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Title in Portuguese: Do changes in anal sphincter anatomy correlate with anal function in women with a history of vaginal delivery?
Author: Murad-Regadas, Sthela Maria
Dealcanfreitas, Iris Daiana
Regadas, Francisco Sergio Pinheiro
Rodrigues, Lusmar Veras
Fernandes, Graziela Olivia da Silva
Pereira, Jacyara de Jesus Rosa
Keywords: Incontinência Fecal
Canal Anal
Parto Normal
Issue Date: Jun-2014
Publisher: Arquivos de Gastroenterologia
Citation: 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.
Abstract: 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.
metadata.dc.type: Artigo de Periódico
ISSN: 0004-2803
Appears in Collections:DCIR - Artigos publicados em revista científica

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