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Risk Factors in Faecal Incontinence

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Abstract

Continence is a highly complex physiological function requiring coordinated activity of brain and central nervous system (CNS), autonomic and enteric nervous systems; a gastrointestinal tract of adequate length and biomechanical properties; and a competent anal sphincter complex, many components of which remain incompletely understood. In a minority of cases, for example incontinence immediately following fistulotomy for a high anal fistula in an otherwise “normal” individual, the cause-effect relationship is clear. For the majority, however, temporal relationships are not so evident, e.g. onset of symptoms several decades following a clinically uneventful vaginal delivery but one in which covert sphincter damage occurred, in which association between event and symptoms is less clear, and in which the event may be just one component of a multifactorial aetiology. Structural sphincteric causes of incontinence are relatively easy to investigate; at the most simplistic level, faecal continence depends upon anal pressure being higher than rectal pressure, and that this situation may be maintained predominantly by internal anal sphincter function, augmented at times of increased rectal pressure by voluntary anal muscle contraction, reflex or conscious, and orchestrated by intact sensation.

Keywords

  • Irritable Bowel Syndrome
  • Pelvic Floor
  • Faecal Incontinence
  • Anal Sphincter
  • Rectal Prolapse

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. MacArthur C, Bick DE, Keighley MR (1997) Faecal incontinence after childbirth. Br J Obstet Gynaecol 104:46–50

    PubMed  CAS  Google Scholar 

  2. Chaliha C, Kalia V, Stanton SL et al (1999) Antenatal prediction of postpartum urinary and fecal incontinence. Obstet Gynecol 94:689–694

    PubMed  CAS  CrossRef  Google Scholar 

  3. MacLennan AH, Taylor AW, Wilson DH et al (2000) The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. BJOG 107:1460–1470

    PubMed  CAS  CrossRef  Google Scholar 

  4. MacArthur C, Glazener CM, Wilson PD, et al (2001) Obstetric practice and faecal incontinence three months after delivery. BJOG 108: 678–683

    PubMed  CAS  CrossRef  Google Scholar 

  5. Eason E, Labrecque M, Marcoux S et al (2002) Anal incontinence after childbirth. CMAJ 166: 326–330

    PubMed  Google Scholar 

  6. Thorson AG (2002) Anorectal physiology. Surg Clin North Am 82:1115–1123

    PubMed  CrossRef  Google Scholar 

  7. Goldberg RP, Kwon C, Gandhi S et al (1992) Prevalence of anal incontinence among mothers of multiples and analysis of risk factors. Am J Obstet Gynecol 189:1627–1630

    CrossRef  Google Scholar 

  8. Kok AL, Voorhorst FJ, Burger CW et al (1992) Urinary and faecal incontinence in community-residing elderly women. Age Ageing 21:211–215

    PubMed  CAS  CrossRef  Google Scholar 

  9. Leigh RJ, Turnberg LA (1982) Faecal incontinence: the unvoiced symptom. Lancet 1:1349–1351

    PubMed  CAS  CrossRef  Google Scholar 

  10. Norderval S, Nsubuga D, Bjelke C et al (2004) Anal incontinence after obstetric sphincter tears: incidence in a Norwegian county. Acta Obstet Gynecol Scand 83:989–994

    PubMed  CrossRef  Google Scholar 

  11. Davies MC, Creighton SM, Wilcox DT (2004) Longterm outcomes of anorectal malformations. Pediatr Surg Int 20:567–572

    PubMed  CrossRef  Google Scholar 

  12. Levitt MA, Pena A (2005) Outcomes from the correction of anorectal malformations. Curr Opin Pediatr 17:394–401

    PubMed  CrossRef  Google Scholar 

  13. Ong NT, Beasley SW (1991) Long-term continence in patients with high and intermediate anorectal anomalies treated by sacroperineal (Stephens) rectoplasty. J Pediatr Surg 26:44–48

    PubMed  CAS  CrossRef  Google Scholar 

  14. Rintala R, Mildh L, Lindahl H (1994) Fecal continence and quality of life for adult patients with an operated high or intermediate anorectal malformation. J Pediatr Surg 29:777–780

    PubMed  CAS  CrossRef  Google Scholar 

  15. Rintala RJ, Lindahl H (1995) Is normal bowel function possible after repair of intermediate and high anorectal malformations? J Pediatr Surg 30:491–494

    PubMed  CAS  CrossRef  Google Scholar 

  16. Verhoef M, Lurvink M, Barf HA et al (2005) High prevalence of incontinence among young adults with spina bifida: description, prediction and problem perception. Spinal Cord 43:331–340

    PubMed  CAS  CrossRef  Google Scholar 

  17. Lemelle JL, Guillemin F, Aubert D et al (2006) A multicentre study of the management of disorders of defecation in patients with spina bifida. Neurogastroenterol Motil 18:123–128

    PubMed  CAS  CrossRef  Google Scholar 

  18. Di Lorenzo C (1997) Chronic constipation and fecal incontinence in children with neurological and neuromuscular handicap. J Pediatr Gastroenterol 25(Suppl 1):S37–S39

    CrossRef  Google Scholar 

  19. Morera C, Nurko S (2003) Rectal manometry in patients with isolated sacral agenesis. J Pediatr Gastroenterol Nutr 37:47–52

    PubMed  CrossRef  Google Scholar 

  20. Catto-Smith AG, Coffey CM, Nolan TM et al (1995) Fecal incontinence after the surgical treatment of Hirschsprung’s disease. J Pediatr 127:954–957

    PubMed  CAS  CrossRef  Google Scholar 

  21. Fortuna RS, Weber TS, Trace JF Jr et al (1996) Critical analysis of the operative treatment of Hirschsprung’s disease. Arch Surg 131:520–524

    PubMed  CAS  Google Scholar 

  22. Heikkenen M, Rintala RJ, Louhima I (1995) Bowel function and quality of life in adult patients with operated Hirschsprung’s disease. Pediatr Surg Int 10:342–324

    Google Scholar 

  23. Loening-Baucke V (1998) Constipation in children. N Engl J Med 339:1155–1156

    PubMed  CAS  CrossRef  Google Scholar 

  24. Baker SS, Liptak GS, Colletti RB et al (1999) Constipation in infants and children: evaluation and treatment. A medical position statement of the North American Society for Pediatric Gastroenterology and Nutrition. J Pediatr Gastroenterol Nutr 29:612–626

    PubMed  CAS  CrossRef  Google Scholar 

  25. Di Lorenzo C, Benninga MA (2004) Pathophysiology of pediatric fecal incontinence. Gastroenterology 126(Suppl l):S3–S40

    Google Scholar 

  26. Nakayama H, Jorgensen HS, Pedersen PM et al (1997) Prevalence and risk factors of incontinence after stroke. The Copenhagen Stroke study. Stroke 28:58–62

    PubMed  CAS  Google Scholar 

  27. Harari D, Coshall C, Rudd AG et al (2003) New-onset fecal incontinence after stroke: prevalence, natural history, risk factors, and impact. Stroke 34:144–150

    PubMed  CrossRef  Google Scholar 

  28. Ho YH, Goh HS (1995) Anorectal physiological parameters in chronic constipation of unknown aetiology (primary) and of cerebrovascular accidents-a preliminary report. Ann Acad Med 24:367–368

    Google Scholar 

  29. Edwards LL, Pfiffer RF, Quigley EM et al (1991) Gastrointestinal symptoms in Parkinson’s disease. Mov Disord 6:151–156

    PubMed  CAS  CrossRef  Google Scholar 

  30. Mathers SE, Kempster PA, Law PJ et al (1989) Anal sphincter dysfunction in Parkinson’s disease. Arch Neurol 46:1061–1064

    PubMed  CAS  Google Scholar 

  31. Edwards LL, Quigley EM, Harned RK et al (1994) Characterization of swallowing and defecation in Parkinson’s disease. Am J Gastroenterol 89:15–25

    PubMed  CAS  Google Scholar 

  32. Ashraf W, Pfeiffer RF, Quigley EM (1994) Anorectal manometry in the assessment of anorectal function in Parkinson’s disease: a comparison with chronic idiopathic constipation. Mov Disord 9:655–663

