PMID: 8951514Jan 1, 1996Paper

The impact of anismus on the clinical outcome of rectocele repair

International Journal of Colorectal Disease
J H van DamW C Hop

Abstract

There are doubts as to whether rectocele repair (RR) is beneficial for patients with concomitant anismus. The aim of this prospective study was to evaluate the effect of anismus on the clinical outcome of RR. In 71 out of 75 patients who underwent RR evacuation proctography (EP) was performed. Electromyography (EMG) of the pelvic floor and balloon expulsion test (BET) were carried out in 61 and 35 patients respectively. On EP, measuring the central anorectal angle (CARA) and the posterior anorectal angle (PARA), signs of anismus were found in 34 and 28 percent of the patients respectively. EMG and BET revealed anismus in 39 and 71 percent of the patients respectively. These results showed poor agreement. RR was successful in 53 (71%) out of 75 patients (follow up 14-74 months). No differences were found in clinical outcome in patients with and without signs of anismus. In conclusion, RR is beneficial for patients with obstructed defecation, and signs of anismus do not appear to be a contraindication for RR.

Citations

Dec 29, 1999·Diseases of the Colon and Rectum·J J TjandraM Carey
Nov 23, 2000·Diseases of the Colon and Rectum·J H van DamW R Schouten
Mar 24, 2005·Diseases of the Colon and Rectum·M J ThorntonD W King
Dec 1, 2007·Diseases of the Colon and Rectum·Sezai LeventoğluMehmet Oğuz
Dec 25, 2007·Diseases of the Colon and Rectum·Giuseppe GagliardiUNKNOWN Italian Society of Colo-Rectal Surgery (SICCR)
Mar 28, 2003·Radiologic Clinics of North America·Clive Bartram
Jun 8, 2001·Gastroenterology Clinics of North America·R J Felt-Bersma, M A Cuesta
May 2, 2002·Journal of Gastroenterology and Hepatology·Ahmed Shafik, Ismail Ahmed
Jul 1, 1999·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland· Keighley
Dec 18, 2002·ANZ Journal of Surgery·Judith T W GohMarcus P Carey
Nov 24, 2007·Gynécologie, obstétrique & fertilité·J-Y TouchaisP Denis
Sep 17, 2008·Gastroenterology Clinics of North America·Richelle J F Felt-BersmaMiguel A Cuesta
Jan 29, 2000·American Journal of Obstetrics and Gynecology·G W CundiffE Versi
Mar 21, 2007·Digestive Surgery·Shingo TsujinakaYukihiro Hamahata
Jun 12, 2004·Annales de chirurgie·J P LechauxI Bars
Jul 7, 2012·Arquivos De Gastroenterologia·Sthela Maria Murad-RegadasViviane T Kenmoti
May 30, 2003·International Journal of Colorectal Disease·C E J SlootsR J F Felt-Bersma
Sep 30, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·U GrossiUNKNOWN Pelvic floor Society
Sep 28, 2016·World Journal of Gastroenterology : WJG·Wei-Cheng LiuQun Qian

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