Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery?

Detalhes bibliográficos
Autor(a) principal: Murad-Regadas, Sthela Maria
Data de Publicação: 2014
Outros Autores: Dealcanfreitas, Iris Daiana, Regadas, Francisco Sergio Pinheiro, Rodrigues, Lusmar Veras, Fernandes, Graziela Olivia da Silva, Pereira, Jacyara de Jesus Rosa
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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spelling 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
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