2009, Number 2
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Rev Mex Coloproctol 2009; 15 (2)
Incontinent women senior, without known cause anorectal manometry
Anido EV, Díaz DZ, Martínez LR, Díaz CFO, García MJ, García JE
Language: Spanish
References: 19
Page: 35-38
PDF size: 42.66 Kb.
ABSTRACT
Faecal incontinence in women which appears in older age, its a condition that disabled and socially isolated. It is sometimes possible to identify the cause of it, as a recent surgery of the anal canal, but in most patients there is no immediate cause that relates. In these cases it is more difficult to choose the therapeutic management. Anorectal manometry allows to know the characteristics of the anal canal and pelvic floor, and offers elements for assessing the choice of treatment. In this paper we study a group of incontinent women, aged 60 years and no known cause of the disease. The anal canal was hypotonic, with motility damage both sphincters and also an important group submitted sensory damage.
REFERENCES
García AMO, Díaz-Rubio ER, Díaz-Rubio M. Trastornos funcionales anales. En: Díaz-Rubio M, Rey. Trastornos motores del aparato digestivo. Ed. Médica Panamericana, 2007: 257.
Drossman DA. U.S. house holders survey of functionalgastrointestinal disorders. Prevalence, sociodemography and health impact. Dig Dis Sci 1993; 38: 1569-80.
Roberts RO. Prevalence of combined fecal and urinary incontinence: a community-based study. J Am Geriatric Soc 1999; 57: 837-41.
Bharucha AE. Risk factors for fecal incontinence: a population- based study in women. Am J Gastroenterol 2006; 101: 1305-12.
Kamm MA. Faecal incontinence. BMJ 2003; 327: 1300.
Brisinda G. A comparison of injections of botulinum toxin and topical nitroglycerin ointment for the treatment of chronic anal fissure. N Engl J Med 1999; 3441: 65-9.
Kamm MA. Obstetric damage and faecal incontinence. Lancet 1994; 344: 730-33.
Sultan AH, Kamm MA et al. Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. Br Med J 1994; 308: 887-91.
Sultan AH, Kamm MA et al. Anal-sphincter disruption during vaginal delivery. N Engl J Med 1993; 329: 1905-11
Signorello LB, Harlow BL et al. Midline episiotomy and anal incontinence: retrospective cohort study. Br Med J 2000; 320: 86-90.
Hartmam K, Viswanathan M et al. Outcomes of routine episiotomy: a systematic review. JAMA 2005; 293: 2141-48.
Goode PS, Burgio KL, Halli AD et al. Prevalence and correlates of fecal incontinence in community dwelling older adults. J Am Geriatric Soc 2005; 56: 629-35.
Nyam M, Pemberton JH. Long-term results of lateral internal sphincterotomy for chronic anal fissure with particular reference to incidence of fecal incontinence. Dis Colon Rectum 1999; 42: 1306-10.
Engel AF. Relationship of symptoms in faecal incontinence to specific sphincter abnormalities. Int J Colorectal Dis 1995; 10: 142-5.
Hill J. History and examination in the assessment of patients with idiopathic fecal incontinence. Dis Colon Rectum 1994; 37: 473-7.
Buser WD, MP Jr. Delayed rectal sensation with fecal incontinence. Successful treatment using anorectal manometry. Gastroenterology 1986; 91: 1186-91.
Fox JC, Rath-Harvey D et al. Anal sphincter pressure and rectal compliance decline with aging in asymptomatic women. Gastroenterology 2002; 122: A-69.
Haadem K, Dahlstrom JA, Ling L. Anal sphincter competence in healthy women: clinical implications of age and other factors. Obstet Gynecol 1991; 78: 823-7.
Haadem K, Ling L, Ferno M, Graffner H. Estrogen receptors in the external sphincter muscle. Am J Obstet Gynecol 1991; 164: 609-10.