A comparison between electromyography and anal endosonography in mapping external anal sphincter defects

1990 ◽  
Vol 33 (5) ◽  
pp. 370-373 ◽  
Author(s):  
Penelope J. Law ◽  
M. A. Kamm ◽  
C. I. Bartram
Keyword(s):  
Anal Sphincter ◽  
External Anal Sphincter ◽  
Anal Endosonography ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

External anal sphincter defects: correlation between pre-operative anal endosonography and intraoperative findings

1996 ◽  
Vol 69 (817) ◽  
pp. 6-9 ◽  
Author(s):  
G Romano ◽  
G Rotondano ◽  
P Esposito ◽  
L Pellecchia ◽  
A Novi
Keyword(s):  
Anal Sphincter ◽  
External Anal Sphincter ◽  
Anal Endosonography ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Three-dimensional endoanal ultrasonography of external anal sphincter defects in patients with faecal incontinence: correlation with symptoms and manometry

2011 ◽  
Vol 13 (4) ◽  
pp. 449-453 ◽  
Author(s):  
N. Wasserberg ◽  
A. Mazaheri ◽  
P. Petrone ◽  
H. Tulchinsky ◽  
H. S. Kaufman
Keyword(s):  
Anal Sphincter ◽  
Faecal Incontinence ◽  
External Anal Sphincter ◽  
Three Dimensional ◽  
Endoanal Ultrasonography ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Sensitivity and specificity of anal endosonography to detect anal sphincter defects compared to EMG

1995 ◽  
Vol 108 (4) ◽  
pp. A684 ◽  
Author(s):  
R. Schäfer ◽  
P. Enck ◽  
H.J. von Giesen ◽  
S. Flesch ◽  
T. Heyer ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Sensitivity And Specificity ◽  
Anal Endosonography ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

External Anal Sphincter Defects in Patients with Fecal Incontinence: Comparison of Endoanal MR Imaging and Endoanal US

Radiology ◽  
2007 ◽  
Vol 242 (2) ◽  
pp. 463-471 ◽  
Author(s):  
Annette C. Dobben ◽  
Maaike P. Terra ◽  
J. Frederik M. Slors ◽  
Marije Deutekom ◽  
Michael F. Gerhards ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Mr Imaging ◽  
Anal Sphincter ◽  
External Anal Sphincter ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Confirmation of endosonographic detection of external anal sphincter defects by simultaneous electromyographic mapping

1991 ◽  
Vol 78 (4) ◽  
pp. 448-450 ◽  
Author(s):  
S. J. D. Burnett ◽  
C. T. M. Speakman ◽  
M. A. Kamm ◽  
C. I. Bartram
Keyword(s):  
Anal Sphincter ◽  
External Anal Sphincter ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

scholarly journals IS DIGITAL RECTAL EXAM RELIABLE IN GRADING ANAL SPHINCTER DEFECTS?

2016 ◽  
Vol 53 (4) ◽  
pp. 240-245 ◽  
Author(s):  
Marcelo de Melo Andrade COURA ◽  
Silvana Marques SILVA ◽  
Romulo Medeiros de ALMEIDA ◽  
Miles Castedo FORREST ◽  
João Batista SOUSA
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
External Anal Sphincter ◽  
Digital Rectal Examination ◽  
Endoanal Ultrasound ◽  
Predictive Values ◽  
Rectal Examination ◽  
Sphincter Defects ◽  
Normal Tone ◽  
Anal Sphincter Defects

ABSTRACT Background Anal sphincter tone is routinely assessed by digital rectal examination in patients with fecal incontinence, although its accuracy in detecting sphincter defects or separating competent from incompetent muscles has not been established. Objective In this setting, we aimed to evaluate the accuracy of digital rectal examination in grading anal defects in order to separate small from extensive cases as depicted on 3D endoanal ultrasound, using a scoring sphincter defect and correlate anal tone to anal pressures. Methods Women with fecal incontinence were divided into two groups: small or extensive defects according to the ultrasound scoring system. Sensitivity, specificity, positive and negative predictive values of digital rectal examination in grading global and external sphincter defects were calculated. Anal tone at digital rectal examination was compared to resting and incremental pressures. Results A cohort of 76 consecutive incontinent women were enrolled. The median Wexner score was 9. Sixty-eight showed sphincter defects on 3D endoanal ultrasound. Anal tone at digital rectal examination was considered abnormal in 62 cases. Abnormal digital rectal examination showed a sensitivity of 90%, specificity of 27.78% in distinguishing small from extensive defects of both sphincters. Five out of eight women with no sphincter defects had only abnormal squeeze tone at digital rectal examination. Abnormal squeeze tone at digital rectal examination had a sensitivity of 65.31% in distinguishing small from extensive external anal sphincter defects. Digital rectal examination sensitivity increased linearly from small to extensive external anal sphincter defects (P=0.001). Women with abnormal resting tone had lower resting pressures than women with normal tone at digital rectal examination (P=0.0001). Women with abnormal squeeze tone had lower incremental pressures than women with normal tone at digital rectal examination (P=0.017). Conclusion Digital rectal examination had good sensitivity and poor specificity in discerning small from severe global anal sphincter defects. Moreover, digital rectal examination had fair sensitivity and poor specificity in grading external anal sphincter defects, and its best accuracy was on complete external anal sphincter lesions. Anal resting and squeeze tone were correlated to anal pressures.

Anal sphincter defects and bowel symptoms in women with and without recognized anal sphincter trauma

2006 ◽  
Vol 194 (5) ◽  
pp. 1450-1454 ◽  
Author(s):  
Catherine M. Nichols ◽  
Marie Nam ◽  
Viswanathan Ramakrishnan ◽  
Elizabeth H. Lamb ◽  
Nancy Currie
Keyword(s):  
Anal Sphincter ◽  
Bowel Symptoms ◽  
Sphincter Defects ◽  
Anal Sphincter Defects ◽  
Anal Sphincter Trauma

4576 Diagnosis of anal sphincter defects using flexible upper gi echoendoscopes.

2000 ◽  
Vol 51 (4) ◽  
pp. AB172
Author(s):  
Thomas J. Savides ◽  
Spencer Fung ◽  
Lynn Weston ◽  
Bard Cosman
Keyword(s):  
Anal Sphincter ◽  
Upper Gi ◽  
Sphincter Defects ◽  
Anal Sphincter Defects
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