What is the best way of measuring perineal descent? A comparison of radiographic and clinical methods

Author:

Oettle G J1,Roe A M1,Bartolo D C C1,McC. Mortensen N J1

Affiliation:

1. Departments of Medicine and Surgery, Bristol Royal Infirmary, Bristol, UK

Abstract

Abstract The ‘perineometer’ underestimated movement of the pelvic floor by nearly 60 per cent in 21 patients tested; mean descent was 1.2 cm, compared with a radiographic mean descent of 2.9 cm (P < 0.001). Since the instrument measures movement of the anal verge, not the pelvic floor, no account is taken of anal canal shortening. Radiographic methods are still necessary for the reliable identification of abnormal descent.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference9 articles.

1. The pelvic floor musculature in the descending perineum syndrome;Henry;Br J Surg,1982

2. Differences in sphincter function in patients with haemorrhoids and patients with the descending perineum syndrome;Bartolo;Gut,1983

3. Differences in anorectal manometry between patients with haemorrhoids and patients with descending perineum syndrome: implications for management;Read;Br J Surg,1983

4. Assessment of perineal descent in outpatients;Ambrose;Br J Surg,1984

5. Differences in sphincter function and clinical presentation in patients with pelvic floor descent;Bartolo;Gastroenterology,1983

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