ANORECTAL MANOMETRY STANDARD OF A BRAZILIAN POPULATION AT PRODUCTIVE AGE WITHOUT PELVIC FLOOR DISORDERS: A PROSPECTIVE VOLUNTEERED STUDY

ABSTRACT Background: Due to the lack of normal standards of anorectal manometry in Brazil, data used are subject to normality patterns described at different nationalities. Aim: To determine the values and range of the parameters evaluated at anorectal manometry in people, at productive age, witho...

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Main Authors: Rodrigo Ambar PINTO, Isaac José Felippe CORREA-NETO, Leonardo Alfonso BUSTAMANTE-LOPEZ, Caio Sergio R. NAHAS, Carlos Frederico S. MARQUES, Carlos Walter SOBRADO-JUNIOR, Ivan CECCONELLO, Sergio Carlos NAHAS
Format: Article
Language:English
Published: Colégio Brasileiro de Cirurgia Digestiva 2021-06-01
Series:ABCD: Arquivos Brasileiros de Cirurgia Digestiva
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000100314&tlng=pt
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author Rodrigo Ambar PINTO
Isaac José Felippe CORREA-NETO
Leonardo Alfonso BUSTAMANTE-LOPEZ
Caio Sergio R. NAHAS
Carlos Frederico S. MARQUES
Carlos Walter SOBRADO-JUNIOR
Ivan CECCONELLO
Sergio Carlos NAHAS
author_facet Rodrigo Ambar PINTO
Isaac José Felippe CORREA-NETO
Leonardo Alfonso BUSTAMANTE-LOPEZ
Caio Sergio R. NAHAS
Carlos Frederico S. MARQUES
Carlos Walter SOBRADO-JUNIOR
Ivan CECCONELLO
Sergio Carlos NAHAS
author_sort Rodrigo Ambar PINTO
collection DOAJ
description ABSTRACT Background: Due to the lack of normal standards of anorectal manometry in Brazil, data used are subject to normality patterns described at different nationalities. Aim: To determine the values and range of the parameters evaluated at anorectal manometry in people, at productive age, without pelvic floor disorders comparing the parameters obtained between male and female. Methods: Prospective analysis of clinical data, such as gender, age, race, body mass index (BMI) and anorectal manometry, of volunteers from a Brazilian university reference in pelvic floor disorders. Results: Forty patients were included, with a mean age of 45.5 years in males and 37.2 females (p=0.43). According to male and female, respectively in mmHg, resting pressures were similar (78.28 vs. 63.51, p=0.40); squeeze pressures (153.89 vs. 79.78, p=0.007) and total squeeze pressures (231.27 vs. 145.63, p=0.002). Men presented significantly higher values of anorectal squeeze pressures, as well as the average length of the functional anal canal (2.85 cm in male vs. 2.45 cm in female, p=0.003). Conclusions: Normal sphincter pressure levels in Brazilians differ from those used until now as normal literature standards. Male gender has higher external anal sphincter tonus as compared to female, in addition a greater extension of the functional anal canal
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spelling doaj.art-b95f3b14667749bab1b83291a4c1451d2022-12-21T19:28:49ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202021-06-0134110.1590/0102-672020210001e1580ANORECTAL MANOMETRY STANDARD OF A BRAZILIAN POPULATION AT PRODUCTIVE AGE WITHOUT PELVIC FLOOR DISORDERS: A PROSPECTIVE VOLUNTEERED STUDYRodrigo Ambar PINTOhttps://orcid.org/0000-0002-6194-0288Isaac José Felippe CORREA-NETOhttps://orcid.org/0000-0003-3756-0135Leonardo Alfonso BUSTAMANTE-LOPEZhttps://orcid.org/0000-0002-3159-5858Caio Sergio R. NAHAShttps://orcid.org/0000-0001-8036-512XCarlos Frederico S. MARQUEShttps://orcid.org/0000-0003-4293-6301Carlos Walter SOBRADO-JUNIORhttps://orcid.org/0000-0003-2813-4193Ivan CECCONELLOhttps://orcid.org/0000-0002-3535-4170Sergio Carlos NAHAShttps://orcid.org/0000-0002-2268-4146ABSTRACT Background: Due to the lack of normal standards of anorectal manometry in Brazil, data used are subject to normality patterns described at different nationalities. Aim: To determine the values and range of the parameters evaluated at anorectal manometry in people, at productive age, without pelvic floor disorders comparing the parameters obtained between male and female. Methods: Prospective analysis of clinical data, such as gender, age, race, body mass index (BMI) and anorectal manometry, of volunteers from a Brazilian university reference in pelvic floor disorders. Results: Forty patients were included, with a mean age of 45.5 years in males and 37.2 females (p=0.43). According to male and female, respectively in mmHg, resting pressures were similar (78.28 vs. 63.51, p=0.40); squeeze pressures (153.89 vs. 79.78, p=0.007) and total squeeze pressures (231.27 vs. 145.63, p=0.002). Men presented significantly higher values of anorectal squeeze pressures, as well as the average length of the functional anal canal (2.85 cm in male vs. 2.45 cm in female, p=0.003). Conclusions: Normal sphincter pressure levels in Brazilians differ from those used until now as normal literature standards. Male gender has higher external anal sphincter tonus as compared to female, in addition a greater extension of the functional anal canalhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000100314&tlng=ptManometryAnal canalEvaluation studyPelvic floor
spellingShingle Rodrigo Ambar PINTO
Isaac José Felippe CORREA-NETO
Leonardo Alfonso BUSTAMANTE-LOPEZ
Caio Sergio R. NAHAS
Carlos Frederico S. MARQUES
Carlos Walter SOBRADO-JUNIOR
Ivan CECCONELLO
Sergio Carlos NAHAS
ANORECTAL MANOMETRY STANDARD OF A BRAZILIAN POPULATION AT PRODUCTIVE AGE WITHOUT PELVIC FLOOR DISORDERS: A PROSPECTIVE VOLUNTEERED STUDY
ABCD: Arquivos Brasileiros de Cirurgia Digestiva
Manometry
Anal canal
Evaluation study
Pelvic floor
title ANORECTAL MANOMETRY STANDARD OF A BRAZILIAN POPULATION AT PRODUCTIVE AGE WITHOUT PELVIC FLOOR DISORDERS: A PROSPECTIVE VOLUNTEERED STUDY
title_full ANORECTAL MANOMETRY STANDARD OF A BRAZILIAN POPULATION AT PRODUCTIVE AGE WITHOUT PELVIC FLOOR DISORDERS: A PROSPECTIVE VOLUNTEERED STUDY
title_fullStr ANORECTAL MANOMETRY STANDARD OF A BRAZILIAN POPULATION AT PRODUCTIVE AGE WITHOUT PELVIC FLOOR DISORDERS: A PROSPECTIVE VOLUNTEERED STUDY
title_full_unstemmed ANORECTAL MANOMETRY STANDARD OF A BRAZILIAN POPULATION AT PRODUCTIVE AGE WITHOUT PELVIC FLOOR DISORDERS: A PROSPECTIVE VOLUNTEERED STUDY
title_short ANORECTAL MANOMETRY STANDARD OF A BRAZILIAN POPULATION AT PRODUCTIVE AGE WITHOUT PELVIC FLOOR DISORDERS: A PROSPECTIVE VOLUNTEERED STUDY
title_sort anorectal manometry standard of a brazilian population at productive age without pelvic floor disorders a prospective volunteered study
topic Manometry
Anal canal
Evaluation study
Pelvic floor
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202021000100314&tlng=pt
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