    PubMed  CAS  CrossRef  Google Scholar 

  33. Hinds JP, Eidelmann BH, Wald A (1990) Prevalence of bowel dysfunction in multiple sclerosis. A population study. Gastroenterology 98:1538–1542

    PubMed  CAS  Google Scholar 

  34. Chia YM, Fowler CJ, Kamm MA et al (1995) Prevalence of bowel dysfunction in patients with multiple sclerosis and bladder dysfunction. J Neurol 242:105–110

    PubMed  CAS  CrossRef  Google Scholar 

  35. Haldeman S, Glick M, Bhatia HH et al (1982) Colometry, cystometry, and evoked potentials in multiple sclerosis. Arch Neurol 39:698–701

    PubMed  CAS  Google Scholar 

  36. Krogh K, Christensen P, Laurberg S (2001) Colorectal symptoms in patients with neurological disease. Acta Neurol Scand 103:335–343

    PubMed  CAS  CrossRef  Google Scholar 

  37. Sun WM, Read NW, Donnelly TC (1990) Anorectal function in incontinent patients with cerebrospinal disease. Gastroenterology 99:1372–1379

    PubMed  CAS  Google Scholar 

  38. Talley NJ, Howell S, Jones MP et al (2002) Predictors of turnover of lower gastrointestinal symptoms in diabetes mellitus. Am J Gastroenterol 97:3087–3094

    PubMed  CrossRef  Google Scholar 

  39. Schiller LR, Santa Ana CA, Schmulen AC et al (1982) Pathogenesis of fecal incontinence in diabetes mellitus: evidence of internal-anal-sphincter dysfunction. N Engl J Med 307:1666–1671

    PubMed  CAS  CrossRef  Google Scholar 

  40. Camilleri M, Bharucha AE (1996) Gastrointestinal function in neurologic disease. Sem Neurol 16:203–216

    CAS  Google Scholar 

  41. Nelson RL (2004) Epidemiology of fecal incontinence. Gastroenterology 126:S3–S7

    PubMed  CrossRef  Google Scholar 

  42. Pretlove SJ, Radley S, Toozs-Hobson PM et al (2006) Prevalence of anal incontinence according to age and gender: a systematic review and meta-regression analysis. Int Urogynecol J Pelvic Floor Dysfunct 17:407–417

    PubMed  CAS  CrossRef  Google Scholar 

  43. Bannister JJ, Abouzekry L, Read NW (1987) Effect of aging on anorectal function. Gut 28:353–357

    PubMed  CAS  CrossRef  Google Scholar 

  44. Swash M, Gray A, Lubowski DZ et al (1988) Ultrastructural changes in internal anal sphincter in neurogenic faecal incontinence. Gut 29:1692–1698

    PubMed  CAS  CrossRef  Google Scholar 

  45. Jameson JS, Chia YW, Kamm MA et al (1994) Effect of age, sex and parity on anorectal function. Br J Surg 81:1689–1692

    PubMed  CAS  CrossRef  Google Scholar 

  46. Laurberg S, Swash M (1989) Effects of aging on the anorectal sphincters and their innervation. Dis Colon Rectum 32:737–742

    PubMed  CAS  CrossRef  Google Scholar 

  47. Ryhammer AM, Laurberg S, Sorensen FH (1997) Effects of age on anal function in normal women. Int J Colorect Dis 12:225–229

    CAS  CrossRef  Google Scholar 

  48. Bharucha AE, Zinsmeister AR, Locke GR et al (2006) Risk factors for fecal incontinence: a population-based study in women. Am J Gastroenterol 101:1305–1312

    PubMed  CrossRef  Google Scholar 

  49. Rao SS, Holdsworth CD, Read NW (1988) Symptoms and stool patterns in patients with ulcerative colitis. Gut 29:342–345

    PubMed  CAS  CrossRef  Google Scholar 

  50. Farthing MJ, Lennard-Jones JE (1978) Sensibility of the rectum to distension and the anorectal distension reflex in ulcerative colitis. Gut 19:64–69

    PubMed  CAS  CrossRef  Google Scholar 

  51. Rao SS, Read NW, Davison PA et al (1987) Anorectal sensitivity and responses to rectal distention in patients with ulcerative colitis. Gastroenterology 93:1270–1275

    PubMed  CAS  Google Scholar 

  52. Buchmann P, Kolb E, Alexander-Williams J (1981) Pathogenesis of urgency in defaecation in Crohn’s disease. Digestion 22:310–316

    PubMed  CAS  Google Scholar 

  53. Bassotti G, de Roberto G, Chistolini F et al (2004) Twenty-four-hour manometric study of colonic propulsive activity in patients with diarrhea due to inflammatory (ulcerative colitis) and non-inflammatory (irritable bowel syndrome) conditions. Int J Colorect Dis 19:493–497

    CrossRef  Google Scholar 

  54. Loening-Baucke V, Metcalf AM, Shirazi S (1989) Rectosigmoid motility in patients with quiescent and active ulcerative colitis. Am J Gastroenterol 84:34–39

    PubMed  CAS  Google Scholar 

  55. Longstreth GF, Thompson WG, Chey WD et al (2006) Functional bowel disorders. Gastroenterology 130:1480–1491

    PubMed  CrossRef  Google Scholar 

  56. Drossman DA, Sandier RS, Broom CM et al (1986) Urgency and fecal soiling in people with bowel dysfunction. Dig Dis Sci 31:1221–1225

    PubMed  CAS  CrossRef  Google Scholar 

  57. Talley NJ, Zinsmeister AR Van Dyke C et al (1991) Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology 101:927–934

    PubMed  CAS  Google Scholar 

  58. Kwan AC, Hu WH, Chan YK et al (2002) Prevalence of irritable bowel syndrome in Hong Kong. J Gastroenterol Hepatol 17:1180–1186

    PubMed  CrossRef  Google Scholar 

  59. Kalantar JS, Howell S, Talley NJ (2002) Prevalence of faecal incontinence and associated risk factors; an underdiagnosed problem in the Australian community? Med J Aust 176:54–57

    PubMed  Google Scholar 

  60. Kellow JE, Azpiroz F, Delvaux M et al (2006) Applied principles of neurogastroenterology: physiology/ motility sensation. Gastroenterology 130:1412–1420

    PubMed  CrossRef  Google Scholar 

  61. Horowitz L, Farrar JT (1962) Intraluminal small intestinal pressure in normal patients and in patients with functional gastrointestinal disorders. Gastroenterology 42:455–464

    PubMed  CAS  Google Scholar 

  62. Kellow JE, Phillips SF (1987) Altered small bowel motility in irritable bowel syndrome is correlated with symptoms. Gastroenterology 92:1885–1893

    PubMed  CAS  Google Scholar 

  63. Stivland T, Camilleri M, Vassallo M et al (1991) Scintigraphic measurement of regional gut transit in idiopathic constipation. Gastroenterology 101:107–115

    PubMed  CAS  Google Scholar 

  64. Cann PA, Read NW, Brown C et al (1983) Irritable bowel syndrome. Relationship of disorders in the transit of a single solid meal to symptom patterns. Gut 24:405–411

    PubMed  CAS  CrossRef  Google Scholar 

  65. Vassallo M, Camilleri M, Phillips SF et al (1992) Transit through the proximal colon influences stool weight in the irritable bowel syndrome. Gastroenterology 102:102–108

    PubMed  CAS  Google Scholar 

  66. Ritchie J (1973) Pain from distension of the pelvic colon by inflating a balloon in the irritable bowel syndrome. Gut 14:125–132

    PubMed  CAS  CrossRef  Google Scholar 

  67. Whitehead WE, Engel BT, Schuster MM (1980) Irritable bowel syndrome: physiological and psychological differences between diarrhea-predominant and constipation-predominant patients. Dig Dis Sci 25:404–413

    PubMed  CAS  CrossRef  Google Scholar 

  68. Chey WY, Jin HO, Lee MH et al (2001) Colonie motor abnormality in patients with irritable bowel syndrome exhibiting pain and diarrhea. Am J Gastroenterol 96:1499–1505

