperative patient). Fourty-eight research samples were divided into 2 groups, 24 samples for each of the treatment group (overlapping repair) and the control group (end-to-end repair). Local anesthesia was performed in a pudendal-block manner. Result: Success of the repair was assessed based on the presence of persistent sonographic anal sphincter defects in the 6-week evaluation after repair. Successful repair was higher in the overlapping group than that of the end-to-end group (94.74% vs 81.25%, p=0.31). Clinically and based on the Fecal Continence Scoring Scale (FCSS), evaluation at weeks II and VI indicated successful repair in both groups. Conclusion: There was no difference in the incidence of persistent sonographic anal sphincter defects, fecal urgency, anal incontinence, and fecal incontinence, after IIIb-IV degree perineal rupture repair using overlapping technique in comparison with end-to-end technique. Keywords: end-to-end technique, III-IV degree perineal rupture, obstetric perineal rupture, overlapping technique

Anal Sphincter Defects in Patients with Fecal Incontinence: Endoanal versus External Phased-Array MR Imaging

Radiology ◽  
2005 ◽  
Vol 236 (3) ◽  
pp. 886-895 ◽  
Author(s):  
Maaike P. Terra ◽  
Regina G. H. Beets-Tan ◽  
Victor P. M. van Der Hulst ◽  
Marcel G. W. Dijkgraaf ◽  
Patrick M. M. Bossuyt ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Mr Imaging ◽  
Anal Sphincter ◽  
Phased Array ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Evaluation of constipation in children using high-resolution anorectal manometry

2021 ◽  
pp. 004947552110303
Author(s):  
Vishrutha S Poojari ◽  
Sonal Mirani ◽  
Naman S Shetty ◽  
Ira Shah
Keyword(s):  
High Resolution ◽  
Anal Sphincter ◽  
Faecal Incontinence ◽  
Anorectal Manometry ◽  
Hirschsprung's Disease ◽  
Functional Constipation ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Inhibitory Reflex

This prospective, cross-sectional study, conducted from July 2018 to March 2019, aimed to determine the causes of constipation using high-resolution anorectal manometry. Among 33 children enrolled in the study, 31 (94%) children presented with complaints of constipation with mean duration of 2.3 ± 2.5 years and 12 (36.4%) children also had associated complaints of faecal incontinence with mean duration of 3.5 ± 2.8 years. Seven children (21.2%) had normal high-resolution anorectal manometry parameters; anal sphincter hypotonia with decreased squeeze in one child, anal sphincter hypertonia with other abnormal parameters were noted in 25 and absent recto-anal inhibitory reflex in two. The causes of constipation determined were functional constipation in 30 (91%) children, suspected Hirschsprung’s disease in two and suspected dyssynergic defecatory disorder in one. Almost 90% had functional constipation of which anal hypotension and anal hypertension may be a part of chronic functional constipation.

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