Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery?
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da Universidade Federal do Ceará (UFC) |
dARK ID: | ark:/83112/0013000010h46 |
Texto Completo: | http://www.repositorio.ufc.br/handle/riufc/11035 |
Resumo: | Objectives - To evaluate anal sphincter anatomy using three-dimensional ultrasonography (3-DAUS) in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. Methods - Female with fecal incontinence and vaginal delivery were assessed with Wexner’s score, manometry, and 3DAUS. A control group comprising asymptomatic nulliparous was included. Anal pressure, the angle of the defect and length of the external anal sphincter (EAS), the anterior and posterior internal anal sphincter (IAS), the EAS + puborectal and the gap were measured and correlated with score. Results - Of the 62, 49 had fecal incontinence and 13 were asymptomatic. Twenty five had EAS defects, 8 had combined EAS+IAS defects, 16 had intact sphincters and continence scores were similar. Subjects with sphincter defects had a shorter anterior EAS, IAS and longer gap than women without defects. Those with a vaginal delivery and intact sphincters had a shorter anterior EAS and longer gap than nulliparous. We found correlations between resting pressure and anterior EAS and IAS length in patients with defects. Conclusions - Fecal incontinence symptoms did not correlate with anal pressures and anal sphincter anatomy changes, but women with sphincter defects have shorter anterior EAS and IAS and a longer gap. |
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Repositório Institucional da Universidade Federal do Ceará (UFC) |
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Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery?Incontinência FecalCanal AnalParto NormalObjectives - To evaluate anal sphincter anatomy using three-dimensional ultrasonography (3-DAUS) in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. Methods - Female with fecal incontinence and vaginal delivery were assessed with Wexner’s score, manometry, and 3DAUS. A control group comprising asymptomatic nulliparous was included. Anal pressure, the angle of the defect and length of the external anal sphincter (EAS), the anterior and posterior internal anal sphincter (IAS), the EAS + puborectal and the gap were measured and correlated with score. Results - Of the 62, 49 had fecal incontinence and 13 were asymptomatic. Twenty five had EAS defects, 8 had combined EAS+IAS defects, 16 had intact sphincters and continence scores were similar. Subjects with sphincter defects had a shorter anterior EAS, IAS and longer gap than women without defects. Those with a vaginal delivery and intact sphincters had a shorter anterior EAS and longer gap than nulliparous. We found correlations between resting pressure and anterior EAS and IAS length in patients with defects. Conclusions - Fecal incontinence symptoms did not correlate with anal pressures and anal sphincter anatomy changes, but women with sphincter defects have shorter anterior EAS and IAS and a longer gap.Arquivos de Gastroenterologia2015-03-23T11:50:30Z2015-03-23T11:50:30Z2014-06info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfMURAD-REGADAS, S. M. et al. Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery?. Arquivos de Gastroenterologia, São Paulo, v. 51, n. 3, p. 198-204, jun./set., 2014.0004-2803http://www.repositorio.ufc.br/handle/riufc/11035ark:/83112/0013000010h46Murad-Regadas, Sthela MariaDealcanfreitas, Iris DaianaRegadas, Francisco Sergio PinheiroRodrigues, Lusmar VerasFernandes, Graziela Olivia da SilvaPereira, Jacyara de Jesus Rosaengreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2018-12-17T13:21:17Zoai:repositorio.ufc.br:riufc/11035Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:21:30.529482Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false |
dc.title.none.fl_str_mv |
Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery? |
title |
Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery? |
spellingShingle |
Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery? Murad-Regadas, Sthela Maria Incontinência Fecal Canal Anal Parto Normal |
title_short |
Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery? |
title_full |
Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery? |
title_fullStr |
Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery? |
title_full_unstemmed |
Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery? |
title_sort |
Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery? |
author |
Murad-Regadas, Sthela Maria |
author_facet |
Murad-Regadas, Sthela Maria Dealcanfreitas, Iris Daiana Regadas, Francisco Sergio Pinheiro Rodrigues, Lusmar Veras Fernandes, Graziela Olivia da Silva Pereira, Jacyara de Jesus Rosa |
author_role |
author |
author2 |
Dealcanfreitas, Iris Daiana Regadas, Francisco Sergio Pinheiro Rodrigues, Lusmar Veras Fernandes, Graziela Olivia da Silva Pereira, Jacyara de Jesus Rosa |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Murad-Regadas, Sthela Maria Dealcanfreitas, Iris Daiana Regadas, Francisco Sergio Pinheiro Rodrigues, Lusmar Veras Fernandes, Graziela Olivia da Silva Pereira, Jacyara de Jesus Rosa |
dc.subject.por.fl_str_mv |
Incontinência Fecal Canal Anal Parto Normal |
topic |
Incontinência Fecal Canal Anal Parto Normal |
description |
Objectives - To evaluate anal sphincter anatomy using three-dimensional ultrasonography (3-DAUS) in incontinent women with vaginal delivery, correlate anatomical findings with symptoms of fecal incontinence and determine the effect of vaginal delivery on anal canal anatomy and function. Methods - Female with fecal incontinence and vaginal delivery were assessed with Wexner’s score, manometry, and 3DAUS. A control group comprising asymptomatic nulliparous was included. Anal pressure, the angle of the defect and length of the external anal sphincter (EAS), the anterior and posterior internal anal sphincter (IAS), the EAS + puborectal and the gap were measured and correlated with score. Results - Of the 62, 49 had fecal incontinence and 13 were asymptomatic. Twenty five had EAS defects, 8 had combined EAS+IAS defects, 16 had intact sphincters and continence scores were similar. Subjects with sphincter defects had a shorter anterior EAS, IAS and longer gap than women without defects. Those with a vaginal delivery and intact sphincters had a shorter anterior EAS and longer gap than nulliparous. We found correlations between resting pressure and anterior EAS and IAS length in patients with defects. Conclusions - Fecal incontinence symptoms did not correlate with anal pressures and anal sphincter anatomy changes, but women with sphincter defects have shorter anterior EAS and IAS and a longer gap. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06 2015-03-23T11:50:30Z 2015-03-23T11:50:30Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
MURAD-REGADAS, S. M. et al. Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery?. Arquivos de Gastroenterologia, São Paulo, v. 51, n. 3, p. 198-204, jun./set., 2014. 0004-2803 http://www.repositorio.ufc.br/handle/riufc/11035 |
dc.identifier.dark.fl_str_mv |
ark:/83112/0013000010h46 |
identifier_str_mv |
MURAD-REGADAS, S. M. et al. Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery?. Arquivos de Gastroenterologia, São Paulo, v. 51, n. 3, p. 198-204, jun./set., 2014. 0004-2803 ark:/83112/0013000010h46 |
url |
http://www.repositorio.ufc.br/handle/riufc/11035 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Arquivos de Gastroenterologia |
publisher.none.fl_str_mv |
Arquivos de Gastroenterologia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da Universidade Federal do Ceará (UFC) instname:Universidade Federal do Ceará (UFC) instacron:UFC |
instname_str |
Universidade Federal do Ceará (UFC) |
instacron_str |
UFC |
institution |
UFC |
reponame_str |
Repositório Institucional da Universidade Federal do Ceará (UFC) |
collection |
Repositório Institucional da Universidade Federal do Ceará (UFC) |
repository.name.fl_str_mv |
Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC) |
repository.mail.fl_str_mv |
bu@ufc.br || repositorio@ufc.br |
_version_ |
1818373871529623552 |