    PubMed  CAS  CrossRef  Google Scholar 

  69. Quigley EMM (2006) Changing face of irritable bowel syndrome. World J Gastroenterol 12:1–5

    PubMed  Google Scholar 

  70. Hogston P (1987) Irritable bowel syndrome as a cause of chronic pain in women attending a gynaecology clinic. Br Med J 294:934–935

    CAS  Google Scholar 

  71. Prior A, Whorwell PJ (1989) Gynaecological consultation in patients with the irritable bowel syndrome. Gut 30:996–998

    PubMed  CAS  CrossRef  Google Scholar 

  72. Parys BT, Haylen B, Hutton JL et al (1989) The effect of simple hysterectomy on vesicourethral function. Br J Urol 64:594–599

    PubMed  CAS  Google Scholar 

  73. Taylor T, Smith AN, Fulton PM (1989) Effect of hysterectomy on bowel function. Br Med J 299:300–301

    CAS  Google Scholar 

  74. Butler-Manuel SA, Buttery LD, A’Hern RP et al (2000) Pelvic nerve plexus trauma at radical hysterectomy and simple hysterectomy: the nerve content of the uterine supporting ligaments. Cancer 89:834–841

    PubMed  CAS  CrossRef  Google Scholar 

  75. Mundy AR (1982) An anatomical explanation for bladder dysfunction following rectal and uterine surgery. BrJ Urol 54:501–504

    CAS  Google Scholar 

  76. Symmonds RE, Williams TJ, Lee RA et al (1981) Posthysterectomy enterocele and vaginal vault prolapse. Am J Obstet Gynecol 140:852–859

    PubMed  CAS  Google Scholar 

  77. Karasick S, Spettell CM (1997) The role of parity and hysterectomy on the development of pelvic floor abnormalities revealed by defecography. AJR Am J Roentgenol 169:1555–1558

    PubMed  CAS  Google Scholar 

  78. Smith AN, Varma JS, Binnie NR et al (1990) Disordered colorectal motility in intractable constipation following hysterectomy. Br J Surg 77:1361–1365

    PubMed  CAS  CrossRef  Google Scholar 

  79. Varma JS (1992) Autonomie influences on colorectal motility and pelvic surgery. World J Surg 16:811–819

    PubMed  CAS  CrossRef  Google Scholar 

  80. Altman D, Zetterstrom J, Lopez A et al (2004) Effect of hysterectomy on bowel function. Dis Colon Rectum 47:502–509

    PubMed  CrossRef  Google Scholar 

  81. Farouk R, Duthie GS, Lee PW et al (1998) Endosonographic evidence of injury to the internal anal sphincter after low anterior resection: long term follow-up. Dis Colon Rectum 41:888–891

    PubMed  CAS  CrossRef  Google Scholar 

  82. Parc R, Tiret E, Frileux P et al (1986) Resection and colo-anal anastomosis with colonie reservoir for rectal carcinoma. Br J Surg 73:139–141

    PubMed  CAS  CrossRef  Google Scholar 

  83. Remzi FH, Fazio VW, Gorgun E et al (2005) Quality of life, functional outcome, and complications of coloplasty pouch after anterior resection. Dis Colon Rectum 48:735–743

    PubMed  CrossRef  Google Scholar 

  84. Machado M, Nygren J, Goldman S et al (2005) Functional and physiologic assessment of the colonie reservoir or side-to-end anastomosis after low anterior resection for rectal cancer: a two-year follow-up. Dis Colon Rectum 48:29–36

    PubMed  CrossRef  Google Scholar 

  85. Yo YH, Tan M, Leong AF et al (2000) Ambulatory manometry in patients with colonie J-pouch and straight coloanal anastomoses: randomized, controlled trial. Dis Colon Rectum 43:793–799

    CrossRef  Google Scholar 

  86. Furst A, Burghofer K, Hutzel L et al (2002) Neorectal reservoir is not the functional principle of the colonie J-pouch: the volume of a short colonie J-pouch does not differ from a straight coloanal anastomosis. Dis Colon Rectum 45:660–667

    PubMed  CrossRef  Google Scholar 

  87. Putta S, Andreyev HJ (2005) Faecal incontinence: a late side-effect of pelvic radiotherapy. Clin Oncol 17:469–477

    CAS  CrossRef  Google Scholar 

  88. Varma JS, Smith AN, Busuttil A (1985) Correlation of clinical and manometric abnormalities of rectal function following chronic radiation injury. Br J Surg 72:875–878

    PubMed  CAS  CrossRef  Google Scholar 

  89. Pollack J, Holm T, Cedermark B et al (2006) Long-term effect of preoperative radiation therapy on anorectal function. Dis Colon Rectum 49:345–352

    PubMed  CrossRef  Google Scholar 

  90. Lim JF, Tjandra JJ, Hiscocj R et al (2006) Preoperative chemoradiation for rectal cancer caused prolonged pudendal nerve terminal motor latency. Dis Colon Rectum 49:12–19

    PubMed  CrossRef  Google Scholar 

  91. Peeters KC, van de Velde CJ, Leer JW et al (2005) Late side effects of short-course preoperative radiotherapy combined with total mesorectal excision for rectal cancer: increased bowel dysfunction in irradiated patients-a Dutch colorectal cancer group study. J Clin Oncol 23:6199–6206

    PubMed  CAS  CrossRef  Google Scholar 

  92. Lunniss PJ, Gladman MA, Hetzer FH et al (2004) Risk factors in acquired faecal incontinence. J R Soc Med 97:111–116

    PubMed  CrossRef  Google Scholar 

  93. Kamm MA (1994) Obstetric damage and faecal incontinence. Lancet 344:730–733

    PubMed  CAS  CrossRef  Google Scholar 

  94. Rao SS (2004) Pathophysiology of adult fecal incontinence. Gastroenterology 126(Suppl 1):S14–S22

    PubMed  CrossRef  Google Scholar 

  95. Madoff RD, Parker SC, Varma MG, et al (2004) Faecal incontinence in adults. Lancet 364:621–632

    PubMed  CrossRef  Google Scholar 

  96. Bharucha AE (2003) Fecal incontinence. Gastroenterology 124:1672–1685

    PubMed  CrossRef  Google Scholar 

  97. Sultan AH, Kamm MA, Hudson CN et al (1993) Analsphincter disruption during vaginal delivery. N Engl J Med 329:1905–1911

    PubMed  CAS  CrossRef  Google Scholar 

  98. Donnelly V, Fynes M, Campbell D et al (1998) Obstetric events leading to anal sphincter damage. Obstet Gynecol 92:955–961

    PubMed  CAS  CrossRef  Google Scholar 

  99. Zetterström JP, López A, Anzén B et al (1999) Anal incontinence after vaginal delivery: a prospective study in primiparous women. Br J Obstet Gynaecol 106:324–330

    PubMed  Google Scholar 

  100. Donnelly V, O’Herlihy C, Campbell DM et al (1998) Postpartum fecal incontinence is more common in women with irritable bowel syndrome. Dis Colon Rectum 41:586–589

    PubMed  CAS  CrossRef  Google Scholar 

  101. Abramowitz L, Sobhani I, Ganansia R et al (2000) Are sphincter defects the cause of anal incontinence after vaginal delivery? Results of a prospective study. Dis Colon Rectum 43:590–598

    PubMed  CAS  CrossRef  Google Scholar 

  102. Pregazzi R, Sartore A, Bortoli P et al (2002) Immediate postpartum perineal examination as a predictor of puerperal pelvic floor dysfunction. Obstet Gynecol 99:581–584

    PubMed  CrossRef  Google Scholar 

  103. Groutz A, Fait G, Lessing JB et al (1999) Incidence and obstetric risk factors of postpartum anal incontinence. Scand J Gastroenterol 34:315–318

    PubMed  CAS  CrossRef  Google Scholar 

  104. Signorello LB, Harlow BL, Chekos AK et al (2000) Midline episiotomy and anal incontinence: retrospective cohort study. BMJ 320:86–90

    PubMed  CAS  CrossRef  Google Scholar 

  105. Chaliha C, Sultan AH, Bland JM et al (2001) Anal function: effect of pregnancy and delivery. Am J Obstet Gynecol 185:427–432

