Comparison of three-dimensional high-resolution manometry and endoanal ultrasound in the diagnosis of anal sphincter defects

2013 ◽  
Vol 15 (10) ◽  
pp. e607-e611 ◽  
Author(s):  
V. Vitton ◽  
W. Ben Hadj Amor ◽  
K. Baumstarck ◽  
M. Behr ◽  
M. Bouvier ◽  
...  
Keyword(s):  
High Resolution ◽  
Anal Sphincter ◽  
Three Dimensional ◽  
Endoanal Ultrasound ◽  
High Resolution Manometry ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Can three-dimensional high-resolution anorectal manometry detect anal sphincter defects in patients with faecal incontinence?

2017 ◽  
Vol 19 (5) ◽  
pp. 468-475 ◽  
Author(s):  
A. Rezaie ◽  
S. Iriana ◽  
M. Pimentel ◽  
Z. Murrell ◽  
P. Fleshner ◽  
...  
Keyword(s):  
High Resolution ◽  
Anal Sphincter ◽  
Faecal Incontinence ◽  
Anorectal Manometry ◽  
Three Dimensional ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Diagnosis of anal sphincter defects by three-dimensional transperineal ultrasound in women with anal incontinence

2012 ◽  
Vol 39 (4) ◽  
pp. 241-247
Author(s):  
Kumi Hotta ◽  
Ryoko Murayama ◽  
Mikako Yoshida ◽  
Hironobu Hyodo ◽  
Koichi Kobayashi ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Anal Incontinence ◽  
Three Dimensional ◽  
Transperineal Ultrasound ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

Sa1372 Can 3D High Resolution Anorectal Manometry Detect Anal Sphincter Defects in Patients With Fecal Incontinence?

2015 ◽  
Vol 148 (4) ◽  
pp. S-306-S-307
Author(s):  
Ali Rezaie ◽  
Sentia Iriana ◽  
Mark Pimentel ◽  
Christopher Chang ◽  
Zuri Murrell ◽  
...  
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Anorectal Manometry ◽  
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.

scholarly journals Anal Sphincter Defects Correlation Between Endoanal Ultrasound and Surgery

1993 ◽  
Vol 218 (2) ◽  
pp. 201-205 ◽  
Author(s):  
K. I. Deen ◽  
D. Kumar ◽  
J. G. Williams ◽  
J. Olliff ◽  
M. R. B. Keighley
Keyword(s):  
Anal Sphincter ◽  
Endoanal Ultrasound ◽  
Sphincter Defects ◽  
Anal Sphincter Defects

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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