scholarly journals OC05.04: Dynamic two‐dimensional transperineal ultrasound prior to perineal suturing as a screening tool for anal sphincter injury and fecal incontinence

2019 ◽  
Vol 54 (S1) ◽  
pp. 12-12
Author(s):  
G. Salsi ◽  
F. Bellussi ◽  
E. Montaguti ◽  
M. Dodaro ◽  
E. Margarito ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Screening Tool ◽  
Transperineal Ultrasound ◽  
Two Dimensional ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

scholarly journals Anal sphincteric neurogenic injury in asymptomatic nulliparous women and fecal incontinence

2012 ◽  
Vol 303 (2) ◽  
pp. G256-G262 ◽  
Author(s):  
Adil E. Bharucha ◽  
Jasper Daube ◽  
William Litchy ◽  
Julia Traue ◽  
Jessica Edge ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Muscle Injury ◽  
Normal Values ◽  
Substantial Agreement ◽  
Sphincter Injury ◽  
Squeeze Pressure ◽  
Anal Sphincter Injury ◽  
Nulliparous Women ◽  
Κ Statistic

While anal sphincter neurogenic injury documented by needle electromyography (EMG) has been implicated to cause fecal incontinence (FI), most studies have been uncontrolled. Normal values and the effects of age on anal sphincter motor unit potentials (MUP) are ill defined. The functional significance of anal sphincter neurogenic injury in FI is unclear. Anal pressures and EMG were assessed in 20 asymptomatic nulliparous women (age, 38 ± 5 yr; mean ± SE) and 20 women with FI (54 ± 3 yr). A computerized program quantified MUP duration and phases. These parameters and MUP recruitment were also semiquantitatively assessed by experienced electromyographers in real time. Increasing age was associated with longer and more polyphasic MUP in nulliparous women by quantitative analysis. A higher proportion of FI patients had prolonged (1 control, 7 patients, P = 0.04) and polyphasic MUP (2 controls, 9 patients, P = 0.03) at rest but not during squeeze. Semiquantitative analyses identified neurogenic or muscle injury in the anal sphincter (11 patients) and other lumbosacral muscles (4 patients). There was substantial agreement between quantitative and semiquantitative analyses (κ statistic 0.63 ± 95% CI: 0.32–0.96). Anal resting and squeeze pressures were lower ( P ≤ 0.01) in FI than controls. Anal sphincter neurogenic or muscle injury assessed by needle EMG was associated ( P = 0.01) with weaker squeeze pressures (83 ± 10 mmHg vs. 154 ± 30 mmHg) and explained 19% ( P = 0.01) of the variation in squeeze pressure. Anal sphincter MUP are longer and more polyphasic in older than younger nulliparous women. Women with FI have more severe neurogenic or muscle anal sphincter injury, which is associated with lower squeeze pressures.

scholarly journals Applicability of 3/4D transperineal ultrasound for the diagnosis of anal sphincter injury during the immediate postpartum

2017 ◽  
Vol 85 (1) ◽  
pp. 80-86 ◽  
Author(s):  
José Antonio García-Mejido ◽  
Laura Gutiérrez Palomino ◽  
Ana Fernández Palacín ◽  
José Antonio Sainz-Bueno
Keyword(s):  
Anal Sphincter ◽  
Transperineal Ultrasound ◽  
Sphincter Injury ◽  
Anal Sphincter Injury
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