    PubMed  CAS  CrossRef  Google Scholar 

  106. Hannah ME, Hannah WJ, Hodnett ED et al (2002) Outcomes at 3 months after planned cesarean vs planned vaginal delivery for breech presentation at term: the international randomized Term Breech Trial. JAMA 287:1822–1831

    PubMed  CrossRef  Google Scholar 

  107. Sartore A, De Seta F, Maso G et al (2004) The effects of mediolateral episiotomy on pelvic floor function after vaginal delivery. Obstet Gynecol 2004103:669–673

    Google Scholar 

  108. Chiarelli P, Murphy B, Cockburn J (2003) Fecal incontinence after high-risk delivery. Obstet Gynecol 102:1299–1305

    PubMed  CrossRef  Google Scholar 

  109. Wang A, Guess M, Connell K et al (2006) Fecal incontinence: a review of prevalence and obstetric risk factors. Int Urogynecol J Pelvic Floor Dysfunct 17:253–260

    PubMed  CAS  CrossRef  Google Scholar 

  110. Pollack J, Nordenstam J, Brismar S (2004) Anal incontinence after vaginal delivery: a five-year prospective cohort study. Obstet Gynecol 104:1397–1402

    PubMed  Google Scholar 

  111. Faltin DL, Otero M, Petignat P et al (2006). Women’s health 18 years after rupture of the anal sphincter during childbirth: I. Faecal incontinence. Am J Obstet Gynecol 194:1255–1259

    PubMed  CrossRef  Google Scholar 

  112. Fornell EU, Wingren G, Kjolhede P (2004) Factors associated with pelvic floor dysfunction with emphasis on urinary and fecal incontinence and genital prolapse: an epidemiological study. Acta Obstet Gynecol Scand 83:383–389

    CrossRef  Google Scholar 

  113. Ryhammer AM, Bek KM, Laurberg S (1995) Multiple vaginal deliveries increase the risk of permanent incontinence of flatus urine in normal premenopausal women. Dis Colon Rectum 38:1206–1209

    PubMed  CAS  CrossRef  Google Scholar 

  114. Guise JM, Morris C, Osterweil P et al (2007) Incidence of fecal incontinence after childbirth. Obstet Gynecol 109:281–288

    PubMed  Google Scholar 

  115. Poen AC, Felt-Bersma RJ, Dekker GA et al (1997) Third degree obstetric perineal tears: risk factors and the preventive role of mediolateral episiotomy. Br J Obstet Gynaecol 104:563–566

    PubMed  CAS  Google Scholar 

  116. Wood J, Amos L, Rieger N (1999) Third degree anal sphincter tears: risk factors and outcome. Aust N Z J Obstet Gynaecol 38:414–417

    Google Scholar 

  117. de Leeuw JW, Struijk PC, Vierhout ME et al (2001) Risk factors for third degree perineal ruptures during delivery. BJOG 108:383–387

    PubMed  CrossRef  Google Scholar 

  118. Jander C, Lyrenas S (2001) Third and fourth degree perineal tears. Predictor factors in a referral hospital. Acta Obstet Gynecol Scand 80:229–234

    PubMed  CAS  CrossRef  Google Scholar 

  119. Handa VL, Danielsen BH, Gilbert WM (2001) Obstetric anal sphincter lacerations. Obstet Gynecol 98:225–230

    PubMed  CAS  CrossRef  Google Scholar 

  120. Christianson LM, Bovbjerg VE, McDavitt EC (2003) Risk factors for perineal injury during delivery. Am J Obstet Gynecol 189:255–260

    PubMed  CAS  CrossRef  Google Scholar 

  121. Gupta N, Kiran TU, Mulik V et al (2003) The incidence, risk factors and obstetric outcome in primigravid women sustaining anal sphincter tears. Acta Obstet Gynecol Scand 82:736–743

    PubMed  CrossRef  Google Scholar 

  122. Williams A (2003) Third-degree perineal tears: risk factors and outcome after primary repair. J Obstet Gynaecol 23:611–614

    PubMed  CAS  CrossRef  Google Scholar 

  123. Fynes M, Donnelly V, Behan M et al (1999) Effect of second vaginal delivery on anorectal physiology and faecal continence: a prospective study. Lancet 354:983–986

    PubMed  CAS  CrossRef  Google Scholar 

  124. Faltin DL, Boulvain M, Irion O et al (2000) Diagnosis of anal sphincter tears by postpartum endosonography to predict fecal incontinence. Obstet Gynecol 95:643–647

    PubMed  CAS  CrossRef  Google Scholar 

  125. Belmonte-Montes C, Hagerman G, Vega-Yepez PA et al (2001) Anal sphincter injury after vaginal delivery in primiparous females. Dis Colon Rectum 44:1244–1248

    PubMed  CAS  CrossRef  Google Scholar 

  126. Nazir M, Carlsen E, Nesheim BI (2002) Do occult anal sphincter injuries, vector volume manometry and delivery variables have any predictive value for bowel symptoms after first time vaginal delivery without third and fourth degree rupture? A prospective study. Acta Obstet Gynecol Scand 81:720–726

    PubMed  CrossRef  Google Scholar 

  127. Pinta TM, Kylanpaa ML, Teramo KA et al (2004) Sphincter rupture and anal incontinence after first vaginal delivery. Acta Obstet Gynecol Scand 83:917–922

    PubMed  CrossRef  Google Scholar 

  128. Damon H, Bretones S, Henry L et al (2005) Long-term consequences of first vaginal delivery-induced anal sphincter defect. Dis Colon Rectum 48:1772–1776

    PubMed  CrossRef  Google Scholar 

  129. Sultan AH, Stanton SL (1997) Occult obstetric trauma and anal incontinence. Eur J Gastroenterol Hepatol 9:423–427

    PubMed  CAS  Google Scholar 

  130. Nygaard IE, Rao SS, Dawson JD (1997) Anal incontinence after anal sphincter disruption: a 30-year retrospective cohort study. Obstet Gynecol 89:896–901

    PubMed  CAS  CrossRef  Google Scholar 

  131. Fitzpatrick M, O’Herlihy C (2001) The effects oflabour and delivery on the pelvic floor. Best Pract Res Clin Obstet Gynaecol 15:63–79

    PubMed  CAS  CrossRef  Google Scholar 

  132. Oberwalder M, Dinnewitzer A, Baig MK et al (2004) The association between late-onset fecal incontinence and obstetric anal sphincter defects. Arch Surg 139:429–432

    PubMed  CrossRef  Google Scholar 

  133. Byrd LM, Hobbiss J, Tasker M (2005) Is it possible to predict or prevent third degree tears? Colorectal Dis 7:311–318

    PubMed  CAS  CrossRef  Google Scholar 

  134. Combs CA, Robertson PA, Laros RK Jr (1990) Risk factors for third-degree and fourth-degree perineal lacerations in forceps and vacuum deliveries. Am J Obstet Gynecol 163:100–104

    PubMed  CAS  Google Scholar 

  135. Richter HE, Brumfield CG, Cliver SP et al (2002) Risk factors associated with anal sphincter tear: a comparison of primiparous patients, vaginal births after cesarean deliveries, and patients with previous vaginal delivery. Am J Obstet Gynecol 187:1194–1198

    PubMed  CrossRef  Google Scholar 

  136. Simhan H, Krohn M, Heine RP (2004) Obstetric rectal injury: risk factors and the role of physician experience. J Matern Fetal Neonatal Med 16:271–274

    PubMed  CrossRef  Google Scholar 

  137. Shiono P, Klebanoff MA, Carey JC (1990) Midline episiotomies: more harm than good? Obstet Gynecol 75:765–770

    PubMed  CAS  Google Scholar 

  138. Fenner DE, Genberg B, Brahma P et al (2003) Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States. Am J Obstet Gynecol 189:1543–1549

    PubMed  CrossRef  Google Scholar 

  139. Fitzgerald MP, Weber AM, Howden N et al (2007) Risk factors for anal sphincter tear during vaginal delivery. Obstet Gynecol 109:29–34

    PubMed  Google Scholar 

  140. Andrews V, Sultan AH, Thakar R et al (2006) Risk factors for obstetric anal sphincter injury: a prospective study. Birth 33:117–122

