Anorectal continence and bladder function. Effects of major sacral resection

Diseases of the Colon and Rectum
F AndreoliF Taruffi

Abstract

The effect of sacral resection up to S-2 has been investigated in two patients with "chordomas," surgical division of the spinal roots was unilateral and bilateral, respectively. Anal manometry, electromyography of the sphincters, and the ascertaining of tactile, thermic, and painful stimuli perception in the perineum and anal canal were executed to determine the effects of denervation on anorectal continence. Vesical function was tested by vesical manometry. Results differ strongly between the two patients: the first, with unilateral loss of S-2, has perfect anorectal continence. The second, with bilateral loss of S-2, is incontinent and unable to discriminate rectal contents. It is sufficient to retain only one S-2 root for the maintenance of physiologic continence, including distinction between different types of bowel contents (gaseous or solid) passing through the anal canal. The same is true concerning bladder function.

References

Oct 1, 1978·Annals of Surgery·S A LocalioJ H Ranson
Dec 1, 1976·Acta Orthopaedica Scandinavica·B GunterbergB Stener
Mar 1, 1992·Baillière's Clinical Gastroenterology·F PenninckxR Kerremans
Oct 1, 1973·Annals of Surgery·S A Localio, B Baron
Sep 1, 1967·Annals of Surgery·S A LocalioP G Rossano
May 1, 1980·Annals of Surgery·S A LocalioJ H Ranson
Dec 1, 1964·The Journal of Clinical Investigation·L D HARRIS, C E POPE

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Citations

Apr 1, 1994·Diseases of the Colon and Rectum·O O Rasmussen
Oct 27, 1998·Diseases of the Colon and Rectum·Y P Sangwan, J A Solla
Nov 1, 1989·Diseases of the Colon and Rectum·R Wakeman, T G Allen-Mersh
Feb 13, 2002·Spine·Yan-Yaw LeeJeng-Yi Wang
Apr 29, 2014·Journal of Neurosurgery. Spine·Konstantinos A StarantzisPanayiotis J Papagelopoulos
Mar 1, 1994·The British Journal of Surgery·K M AnsonA C Montgomery
Jul 31, 2013·Surgical Innovation·Werner KneistHauke Lang
Apr 16, 2002·Clinical Orthopaedics and Related Research·Larry T ToddFranklin H Sim

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