Importance of evacuatory disturbance in evaluation of faecal incontinence after third degree obstetric tear
| Autor: | T. Shatari, P. Toosz-Hobson, S. J. Pretlove, M. R. B. Keighley, J. Hayes, S. Radley |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Disturbance (geology) Adolescent Manometry External anal sphincter Sensation Anal Canal Endosonography Internal anal sphincter Statistical significance Endoanal ultrasound medicine Humans Childbirth Defecation Trauma Severity Indices business.industry Urethral sphincter Gastroenterology Delivery Obstetric Surgery Female business Anal sphincter Fecal Incontinence Muscle Contraction |
| Zdroj: | Colorectal Disease. 7:18-21 |
| ISSN: | 1463-1318 1462-8910 |
| DOI: | 10.1111/j.1463-1318.2004.00723.x |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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