Abstract
Whilst the bulk of published work on disordered defaecation has concentrated on the motor function of the anal sphincter [1,2], ano-rectal sensation may also play a crucial role in the preservation of continence, but there are surprisingly few published data on the subject.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Neill ME, Swash M. 1980. Increased motor unit fibre density in the external anal sphincter in ano-rectal incontinence: a single fibre EMG study. J Neurol Neurosurg Psych 43: 343–347.
Kiff ES, Swash M. 1984. Slowed conduction in the pudendal nerves in idiopathic (neurogenic) faecal incontinence. Br J Surg 71: 614–616.
Kantner M. 1957. Neue morphologische Ergebnisse Über die peripherischen Nervenausbreitungen und ihre Deutung. Acta Anat 31: 397–425.
Duthie HL, Gairns FW. 1960. Sensory nerve endings and sensation in the anal region of man. Br. J Surg 47: 584–594.
Lane RHS, Parks AG. 1977. Function of the anal sphincters following colo-anal anastomoses. Br J Surg 64: 596–599.
Williams NS, Price R, Johnston D. 1980. The long term effects of sphincter preserving operations for rectal carcinoma on function of anal sphincter in man. Br J Surg 67: 203–208.
Goligher JC, Hughes ESR. 1951. Sensibility of the rectum and colon: its role in the mechanism of anal continence. Lancet i: 543–548.
Duthie HL, Bennett RC. 1963. The relation of sensation in the anal canal to the functional anal sphincter: a possible factor in anal continence. Gut 4:179–182.
Goligher JC. 1951. The functional results after sphincter saving resections of the rectum. Ann Roy Coll Surg Engl 8: 421–439.
Read MG, Read NW. 1982. The role of ano-rectal sensation in preserving continence. Gut 23: 345–347.
Read NW, Abouzekry L. 1986. Why do patients with faecal impaction have faecal incontinence? Gut 27: 283–287.
Gunterberg B, Kewenter J, Petersen I, Stener B. 1976. Ano-rectal function after major resections of the sacrum with bilateral or unilateral sacrifice of sacral nerves. Br J Surg 63: 546–54.
Sedgewick EM. 1982. Clinical application of the spinal and cortical somatosensory evoked potentials. Amsterdam: Excerpta Medica: 207–214.
Wald A, Tununguntla AK. 1984. Ano-rectal sensation dysfunction in faecal incontinence and diabetes mellitus. N Engl J Med 310:1282–1287.
Meunier P, Mollard P, Marechal J-M. 1976. Physiology of megarectum: the association of megarectum with encopresis. Gut 17: 224–227.
Roe AM, Bartolo DCC, Mortensen NJM. 1986. A new method for assessment of anal sensation in various ano-rectal disorders. Br J Surg 73: 310–312.
Kieswetter H. 1977. Mucosal sensory threshold of urinary bladder and urethra measured electrically. Urologia Internationalis 32: 437–448.
Powell PH, Feneley RCL. 1980. The role of urethral sensation in clinical urology. Br J Urol 52: 539–541.
Schmidt RF, ed. 1981. Fundamentals of sensory physiology. Springer-Verlag, New York-Heidelberg-Berlin.
Sinclair D. 1981. Mechanisms of cutaneous sensation. Oxford University Press, Oxford.
Farthing MJG, Lennard-Jones JE. 1978. Sensibility of the rectum to distension and the anorectal distension reflex in ulcerative colitis. Gut 19: 64–69.
Arhan P, Fanerdin C, Persoz B, Devroede G, Dubois F, Dornic C, Pellerin D. 1976. Relationship between viscoelastic properties of the rectum and anal pressure in man. J Appl Physiol 41: 677–682.
Preston DM, Barnes PRH, Lennard-Jones JE. 1983. Proctometrogram: does it have a role in the evaluation of adults with chronic constipation? Gut 24: A1010–1011.
Varma JS, Smith AN. 1986. Reproducibility of the proctometrogram. Gut 27: 288–292.
Roe AM, Mortensen NJMcC. 1985. Why do patients with slow transit constipation have no postprandial defaecation response? Br J Surg 72: S141.
Keighley MRB, Buchmann P, Lee RJ. 1982. Assessment of ano-rectal function in selection of patients for ileo-rectal anastomosis in Crohn’s colitis. Gut 23:102–107.
Suzuki H, Matsumoto K, Amano S, Fujioka M, Honsumi M. 1980. Ano-rectal pressure and rectal compliance after low anterior resection. Br J Surg 67: 655–657.
Schuster MM, Hendrix TR, Mendellof AL. 1963. The internal sphincter response. Manometric studies on its normal physiology, normal pathways, and alteration in bowel disease. J Clin Invest 42:196–207.
Read MG, Read NW, Barber DC, Duthie HK. 1982. Effect of loperamide on anal sphincter function in patients complaining of chronic diarrhoea with faecal incontinence and urgency. Dig Dis Sci 27: 807–814.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Martinus Nijhoff Publishers, Dordrecht
About this chapter
Cite this chapter
Mortensen, N.J.M., Roe, A.M. (1987). Ano-rectal sensation. In: Gooszen, H.G., Ten Cate Hoedemaker, H.O., Weterman, I.T., Keighley, M.R.B. (eds) Disordered Defaecation. Developments In Surgery, vol 8. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-3335-4_4
Download citation
DOI: https://doi.org/10.1007/978-94-009-3335-4_4
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-7998-3
Online ISBN: 978-94-009-3335-4
eBook Packages: Springer Book Archive