Preoperative anal manometry predicts continence after perineal proctectomy for rectal prolapse

Diseases of the Colon and Rectum
Sean C GlasgowDavid W Dietz

Abstract

This study examines whether preoperative anal manometry and pudendal nerve terminal motor latency predict functional outcome after perineal proctectomy for rectal prolapse. All adult patients treated by perineal proctectomy for rectal prolapse from 1995 to 2004 were identified (N = 106). Forty-five patients underwent anal manometry and pudendal nerve terminal motor latency testing before proctectomy and they form the basis for this study. Perineal proctectomy with levatoroplasty (anterior 88.9 percent; posterior 75.6 percent) was performed in all patients, with a mean resection length of 10.4 cm. Four patients (8.9 percent) developed recurrent prolapse during a 44-month mean follow-up. Preoperative resting and maximal squeeze pressures were 34.2 +/- 18.3 and 60.4 +/- 30.5 mmHg, respectively. Pudendal nerve terminal motor latency testing was prolonged or undetectable in 55.6 percent of patients. Grade 2 or 3 fecal incontinence was reported by 77.8 percent of patients before surgery, and one-third had obstructed defecation. The overall prevalence of incontinence (77.8 vs. 35.6 percent, P < 0.0001) and constipation (33.3 vs. 6.7 percent, P = 0.003) decreased significantly after proctectomy. Patients with preoperative squeeze press...Continue Reading

References

Sep 1, 1992·Diseases of the Colon and Rectum·J G WilliamsS M Goldberg
Mar 1, 1991·Diseases of the Colon and Rectum·J G WilliamsS M Goldberg
Dec 1, 1988·The British Journal of Surgery·K YoshiokaM R Keighley
Feb 1, 1988·American Journal of Surgery·A M Metcalf, V Loening-Baucke
Aug 1, 1993·Diseases of the Colon and Rectum·O B JohansenD G Jagelman
Nov 1, 1996·Diseases of the Colon and Rectum·E H BirnbaumJ W Fleshman
Nov 21, 1998·Diseases of the Colon and Rectum·I SchultzB Holmström
Apr 24, 1999·Diseases of the Colon and Rectum·R D Madoff, A Mellgren
Apr 24, 1999·Diseases of the Colon and Rectum·D S KimR D Madoff
May 2, 2001·Diseases of the Colon and Rectum·M H KimminsR Billingham
Sep 16, 2003·Diseases of the Colon and Rectum·Akira TsunodaMitsuo Kusano
Jan 2, 2004·Diseases of the Colon and Rectum·A J BrownI G Finlay
Mar 27, 2004·Diseases of the Colon and Rectum·Lee S DvorkinS Mark Scott

❮ Previous
Next ❯

Citations

Jun 12, 2008·Diseases of the Colon and Rectum·Laurent SiproudhisJean-François Bretagne
Jun 3, 2008·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Sean C GlasgowDavid W Dietz
Dec 20, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Liliana BordeianouPaul E Wise
May 1, 2007·Clinics in Colon and Rectal Surgery·David P O'Brien
May 1, 2008·Clinics in Colon and Rectal Surgery·Mari A Madsen
Jul 22, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·M Pescatori, A P Zbar
Jan 27, 2012·Techniques in Coloproctology·L ZorcoloG Casula
Nov 28, 2013·Gastroenterology Clinics of North America·Quinton Hatch, Scott R Steele
Nov 28, 2012·The Surgical Clinics of North America·Genevieve B Melton, Mary R Kwaan
Jul 7, 2009·Current Problems in Surgery·James S Wu
May 6, 2015·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·UNKNOWN Italian Society of Colorectal Surgery (SICCR)Paolo Usai Satta
May 3, 2015·Current Problems in Surgery·Scott R SteeleNina S Jacobson
May 23, 2014·Annals of Surgical Treatment and Research·Jong Lyul LeeJin Cheon Kim
Oct 21, 2017·Gut and Liver·Tanisa Patcharatrakul, Satish S C Rao
Oct 8, 2011·Diseases of the Colon and Rectum·Madhulika VarmaUNKNOWN Standards Practice Task Force of American Society of Colon and Rectal Surgeons
May 14, 2014·Diseases of the Colon and Rectum·Satish S C RaoJose Remes-Troche
Oct 11, 2017·Diseases of the Colon and Rectum·Liliana BordeianouScott R Steele
May 9, 2013·Diseases of the Colon and Rectum·Andrew P Zbar, Avinoam Nevler
Feb 5, 2021·Clinics in Colon and Rectal Surgery·Gifty Kwakye, Lillias Holmes Maguire
Aug 20, 2021·Techniques in Coloproctology·A P Zbar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Sean C GlasgowDavid W Dietz
Diseases of the Colon and Rectum
A SenapatiR K Phillips
© 2022 Meta ULC. All rights reserved