Article ; Online: Obstructed defecation: the role of anorectal manometry.
2011 Volume 16, Issue 1, Page(s) 67–72
Abstract: Background: The aim of the study was to evaluate the clinical usefulness of anorectal manometry (AM) in patients affected by obstructed defecation (OD).: Methods: Between January 2007 and December 2010, 379 patients (287 women and 92 men) affected by ...
Abstract | Background: The aim of the study was to evaluate the clinical usefulness of anorectal manometry (AM) in patients affected by obstructed defecation (OD). Methods: Between January 2007 and December 2010, 379 patients (287 women and 92 men) affected by OD were evaluated. After a preliminary clinical evaluation, defecography and AM were performed. The results were compared with those from 20 healthy control subjects. Results: Overall anal resting pressure was not significantly different between patients and controls. Maximal voluntary contraction (MVC) data were significantly lower when compared with those of controls (P < 0.01). The straining test was considered positive in 143 patients. No significant difference was noted between patients and controls in maximal tolerated volume data. Patients had a significantly higher conscious rectal sensitivity threshold than controls (P < 0.02). Conclusions: A positive straining test, low MVC and impaired rectal sensation are the main abnormalities detected by AM in patients with OD. |
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MeSH term(s) | Adult ; Aged ; Anal Canal/diagnostic imaging ; Anal Canal/physiopathology ; Anus Diseases/complications ; Anus Diseases/physiopathology ; Ataxia/physiopathology ; Constipation/etiology ; Constipation/physiopathology ; Defecation/physiology ; Defecography ; Female ; Humans ; Intussusception/complications ; Intussusception/physiopathology ; Male ; Manometry ; Middle Aged ; Muscle Contraction ; Pelvic Floor Disorders/complications ; Pelvic Floor Disorders/physiopathology ; Rectocele/complications ; Rectocele/physiopathology ; Rectum/physiopathology ; Sensation/physiology ; Statistics, Nonparametric ; Young Adult |
Language | English |
Publishing date | 2011-12-16 |
Publishing country | Italy |
Document type | Journal Article |
ZDB-ID | 2083309-X |
ISSN | 1128-045X ; 1123-6337 |
ISSN (online) | 1128-045X |
ISSN | 1123-6337 |
DOI | 10.1007/s10151-011-0800-7 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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