    PubMed  CrossRef  Google Scholar 

  141. Guendelman S, Thornton D, Gould J et al (2006) Obstetric complications during labor and delivery: assessing ethnic differences in California. Womens Health Issues 16:189–197

    PubMed  CrossRef  Google Scholar 

  142. Helwig JT, Thorp JM Jr, Bowes WA Jr et al (1993) Does midline episiotomy increase the risk of third-and fourth-degree lacerations in operative vaginal deliveries? Obstet Gynecol 82:276–279

    PubMed  CAS  Google Scholar 

  143. Lal M, H Mann C, Callender R et al (2003) Does Cesarean delivery prevent anal incontinence? Obstet Gynecol 101:305–312

    PubMed  CrossRef  Google Scholar 

  144. Nelson RL, Westercamp M, Furner SE (2006) A systematic review of the efficacy of Cesarean section in the preservation of anal continence. Dis Colon Rectum 49:1587–1595

    PubMed  CrossRef  Google Scholar 

  145. Kamm MA (1988) Faecal incontinence. BMJ 316: 528–532

    Google Scholar 

  146. Law PJ, Kamm MA, Bartram CI (1991) Anal endosonography in the investigation of faecal incontinence. Br J Surg 78:312–314

    PubMed  CAS  CrossRef  Google Scholar 

  147. Nielsen MB, Hauge C, Pedersen JF et al (1993) Endosonographic evaluation of patients with anal incontinence: findings and influence on surgical management. AJR Am J Roentgenol 160:771–775

    PubMed  CAS  Google Scholar 

  148. Zetterstrom J, Mellgren A, Jensen LL et al (1999) Effect of delivery on anal sphincter morphology and function. Dis Colon Rectum 42:1253–1260

    PubMed  CAS  CrossRef  Google Scholar 

  149. Fornell EK, Berg G, Hallbook O et al (1996) Clinical consequences of anal sphincter rupture during vaginal delivery. J Am Coll Surg 183:553–558

    PubMed  CAS  Google Scholar 

  150. Rieger N, Schloithe A, Saccone G et al (1997) The effect of a normal vaginal delivery on anal function. Acta Obstet Gynecol Scand 76:769–772

    PubMed  CAS  Google Scholar 

  151. Rieger N, Schloithe A, Saccone G et al (1998) A prospective study of anal sphincter injury due to childbirth. Scand J Gastroenterol 33:950–955

    PubMed  CAS  CrossRef  Google Scholar 

  152. Lee SJ, Park JW (2000) Follow-up evaluation of the effect of vaginal delivery on the pelvic floor. Dis Colon Rectum 43:1550–1555

    PubMed  CAS  CrossRef  Google Scholar 

  153. Willis S, Faridi A, Schelzig S (2002) Childbirth and incontinence: a prospective study on anal sphincter morphology and function before and early after vaginal delivery. Langenbecks Arch Surg 387:101–107

    PubMed  CAS  CrossRef  Google Scholar 

  154. Hojberg KE, Hundborg HH, Ryhammer AM (2003) The impact of delivery on anorectal function in women with and women without anal incontinence-a prospective study. Int Urogynecol J Pelvic Floor Dysfunct 14:38–45

    PubMed  CrossRef  Google Scholar 

  155. Fornell EU, Matthiesen L, Sjodahl R (2005) Obstetric anal sphincter injury ten years after: subjective and objective long term effects. BJOG 112:312–316

    PubMed  CrossRef  Google Scholar 

  156. Fynes M, Donnelly VS, O’Connell PR et al (1998) Cesarean delivery and anal sphincter injury. Obstet Gynecol 92:496–500

    PubMed  CAS  CrossRef  Google Scholar 

  157. Snooks SJ, Setchell M, Swash M et al (1984) Injury to innervation of pelvic floor sphincter musculature in childbirth. Lancet 2:546–550

    PubMed  CAS  CrossRef  Google Scholar 

  158. Snooks SJ, Swash M, Henry MM et al (1986) Risk factors in childbirth causing damage to the pelvic floor innervation. Int J Colorectal Dis 1:20–24

    PubMed  CAS  CrossRef  Google Scholar 

  159. Snooks SJ, Swash M, Mathers SE et al (1990) Effect of vaginal delivery on the pelvic floor: a 5-year follow-up. Br J Surg 77:1358–1360

    PubMed  CAS  CrossRef  Google Scholar 

  160. Sultan AH, Kamm MA, Hudson CN (1994) Pudendal nerve damage during labour: prospective study before and after childbirth. Br J Obstet Gynaecol 101:22–28

    PubMed  CAS  Google Scholar 

  161. Tetzschner T, Sorensen M, Rasmussen OO et al (1995) Pudendal nerve damage increases the risk of fecal incontinence in women with anal sphincter rupture after childbirth. Acta Obstet Gynecol Scand 74:434–440

    PubMed  CAS  Google Scholar 

  162. Tetzschner T, Sorensen M, Jonsson L et al (1997) Delivery and pudendal nerve function. Acta Obstet Gynecol Scand 76:324–331

    PubMed  CAS  Google Scholar 

  163. Rieger N, Wattchow D (1999) The effect of vaginal delivery on anal function. Aust N Z J Surg 69:172–177

    PubMed  CAS  CrossRef  Google Scholar 

  164. Allen RE, Hosker GL, Smith AR et al (1990) Pelvic floor damage and childbirth: a neurophysiological study. Br J Obstet Gynaecol 97:770–779

    PubMed  CAS  Google Scholar 

  165. Zetterstrom J, Lopez A, Holmstrom B et al (2003) Obstetric sphincter tears and anal incontinence: an observational follow-up study. Acta Obstet Gynecol Scand 82:921–928

    PubMed  CrossRef  Google Scholar 

  166. Kiff ES, Barnes PR, Swash M (1984) Evidence of pudendal neuropathy in patients with perineal descent and chronic straining at stool. Gut 25:1279–1282

    PubMed  CAS  CrossRef  Google Scholar 

  167. Engel AF, Kamm MA (1994) The acute effect of straining on pelvic floor neurological function. Int J Colorectal Dis 9:8–12

    PubMed  CAS  CrossRef  Google Scholar 

  168. Felt-Bersma RJ, van Baren R, Koorevaar M et al (1995) Unsuspected sphincter defects shown by anal endosonography after anorectal surgery. A prospective study. Dis Colon Rectum 38:249–253

    PubMed  CAS  CrossRef  Google Scholar 

  169. Eisenhammer S (1951) The surgical correction of chronic internal anal (sphincteric) contracture. S Afr Med J 25:486–489

    PubMed  CAS  Google Scholar 

  170. Notaras MJ (1969) Lateral subcutaneous sphincterotomy for anal fissure-a new technique. Proc R Soc Med 62:713

    PubMed  CAS  Google Scholar 

  171. Khubchandani IT, Reed JF (1989) Sequelae of internal sphincterotomy for chronic fissure in ano. Br J Surg 76:431–434

    PubMed  CAS  CrossRef  Google Scholar 

  172. Pernikoff BJ, Eisenstat TE, Rubin RJ et al (1994) Reappraisal of partial lateral internal sphincterotomy. Dis Colon Rectum 37:1291–1295

    PubMed  CAS  CrossRef  Google Scholar 

  173. Richard CS, Gregoire R, Plewes EA et al (2000). Internal sphincterotomy is superior to topical nitroglycerin in the treatment of chronic anal fissure: results of a randomized, controlled trial by the Canadian Colorectal Surgical Trials Group. Dis Colon Rectum 43:1048–1057

    PubMed  CAS  CrossRef  Google Scholar 

  174. Mentefl BB, Tezcaner T, Yilmaz U et al (2006) Results of lateral internal sphincterotomy for chronic anal fissure with particular reference to quality of life. Dis Colon Rectum 49:1045–1051

    CrossRef  Google Scholar 

  175. Garcia-Aguilar J, Belmonte C, Wong WD et al (1996) Open vs closed sphincterotomy for chronic anal fissure: long-term results. Dis Colon Rectum 39:440–443

    PubMed  CAS  CrossRef  Google Scholar 

  176. Nyam DC, Pemberton JH (1999) Long-term results of lateral internal sphincterotomy for chronic anal fissure with particular reference to incidence of fecal incontinence. Dis Colon Rectum 42:1306–1310

