Electrical Treatment of Anal Incontinence and Rectal Prolapse Using an External Stimulator with Intra Anal Electrodes

  • B. R. Hopkinson
  • R. Lightwood
Conference paper

Abstract

Parkes [1] showed that the normal pelvic floor is always in a state of electrical activity and tone. Phillips and Edwards [2] suggested that the activity of the pelvic floor is more important than anal sphincter tone in the mechanism of continence. Incontinent patients generally have very poor pelvic floor and sphincter tone, but Caldwell [3, 4, 5] Hopkinson [6, 7] and Lightwood [8] have described patients who have been made continent by electrical stimulation of the muscles involved. Caldwell implanted electrodes directly into the sphincter muscles and Hopkinson used an intra anal plug bearing two electrodes to stimulate the anal muscles. Some patients are made continent of urine as well as faeces by this treatment, presumably because of increased pelvic floor tone as demonstrated experimentally by Alexander and Rowan [9]. This paper describes further experience with the use of intra anal electrodes to treat patients with anal incontinence and rectal prolapse.

Keywords

Cough 

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Bibliography

  1. 1.
    Parkes, A. G., N. H. Porter, and J. Melzak: Experimental study of the Reflex Mechanism Controlling the Muscles of the Pelvic Floor. Dis. Colon Rect. 5, 407–414 (1962).CrossRefGoogle Scholar
  2. 2.
    Phillips, S. F., and D. A. W. Edwards: Some Aspects of Anal Continence and Defaecation. Gut 6, 396–406 (1965).PubMedCentralPubMedCrossRefGoogle Scholar
  3. 3.
    Caldwell, K. P. S.: The Electrical Control of Spincter Incompetence. Lancet 2, 174–175 (1963).PubMedCrossRefGoogle Scholar
  4. 4.
    —, et al.: Urinary Incontinence following Spinal Injury Treated by Electronic Implant. Lancet 1, 846–847 (1965).Google Scholar
  5. 5.
    — The Treatment of Incontinence by Electronic Implants. Ann. Roy. Coll. Surg., Engl. 41, 447–459 (1967).Google Scholar
  6. 6.
    Hopkinson, B. R., and R. Lightwood: Electrical Treatment of Anal Incontinence. Lancet 1, 297–298 (1966).PubMedCrossRefGoogle Scholar
  7. 7.
    — — Electrical Treatment of Incontinence. Brit. J. Surg. 59, 802–805 (1967).Google Scholar
  8. 8.
    Ligthwood, R.: A shaped Electrode for the treatment of incontinence. Proc. R. Soc. Med. (in press).Google Scholar
  9. 9.
    Alexander, S., and D. Rowan: Closure of the Urinary Spincter Mechanism in Anesthetized Dogs by means of Electrical Stimulation of the Perineal Muscles. Brit. J. Surg. 53, 1053–1056 (1966).PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1969

Authors and Affiliations

  • B. R. Hopkinson
    • 1
  • R. Lightwood
    • 1
  1. 1.BirminghamGreat Britain

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