This study is the first published assessment of the effect of anoreceptive intercourse (ARI) on anal sphincter tone and function. Forty anoreceptive (AR) male homosexuals were compared with 18 age matched non-anoreceptive (non-AR) heterosexual males. Subjects were questioned about ARI, defaecation and faecal incontinence. Anal resting pressure, maximum voluntary squeeze pressure, anal mucosal e...

OBJECTIVES 1. To assess the effectiveness of laparoscopic Burch and overlapping sphincteroplasty in treating urinary and fecal incontinence. 2. To determine the importance of unilateral pudendal neuropathy in fecal incontinence. METHOD Forty-six women with proven genuine stress incontinence and anal sphincter tears were treated with a laparoscopic Burch colposuspension. Patients with detrusor...

BACKGROUND/PURPOSE Anal incontinence is one of the most psychologically and socially debilitating conditions in an otherwise healthy individual. It can lead to social isolation, loss of self-esteem, self-confidence and depression. This study is devoted to the problem of anal incontinence in the adult patients. The aim of our study is to analyse the results of gracilis muscle transposition for a...

OBJECTIVE To describe the effect of vaginal delivery with no clinically recognized sphincter tear on endosonographic anal sphincter morphology and sphincter pressure and to relate endosonographic results to anal sphincter pressure and anal incontinence score. STUDY DESIGN Thirty-two nullipara underwent anal endosonography and anal manometry in the third trimester of pregnancy, 2 weeks and 6 m...

Faecal incontinence has been previously defined as ‘the involuntary or inappropriate passage of faeces’. This definition, however, is considered to be incomplete as it does not include incontinence to flatus. Therefore many adopt the term anal incontinence to include flatus. The current recommended definition of anal incontinence is the involuntary loss of flatus, liquid or solid stool that is ...

Hypothesis / aims of study Several scoring systems have been designed to quantify and objectively assess anal incontinence in symptomatic patients. The St. Mark’s grading system for fecal incontinence has shown the highest correlation with the physician’s clinical impression when compared to three other grading systems (1). The main focus of continence grading systems is on physical aspects, bu...

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,...

BACKGROUND Anal sphincter defects have been shown to increase pressure asymmetry within the anal canal in patients with fecal incontinence. However, this correlation is far from perfect, and other factors may play a role. The goal of this study was to assess the impact of rectal prolapse on anal pressure asymmetry in patients with anal incontinence. METHODS 44 patients, (42 women, mean age: 6...

CONTEXT Although success rates are limited, anal sphincteroplasty is commonly used to treat women with fecal incontinence. OBJECTIVES To investigate the long-term efficacy of a novel surgical procedure-sphincteroplasty with perineal reconstruction-for the management of fecal incontinence. METHODS The current prospective study comprised women presenting to the Division of Urogynecology and R...