    PubMed  CAS  CrossRef  Google Scholar 

  177. Littlejohn DR, Newstead GL (1997) Tailored lateral sphincterotomy for anal fissure. Dis Colon Rectum 40:1439–1442

    PubMed  CAS  CrossRef  Google Scholar 

  178. Usatoff V, Polglase AL (1995) The longer term results of internal anal sphincterotomy for anal fissure. Aust N Z J Surg 65:576–578

    PubMed  CAS  Google Scholar 

  179. Rotholtz NA, Bun M, Mauri MV et al (2005) Long-term assessment of fecal incontinence after lateral internal sphincterotomy. Tech Coloproctol 9:115–118

    PubMed  CAS  CrossRef  Google Scholar 

  180. Casillas S, Hull TL, Zutshi M et al (2005) Incontinence after a lateral internal sphincterotomy: are we underestimating it? Dis Colon Rectum 48:1193–1199

    PubMed  CrossRef  Google Scholar 

  181. Lindsey I, Jones OM, Smilgin-Humphreys MM et al (2004) Patterns of fecal incontinence after anal surgery. Dis Colon Rectum 47:1643–1649

    PubMed  CrossRef  Google Scholar 

  182. Sultan AH, Kamm MA, Nicholls RJ et al (1994) Prospective study of the extent of internal anal sphincter division during lateral sphincterotomy. Dis Colon Rectum 37:1031–1033

    PubMed  CAS  CrossRef  Google Scholar 

  183. Farouk R, Monson JR, Duthie GS (1997) Technical failure of lateral sphincterotomy for the treatment of chronic anal fissure: a study using endoanal ultrasonography. Br J Surg 84:84–85

    PubMed  CAS  Google Scholar 

  184. Tjandra JJ, Han WR, Ooi BS et al (2001) Faecal incontinence after lateral internal sphincterotomy is often associated with coexisting occult sphincter defects: a study using endoanal ultrasonography. ANZ J Surg 71:598–602

    PubMed  CAS  CrossRef  Google Scholar 

  185. Zbar AP, Beer-Gabel M, Chiappa AC et al (2001) Fecal incontinence after minor anorectal surgery. Dis Colon Rectum 44:1610–1619

    PubMed  CAS  CrossRef  Google Scholar 

  186. Lord PH (1968) A new regime for the treatment of haemorrhoids. Proc R Soc Med 61:935–936

    PubMed  CAS  Google Scholar 

  187. Steele SR, Madoff RD (2006) Systematic review: the treatment of anal fissure. Aliment Pharmacol Ther 24:247–257

    PubMed  CAS  CrossRef  Google Scholar 

  188. McCaffrey J (1975) Lord treatment of haemorrhoids. Four-year follow-up of fifty patients. Lancet 1:133–134

    PubMed  CAS  CrossRef  Google Scholar 

  189. MacDonald A, Smith A, McNeill AD et al (1992) Manual dilatation of the anus. Br J Surg 79:1381–1382

    PubMed  CAS  CrossRef  Google Scholar 

  190. Oliver DW, Booth MW, Kernick VF et al (1998) Patient satisfaction and symptom relief after anal dilatation. Int J Colorectal Dis 13:228–231

    PubMed  CAS  CrossRef  Google Scholar 

  191. Konsten J, Baeten CG (2000) Hemorrhoidectomy vs. Lord’s method: 17-year follow-up of a prospective, randomized trial. Dis Colon Rectum 43:503–536

    PubMed  CAS  CrossRef  Google Scholar 

  192. Saad AM, Orner A (1992) Surgical treatment of chronic fissure-in-ano: a prospective randomised study. East Afr Med J 69:613–615

    PubMed  CAS  Google Scholar 

  193. Nielsen MB, Rasmussen OO, Pedersen JF et al (1993) Risk of sphincter damage and anal incontinence after anal dilatation for fissure-in-ano. An endosonographic study. Dis Colon Rectum 36:677–680

    PubMed  CAS  CrossRef  Google Scholar 

  194. Lindsey I, Jones OM, Cunningham C et al (2004) Chronic anal fissure. Br J Surg 91:270–279

    PubMed  CAS  CrossRef  Google Scholar 

  195. Jensen SL, Lund F, Nielsen OV et al (1984) Lateral subcutaneous sphincterotomy versus anal dilatation in the treatment of fissure in ano in outpatients: a prospective randomised study. Br Med J 289:528–530

    CAS  CrossRef  Google Scholar 

  196. Nelson R (2002) Operative procedures for fissure in ano. Cochrane Database Syst Rev 2:CD002199

    Google Scholar 

  197. Snooks S, Henry MM, Swash M (1984) Faecal incontinence after anal dilatation. Br J Surg 71:617–618

    PubMed  CAS  CrossRef  Google Scholar 

  198. Speakman CT, Burnett SJ, Kamm MA et al (1991) Sphincter injury after anal dilatation demonstrated by anal endosonography. Br J Surg 78:1429–1430

    PubMed  CAS  CrossRef  Google Scholar 

  199. Hammond TM, Knowles CH, Porrett T et al (2006) The Snug Seton: short and medium term results of slow fistulotomy for idiopathic anal fistulae. Colorectal Dis 8:328–337

    PubMed  CAS  CrossRef  Google Scholar 

  200. Rosa G, Lolli P, Piccinelli D et al (2006) Fistula in ano: anatomoclinical aspects, surgical therapy and results in 844 patients. Tech Coloproctol 10:215–221

    PubMed  CAS  CrossRef  Google Scholar 

  201. Sygut A, Zajdel R, Kedzia-Budziewska R et al (2007) Late results of treatment of anal fistulas. Colorectal Dis 9:151–158

    PubMed  CAS  CrossRef  Google Scholar 

  202. Sainio P, Husa A (1985) Fistula-in-ano. Clinical features and long-term results of surgery in 199 adults. Acta Chir Scand 151:169–176

    PubMed  CAS  Google Scholar 

  203. van Tets WF, Kuijpers HC (1994) Continence disorders after anal fistulotomy. Dis Colon Rectum 37:1194–1197

    PubMed  CrossRef  Google Scholar 

  204. Garcia-Aguilar J, Belmonte C, Wong WD et al (1996) Anal fistula surgery. Factors associated with recurrence and incontinence. Dis Colon Rectum 39:723–729

    PubMed  CAS  CrossRef  Google Scholar 

  205. Williams JG, MacLeod CA, Rothenberger DA et al (1991) Seton treatment of high anal fistulae. Br J Surg 78:1159–1161

    PubMed  CAS  CrossRef  Google Scholar 

  206. Lunniss PJ, Kamm MA, Phillips RK (1994) Factors affecting continence after surgery for anal fistula. Br J Surg 81:1382–1385

    PubMed  CAS  CrossRef  Google Scholar 

  207. Graf W, Pahlman L, Ejerblad S (1995) Functional results after seton treatment of high transsphincteric anal fistulas. Eur J Surg 161:289–291

    PubMed  CAS  Google Scholar 

  208. Hamalainen KP, Sainio AP (1997) Cutting seton for anal fistulas: high risk of minor control defects. Dis Colon Rectum 40:1443–1446

    PubMed  CAS  CrossRef  Google Scholar 

  209. Pescatori M, Ayabaca S, Caputo D(2004) Can anal manometry predict anal incontinence after fistulectomy in males? Colorectal Dis 6:97–102

    PubMed  CAS  CrossRef  Google Scholar 

  210. Belliveau P, Thomson JP, Parks AG. Fistula-in-Ano (1983) A manometric study. Dis Colon Rectum 26:152–154

    PubMed  CAS  CrossRef  Google Scholar 

  211. Sainio P(1985) A manometric study of anorectal function after surgery for anal fistula, with special reference to incontinence. Acta Chir Scand 151:695–700

    Google Scholar 

  212. Chang SC, Lin JK (2003) Change in anal continence after surgery for intersphincteral anal fistula: a functional and manometric study. Int J Colorectal Dis 18:111–115

    PubMed  CrossRef  Google Scholar 

  213. Gibbons CP, Trowbridge EA, Bannister JJ et al (1986) Role of anal cushions in maintaining continence. Lancet 1:886–888

