Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation

Purpose Constipation is a common entity in society with various factors in the etiology. In this study, we evaluated the role of anal sphincter pressure of patients who refer to surgery clinic with complaint of constipation. Methods Sixty patients who refer to surgery clinic with complaint of consti...

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Main Authors: Süleyman Büyükaşık, Mehmet Abdussamet Bozkurt, Selin Kapan, Halil Alis
Format: Article
Language:English
Published: Korean Society of Coloproctology 2020-10-01
Series:Annals of Coloproctology
Subjects:
Online Access:http://coloproctol.org/upload/pdf/ac-2019-09-15.pdf
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author Süleyman Büyükaşık
Mehmet Abdussamet Bozkurt
Selin Kapan
Halil Alis
author_facet Süleyman Büyükaşık
Mehmet Abdussamet Bozkurt
Selin Kapan
Halil Alis
author_sort Süleyman Büyükaşık
collection DOAJ
description Purpose Constipation is a common entity in society with various factors in the etiology. In this study, we evaluated the role of anal sphincter pressure of patients who refer to surgery clinic with complaint of constipation. Methods Sixty patients who refer to surgery clinic with complaint of constipation and were diagnosed with constipation due to Rome III criteria between July 2010 and September 2014. These patients were evaluated with defecography and were divided into 2 groups based on presence of rectocele. Both groups’ anal sphincter pressures were evaluated using anal manometry and findings were compared. Results The patients with rectocele and without rectocele using defecography were inspected with anal manometry regarding resting tone pressure, squeeze pressure, maximum squeeze pressure and simulated defecation response pressure, first sensation volume, urge sensation volume, and maximum tolerable volume. Results were compared and no significant difference was found regarding groups with rectocele and without rectocele (P > 0.05). Conclusion We have proved the hypothesis arguing that increased sphincter pressures do not play a role in the formation of rectocele by inducing an obstruction and the formation of dilation in proximal bowel, and demonstrated that the presence of rectocele is not dependent on an increase in sphincter pressures.
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spelling doaj.art-7911d914ec64426f8bfe2949f3a135cd2022-12-21T21:49:52ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222020-10-0136533033410.3393/ac.2019.09.151706Analyzing the Role of Anal Sphincter Pressure in Rectocele FormationSüleyman Büyükaşık0Mehmet Abdussamet Bozkurt1Selin Kapan2Halil Alis3 General Surgery Department, Istanbul Aydın Univercity, Istanbul, Turkey General Surgery Department, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey General Surgery Department, Istanbul Aydın Univercity, Istanbul, Turkey General Surgery Department, Istanbul Aydın Univercity, Istanbul, TurkeyPurpose Constipation is a common entity in society with various factors in the etiology. In this study, we evaluated the role of anal sphincter pressure of patients who refer to surgery clinic with complaint of constipation. Methods Sixty patients who refer to surgery clinic with complaint of constipation and were diagnosed with constipation due to Rome III criteria between July 2010 and September 2014. These patients were evaluated with defecography and were divided into 2 groups based on presence of rectocele. Both groups’ anal sphincter pressures were evaluated using anal manometry and findings were compared. Results The patients with rectocele and without rectocele using defecography were inspected with anal manometry regarding resting tone pressure, squeeze pressure, maximum squeeze pressure and simulated defecation response pressure, first sensation volume, urge sensation volume, and maximum tolerable volume. Results were compared and no significant difference was found regarding groups with rectocele and without rectocele (P > 0.05). Conclusion We have proved the hypothesis arguing that increased sphincter pressures do not play a role in the formation of rectocele by inducing an obstruction and the formation of dilation in proximal bowel, and demonstrated that the presence of rectocele is not dependent on an increase in sphincter pressures.http://coloproctol.org/upload/pdf/ac-2019-09-15.pdfrectoceleconstipationdefecographyanal manometryanal sphincter pressure
spellingShingle Süleyman Büyükaşık
Mehmet Abdussamet Bozkurt
Selin Kapan
Halil Alis
Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation
Annals of Coloproctology
rectocele
constipation
defecography
anal manometry
anal sphincter pressure
title Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation
title_full Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation
title_fullStr Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation
title_full_unstemmed Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation
title_short Analyzing the Role of Anal Sphincter Pressure in Rectocele Formation
title_sort analyzing the role of anal sphincter pressure in rectocele formation
topic rectocele
constipation
defecography
anal manometry
anal sphincter pressure
url http://coloproctol.org/upload/pdf/ac-2019-09-15.pdf
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AT selinkapan analyzingtheroleofanalsphincterpressureinrectoceleformation
AT halilalis analyzingtheroleofanalsphincterpressureinrectoceleformation