Role of age, bowel function and parity on anorectocele pathogenesis according to cinedefecography and anal manometry evaluation.
Colorectal Dis
; 11(9): 947-50, 2009 Nov.
Article
en En
| MEDLINE
| ID: mdl-19207704
ABSTRACT
OBJECTIVE:
The study aimed to verify the role of parity, age and bowel function in the pathogenesis of anorectocele.METHOD:
A cross-sectional study was conducted regarding age, obstetrical history, Cleveland Clinic Constipation Score (CCCS), cinedefecography and anal manometry findings. Forty-five adult women complaining of obstructed defecation were evaluated; the median age was 46 years and median CCCS, 13. Fifteen patients were nulliparous and 23 multiparous (median parity 2). Eighteen had a history of episiotomy, fourteen delivered large babies and two had forceps-assisted delivery. Statistical analysis was performed using Spearman's correlation test and Fisher's exact test.RESULTS:
Anal hypertonia was found in 14 (31.1%) patients, anal hypotonia in eight (17.8%), anismus in 13 (28.9%) and anorectoceles in 34 (75.6%) [median size 2.8 cm (0-6.4)]. There were no correlations between anorectocele and anal hypertonia (P = 0.7171), anismus (P = 0.4666), parity comparing nulliparous and multiparous patients (P = 1.000), episiotomy (P = 1.0000), forceps assistance (P = 1.0000), delivery of a large baby (P = 1.0000) anal resting pressure (P = 0.0883), anal voluntary pressure (P = 0.7327), parity (P = 0.4987) and age (P = 0.8603). There were correlations between anorectocele and the CCCS (P = 0.0082) and anal hypotonia (P = 0.0141).CONCLUSION:
Anorectocele is not correlated with parity, age, episiotomy, delivery of a large baby and anismus. It was more frequent in patients with severe constipation and less common in patients with anal hypotonia.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Estreñimiento
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Defecografía
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Rectocele
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prevalence_studies
Límite:
Adult
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Aged
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Female
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Humans
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Middle aged
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Pregnancy
Idioma:
En
Año:
2009
Tipo del documento:
Article