    PubMed  CAS  CrossRef  Google Scholar 

  214. Lestar B, Penninckx F, Kerrimans R (1989) The composition of the anal basal pressure. An in vivo and in vitro study in man. Int J Colorect Dis 4:118–122

    CAS  CrossRef  Google Scholar 

  215. Rao SS (2004) Diagnosis and management of fecal incontinence. Am J Gastroenterol 99:1585–1604

    PubMed  CrossRef  Google Scholar 

  216. Rasmussen 00 (1994) Anorectal function. Dis Colon Rectum 37:386–403

    PubMed  CAS  CrossRef  Google Scholar 

  217. Read MG, Read NW, Haynes WG et al (1982) A prospective study of the effect of haemorrhoidectomy on sphincter function and faecal continence. Br J Surg 69:396–398

    PubMed  CAS  CrossRef  Google Scholar 

  218. Murie JA, Sim AJ, Mackenzie I (1982) Rubber band ligation versus haemorrhoidectomy for prolapsing haemorrhoids: a long term prospective clinical trial. Br J Surg 69:536–538

    PubMed  CAS  CrossRef  Google Scholar 

  219. Johannsson HO, Pahlman L, Graf W (2006) Randomized clinical trial of the effects on anal function of Milligan-Morgan versus Ferguson haemorrhoidectomy. Br J Surg 93:1208–1214

    PubMed  CAS  CrossRef  Google Scholar 

  220. Milligan ETC, Morgan CN, Jones LE et al (1937) Surgical anatomy of the anal canal and operative treatment of hemorrhoids. Lancet 2:1119–1124

    CrossRef  Google Scholar 

  221. Ferguson JA, Heaton JR (1959) Closed hemorrhoidectomy. Dis Colon Rectum 2:176–179

    PubMed  CAS  CrossRef  Google Scholar 

  222. Parks AG (1956) The surgical treatment of haemorrhoids. Br J Surg 43:337–351

    PubMed  CAS  CrossRef  Google Scholar 

  223. Longo A (1998) Treatment of haemorrhoids disease by reduction of mucosa and haemorrhoidal prolapse with circular suturing device: a new procedure. In: Proceedings of the 6th World Congress of Endoscopic Surgery, Rome, pp 777–784

    Google Scholar 

  224. McConnell JC, Khubchandani IT (1983) Long-term follow-up of closed hemorrhoidectomy. Dis Colon Rectum 26:797–799

    PubMed  CAS  CrossRef  Google Scholar 

  225. Ravo B, Amato A, Bianco V et al (2002) Complications after stapled hemorrhoidectomy: can they be prevented? Tech Coloproctol 6:83–88

    PubMed  CAS  CrossRef  Google Scholar 

  226. Guenin MO, Rosenthal R, Kern B et al (2005) Ferguson hemorrhoidectomy: long-term results and patient satisfaction after Ferguson’s hemorrhoidectomy. Dis Colon Rectum 48:1523–1527

    PubMed  CrossRef  Google Scholar 

  227. Lan P, Wu X, Zhou X et al (2006) The safety and efficacy of stapled hemorrhoidectomy in the treatment of hemorrhoids: a systematic review and meta-analysis of ten randomized control trials. Int J Colorectal Dis 21:172–178

    PubMed  CrossRef  Google Scholar 

  228. Roe AM, Bartolo DC, Vellacott KD et al (1987) Submucosal versus ligation excision haemorrhoidectomy: a comparison of anal sensation, anal sphincter manometry and postoperative pain and function. Br J Surg 74:948–951

    PubMed  CAS  CrossRef  Google Scholar 

  229. Altomare DF, Rinaldi M, Sallustio PL et al (2001) Long-term effects of stapled haemorrhoidectomy on internal anal function and sensitivity. Br J Surg 88:1487–1491

    PubMed  CAS  CrossRef  Google Scholar 

  230. Johannsson HO, Graf W, Pahlman L (2002) Long-term results of haemorrhoidectomy. Eur J Surg 168:485–489

    PubMed  CrossRef  Google Scholar 

  231. Abbasakoor F, Nelson M, Beynon J et al (1998) Anal endosonography in patients with anorectal symptoms after haemorrhoidectomy. Br J Surg 85:1522–1524

    PubMed  CAS  CrossRef  Google Scholar 

  232. Jorge JM, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77–97

    PubMed  CAS  CrossRef  Google Scholar 

  233. Tobin GW, Brocklehurst JC (1986) Faecal incontinence in residential homes for the elderly: prevalence, aetiology and management. Age Ageing 15:41–46

    PubMed  CAS  CrossRef  Google Scholar 

  234. Wald A (2005) Faecal incontinence in the elderly: epidemiology and management. Drugs Aging 22:131–139

    PubMed  CrossRef  Google Scholar 

  235. Cooper ZR, Rose S (2000) Fecal incontinence: a clinical approach. Mt Sinai J Med 67:96–105

    PubMed  CAS  Google Scholar 

  236. Read NW, Abouzekry L, Read MG et al (1985) Anorectal function in elderly patients with fecal impaction. Gastroenterology 89:959–966

    PubMed  CAS  Google Scholar 

  237. Read NW, Abouzekry L (1986) Why do patients with faecal impaction have faecal incontinence. Gut 27:283–287

    PubMed  CAS  CrossRef  Google Scholar 

  238. Loening-Baucke VA, Cruikshank BM (1986) Abnormal defecation dynamics in chronically constipated children with encopresis. J Pediatr 108:562–566

    PubMed  CAS  CrossRef  Google Scholar 

  239. van den Berg MM, Benninga MA et al (2006) Epidemiology of childhood constipation: a systematic review. Am J Gastroenterol 101:2401–2409

    PubMed  CrossRef  Google Scholar 

  240. van Ginkel R, Reitsma JB, Buller HA et al (2003) Childhood constipation: longitudinal follow-up beyond puberty. Gastroenterology 125:357–363

    PubMed  CrossRef  Google Scholar 

  241. Voskuijl WP, Reitsma JB, van Ginkel R et al (2006) Longitudinal follow-up of children with functional nonretentive fecal incontinence. Clin Gastroenterol Hepatol 4:67–72

    PubMed  CrossRef  Google Scholar 

  242. Rex DK, Lappas JC (1992) Combined anorectal manometry and defecography in 50 consecutive adults with fecal incontinence. Dis Colon Rectum 35:1040–1045

    PubMed  CAS  CrossRef  Google Scholar 

  243. Rao SS, Ozturk R, Stessman M (2004) Investigation of the pathophysiology of fecal seepage. Am J Gastroenterol 99:2204–2209

    PubMed  CrossRef  Google Scholar 

  244. Scarlett Y (2004) Medical management of fecal incontinence. Gastroenterology 126(Suppl 1):S55–S63

    PubMed  CrossRef  Google Scholar 

  245. Shatari T, Hayes J, Pretlove S et al (2005) Importance of evacuatory disturbance in evaluation of faecal incontinence after third degree obstetric tear. Colorectal Dis 7:18–21

    PubMed  CAS  CrossRef  Google Scholar 

  246. Gladman MA, Lunniss PJ, Scott SM et al (2006) Rectal hyposensitivity. Am J Gastroenterol 101:1140–1151

    PubMed  CrossRef  Google Scholar 

  247. Siproudhis L, Bellissant E, Juguet F et al (1999) Perception of and adaptation to rectal isobaric distension in patients with faecal incontinence. Gut 44:687–692

    PubMed  CAS  CrossRef  Google Scholar 

  248. Felt-Bersma RJ, Sloots CE, Poen AC et al (2000) Rectal compliance as a routine measurement: extreme volumes have direct clinical impact and normal volumes exclude rectum as a problem. Dis Colon Rectum 43:1732–1738

    PubMed  CAS  CrossRef  Google Scholar 

  249. Crowell MD (2004) Pathogenesis of slow transit and pelvic floor dysfunction: from bench to bedside. Rev Gastroenterol Disord 4(Suppl 2):S17–S27

    PubMed  Google Scholar 

  250. Buser WD, Miner PB Jr (1986) Delayed rectal sensation with fecal incontinence. Successful treatment using anorectal manometry. Gastroenterology 91:1186–1191

