Affiliation:
1. St Mark's Hospital, London, England
2. The London Hospital, London, England
Abstract
Abstract
We have studied 20 patients with the descending perineum syndrome, half of whom were incontinent of faeces. Objective criteria were established in 103 control subjects for determining the relationship of the perineum to the bony pelvis. The anal reflex latency was increased in the 10 patients in whom perineal descent was associated with faecal incontinence, but not in the 10 without incontinence. However, there was hypertrophy of the muscle fibres in external anal sphincter muscle biopsies in all the patients. Thus, abnormal degrees of perineal descent are associated with changes in the external anal sphincter muscle, consistent with damage to its nerve supply.
Funder
St Mark's Hospital Research Fund
Publisher
Oxford University Press (OUP)
Reference14 articles.
1. Anorectal incontinence;Parks;Proc. R. Soc. Med.,1975
2. A study of anal incontinence and some principles of surgical treatment;Hardcastle;Proc. R. Soc. Med.,1970
3. The syndrome of the descending perineum;Parks;Proc. R. Soc. Med.,1966
4. The anal reflex in idiopathic faecal incontinence; an electrophysiological study;Henry;Br. J. Surg.,1980
5. Sphincter denervation in anorectal incontinence and rectal prolapse;Parks;Gut,1977
Cited by
286 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献