The puborectal continence reflex: a new regulatory mechanism controlling fecal continence

The mechanism of continence after posterior urethroplasty

The standard of care after a pelvic fracture urethral injury is a repair via a one-stage anastomotic posterior urethroplasty using a step-wise perineal approach. The initial injury, immediate postoperative management, and surgical repair can all affect urinary continence in these patients. Proximal continence mechanisms, particularly the bladder neck, are particularly important in maintaining u...

Role of the wound, ostomy continence nurse or continence care nurse in continence care.

Role of rectosigmoid junction in fecal continence: an experimental study.

To investigate the reason why, during a mass contraction, the stool moving from the colon to the sigmoid colon stops short of the rectosigmoid junction (RSJ) instead of passing directly to the rectum, and whether the sigmoid colon and RSJ share in the anorectal continent mechanism, 12 mongrel dogs were studied. Under anesthesia, the anorectum was excised, sigmoid colon and RSJ were mobilized an...

The dynamic continence challenge - a simple test to predict faecal continence prior to colostomy closure.

BACKGROUND A common problem in clinical practice is predicting whether a patient will be continent after treatment of a severe perineal injury. Several tests have been described. Anal manometry is unreliable; continence can be normal with low pressures, and poor with high or normal pressures. Endo-anal ultrasound only illustrates anatomical sphincter integrity. The saline continence test involv...

, Continence and Pelvic Floor