    PubMed  CAS  Google Scholar 

  251. Lubowski DZ, Nicholls RJ (1988) Faecal incontinence associated with reduced pelvic sensation. Br J Surg 75:1086–1088

    PubMed  CAS  CrossRef  Google Scholar 

  252. Hoffmann BA, Timmcke AE, Gathright JB Jr et al (1995) Fecal seepage and soiling: a problem of rectal sensation. Dis Colon Rectum 38:746–748

    PubMed  CAS  CrossRef  Google Scholar 

  253. Gladman MA, Scott SM, Chan CL et al (2003) Rectal hyposensitivity: prevalence and clinical impact in patients with intractable constipation and fecal incontinence. Dis Colon Rectum 46:238–246

    PubMed  CrossRef  Google Scholar 

  254. Crowell MD, Lacy BE, Schettler VA et al (2004) Subtypes of anal incontinence associated with bowel dysfunction: clinical, physiologic, and psychosocial characterization. Dis Colon Rectum 47:1627–1635

    PubMed  CAS  CrossRef  Google Scholar 

  255. Sun WM, Read NW, Miner PB (1990) Relation between rectal sensation and anal function in normal subjects and patients with faecal incontinence. Gut 31:1056–1061

    PubMed  CAS  CrossRef  Google Scholar 

  256. Diamant NE, Kamm MA, Wald A et al (1999) AGA technical review on anorectal testing techniques. Gastroenterology 116:735–760

    PubMed  CAS  CrossRef  Google Scholar 

  257. Wald A, Tunuguntla AK (1984) Anorectal sensorimotor dysfunction in fecal incontinence and diabetes mellitus. Modification with biofeedback therapy. N Engl J Med 310:1282–1287

    PubMed  CAS  CrossRef  Google Scholar 

  258. Sun WM, Donnelly TC, Read NW (1992) Utility of a combined test of anorectal manometry, electromyography, and sensation in determining the mechanism of ‘idiopathic’ faecal incontinence. Gut 33:807–813

    PubMed  CAS  CrossRef  Google Scholar 

  259. Smith AN, Binnie NR (1991) Neurological disorders. In: Kumar D, Waldron DJ, Williams NS, eds. Clinical measurement in coloproctology. Springer-Verlag, London, pp 124–139

    Google Scholar 

  260. Broden G, Dolk A, Holmstrom B (1988) Recovery of the internal anal sphincter following rectopexy: a possible explanation for continence improvement. Int J Colorectal Dis 3:23–28

    PubMed  CAS  CrossRef  Google Scholar 

  261. Williams JG, Wong WD, Jensen L et al (1991) Incontinence and rectal prolapse: a prospective manometric study. Dis Colon Rectum 34:209–216

    PubMed  CAS  CrossRef  Google Scholar 

  262. Farouk R, Duthie GS (1998) Rectal prolapse and rectal invagination. Eur J Surg 164:323–332

    PubMed  CAS  CrossRef  Google Scholar 

  263. Kairaluoma MV, Kellokumpu IH (2005) Epidemiologic aspects of complete rectal prolapse. Scand J Surg 94:207–210

    PubMed  CAS  Google Scholar 

  264. Ihre T, Seligson U (1975) Intussusception of the rectum-internal procidentia: treatment and results in 90 patients. Dis Colon Rectum 18:391–396

    PubMed  CAS  CrossRef  Google Scholar 

  265. Johansson C, Ihrs T, Ahlback SO (1985) Disturbances in the defecation mechanism with special reference to intussusception of the rectum (internal procidentia). Dis Colon Rectum 27:435–441

    Google Scholar 

  266. Felt-Bersma RJ, Cuesta MA (2001) Rectal prolapse, rectal intussusception, rectocele, and solitary rectal ulcer syndrome. Gastroenterol Clin North Am 30:199–222

    PubMed  CAS  CrossRef  Google Scholar 

  267. Frenckner B, Ihre T (1976) Function of the anal sphincters in patients with intussusception of the rectum. Gut 17:147–151

    PubMed  CAS  CrossRef  Google Scholar 

  268. Mackle EJ, Parks TG (1986) The pathogenesis and pathophysiology of rectal prolapse and solitary rectal ulcer syndrome. Clin Gastroenterol 15:985–1002

    PubMed  CAS  Google Scholar 

  269. Sun WM, Read NW, Donnelly TC et al (1989) A common pathophysiology for full thickness rectal prolapse, anterior mucosal prolapse and solitary rectal ulcer. Br J Surg 76:290–295

    PubMed  CAS  CrossRef  Google Scholar 

  270. Dvorkin LS, Chan CL, Knowles CH et al (2004) Anal sphincter morphology in patients with full-thickness rectal prolapse. Dis Colon Rectum 47:198–203

    PubMed  CrossRef  Google Scholar 

  271. Poen AC, de Brauw M, Felt-Bersma RJ et al (1996) Laparoscopic rectopexy for complete rectal prolapse. Clinical outcome and anorectal function tests. Surg Endosc 10:904–908

    PubMed  CAS  CrossRef  Google Scholar 

  272. Scaglia M, Fasth S, Hallgren T et al (1994) Abdominal rectopexy for rectal prolapse. Influence of surgical technique on functional outcome. Dis Colon Rectum 37:805–813

    PubMed  CAS  CrossRef  Google Scholar 

  273. Schultz I, Mellgren A, Dolk A et al (1996) Continence is improved after the Ripstein rectopexy. Different mechanisms in rectal prolapse and rectal intussusception? Dis Colon Rectum 39:300–306

    PubMed  CAS  CrossRef  Google Scholar 

  274. Lazorthes F, Gamagami R, Cabarrot P et al (1998) Is rectal intussusception a cause of idiopathic incontinence? Dis Colon Rectum 41:602–605

    PubMed  CAS  CrossRef  Google Scholar 

  275. Porter NH (1962) A physiological study of the pelvic floor in rectal prolapse. Ann R Coll Surg Engl 31:379–404

    PubMed  CAS  Google Scholar 

  276. Parks AG, Swash M, Urich H (1977) Sphincter denervation in anorectal incontinence and rectal prolapse. Gut 18:656–665

    PubMed  CAS  CrossRef  Google Scholar 

  277. Jones PN, Lubowski DZ, Swash M et al (1987) Relation between perineal descent and pudendal nerve damage in idiopathic faecal incontinence. Int J Colorectal Dis 2:93–95

    PubMed  CAS  CrossRef  Google Scholar 

  278. Lubowski DZ, Swash M, Nicholls RJ et al (1988) Increase in pudendal nerve terminal motor latency with defaecation straining. Br J Surg 75:1095–1097

    PubMed  CAS  CrossRef  Google Scholar 

  279. Neill ME, Parks AG, Swash M (1981) Physiological studies of the anal sphincter musculature in faecal incontinence and rectal prolapse. Br J Surg 68:531–536

    PubMed  CAS  CrossRef  Google Scholar 

  280. Roig JV, Buch E, Alos R et al (1998) Anorectal function in patients with complete rectal prolapse. Differences between continent and incontinent individuals. Rev Esp Enferm Dig 90:794–805

    PubMed  CAS  Google Scholar 

  281. Duthie GS, Bartolo DC (1992) Abdominal rectopexy for rectal prolapse: a comparison of techniques. Br J Surg 79:107–113

    PubMed  CAS  CrossRef  Google Scholar 

  282. Farouk R, Duthie GS, MacGregor AB et al (1994) Rectoanal inhibition and incontinence in patients with rectal prolapse. Br J Surg 81:743–746

    PubMed  CAS  CrossRef  Google Scholar 

  283. Prokesch RW, Breitenseher MJ, Kettenbach J et al (1999) Assessment of chronic constipation: colon transit time versus defecography. Eur J Radiol 32:197–203

    PubMed  CAS  CrossRef  Google Scholar 

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Scott, S.M., Lunniss, P.J. (2007). Risk Factors in Faecal Incontinence. In: Ratto, C., Doglietto, G.B., Lowry, A.C., Påhlman, L., Romano, G. (eds) Fecal Incontinence. Springer, Milano. https://doi.org/10.1007/978-88-470-0638-6_4

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