P04.03: Can anal sphincter defects be identified by palpation?

Can Anal Sphincter Defects Be Identified by Palpation?

OBJECTIVES The aim of this study was to correlate clinical findings of anal sphincter defects and function with a sonographic diagnosis of significant sphincter defects. METHODS This is an observational cross-sectional study on women seen 6 to 10 weeks after primary repair of obstetric anal sphincter injuries (OASIs). All patients underwent a standardized interview including the St Mark incon...

Is Digital Rectal Exam Reliable in Grading Anal Sphincter Defects?

Background Anal sphincter tone is routinely assessed by digital rectal examination in patients with fecal incontinence, although its accuracy in detecting sphincter defects or separating competent from incompetent muscles has not been established. Objective In this setting, we aimed to evaluate the accuracy of digital rectal examination in grading anal defects in order to separate small from ...

Lymphocytes Can Be Identified by Characteristic Markers

Anal incontinence: evaluation of the anal sphincter by endoscopic ultrasound.

incontinence (gas and liquid stools) shortly after proctologic surgery (fistulectomy). She did not report any obstetric trauma. We performed an anal inspection and a digital rectal examination. There were no anatomical defects, but a severe hypotonic anal sphincter was encountered. Since there is a radial-scanning ultrasound endoscope with frontal vision (Pentax EG3630UR) available in our Unit,...

Exoanal ultrasound of the anal sphincter: normal anatomy and sphincter defects.

OBJECTIVE To describe the sonographic appearance of normal anal sphincter anatomy and sphincter defects evaluated with a conventional 5 MHz convex transducer placed on the perineum. DESIGN Prospective, single-blind study. SETTING Department of Obstetrics and Gynecology, University of Michigan Medical Center, USA. POPULATION Twenty-five women with symptoms of faecal incontinence, 11 asympt...