Electromyography of the external anal sphincter
| Autor: | Anders F. Mellgren, Annika López, Bengt Y. Nilsson, Bo Holmström, Jan Zetterström |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Constipation External anal sphincter Anal Canal Rectum Electromyography Humans Medicine Electrodes medicine.diagnostic_test business.industry Gastroenterology General Medicine Middle Aged medicine.disease Electrodes Implanted Surgery medicine.anatomical_structure Anismus Electrode Defecation Female medicine.symptom business Anal sphincter Fecal Incontinence |
| Zdroj: | Diseases of the Colon & Rectum. 42:482-485 |
| ISSN: | 0012-3706 |
| DOI: | 10.1007/bf02234172 |
| Popis: | PURPOSE: Electromyography of the external anal sphincter is frequently used when investigating patients with defecation disorders. Investigations are often performed using an invasive technique by perineal insertion of a needle or wire electrode. The aim of the present study was to investigate whether surface electromyography, with electrodes applied to the perineal skin, is a reliable method in the diagnosis of paradoxical anal sphincter reaction. METHODS: Seventy-one patients with defecation disorders participated in the present study. They were investigated with electromyography of the external anal sphincter using surface and needle electrodes. RESULTS: In 65 of 71 (92 percent) patients the electromyography recording showed the same result during straining using surface electrodes when compared with needle electrodes. Twenty-two of these 65 patients had paradoxical anal sphincter reaction, and 43 patients had decreased electromyography activity. In 6 of 71 (8 percent) patients the electromyography recording showed a different pattern during straining using surface electrodes when compared with needle electrodes. CONCLUSION: The present study demonstrates a good correlation between surface electrodes applied to the perineal skin and concentric needle electrodes in the diagnosis of paradoxical anal sphincter reaction. Noninvasive electromyography recordings of the external anal sphincter are often preferred in the diagnosis of paradoxical anal sphincter reaction. |
| Databáze: | OpenAIRE |
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