Pelvic Floor Physiology

Cherry, David; Rothenberger, David A.

doi:10.1016/s0039-6109(16)44682-7

Cited by 40 publications

(11 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The anterior vaginal wall and the urethra and bladder base is strongly connected with the endopelvic fascia and the pubococcygeus muscles (21). The puborectalis muscle, which is a part of the levator ani muscle, is intimately related to the lower part of rectum and anus (22). Neurophysiological changes, consistent with neurogenic damage in the pelvic floor muscles, have been observed in women with urinary incontinence and genital prolapse (23,24).…”

Section: Discussionmentioning

confidence: 99%

Genital prolapse in women treated successfully and unsuccessfully by the Burch colposuspension

Kjølhede

1998

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Genital prolapse in women treated successfully and unsuccessfully by the Burch colposuspension

Kjølhede

1998

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

show abstract

“…Continence is dependent on stool consistency, bowel activity, sphincter function 36 and rectal capacity 37 . Pelvic radiotherapy may affect these factors; the reported incidence of faecal incontinence following pelvic radiotherapy ranges from 0 to 26 per cent 38,39 .…”

Section: Anorectal Injury and Incontinencementioning

confidence: 99%

Anorectal injury following pelvic radiotherapy

Hayne

Vaizey

Boulos

2001

Journal of British Surgery

112

View full text Add to dashboard Cite

More than three-quarters of patients receiving pelvic radiotherapy experience acute anorectal symptoms and up to one-fifth suffer from late-phase radiation proctitis. About 5 per cent develop other chronic complications, such as fistula, stricture and disabling faecal incontinence. The risk of rectal cancer may be increased. Conservative treatment options are of limited value. Surgery may be considered if symptoms are severe, provided sphincter function is adequate and recurrent disease is excluded. Large prospective studies with accurate dosimetric data and long-term follow-up are needed to provide meaningful information on which to base new strategies to minimize the side-effects from radiotherapy.

show abstract

“…Eighty percent of resting pressure is thought to be due to tonic contraction of the internal sphincter. Squeeze pressure is primarily due to contraction of the external sphincter and puborectalis [53]. These studies evaluate the role of sphincter function in anal incontinence, and are useful in measuring the changes before and after surgery.…”

Section: Anal Pressuresmentioning

confidence: 99%

“…The anal inhibitory reflex is the reflex relaxation of the anal sphincter that occurs following rectal distension. The threshold volume and maximal volumes at which this reflex occurs can also be measured [53]. Constipated patients generally exhibit decreased sensation (measured by an increase in volumes sensed), so that the rectum fills with stool without an urge to defecate.…”

Section: Rectal Sensationmentioning

confidence: 99%

Techniques of rectocele repair and their effects on bowel function

Kahn

Stanton

1998

Int Urogynecol J

View full text Add to dashboard Cite

Gynecologists have traditionally evaluated rectocele repair by its effect on vaginal function; coloproctologists have traditionally evaluated its effect on bowel function. Hence different operative criteria and surgical techniques have arisen, but with very little prospective, objective evaluation. The purpose of this review is to describe the surgical techniques used to repair the rectocele and the most common investigations used during its evaluation. Anorectal investigations identify concomitant pathology, may explain pathophysiology, provide objective outcome criteria and attempt to predict the patients that will most benefit from surgery. However, because of the complex neuromuscular, physiological and mechanical interactions that contribute to impaired rectal emptying, their usefulness in improving functional outcome has been limited. Many patients experience improvement, but still are left with some symptoms of impaired defecation despite anatomic correction.

show abstract

Pelvic Floor Physiology

Cited by 40 publications

References 44 publications

Genital prolapse in women treated successfully and unsuccessfully by the Burch colposuspension

Genital prolapse in women treated successfully and unsuccessfully by the Burch colposuspension

Anorectal injury following pelvic radiotherapy

Techniques of rectocele repair and their effects on bowel function

Contact Info

Product

Resources

About