DOES ELECTRICAL-STIMULATION OF THE PELVIC FLOOR ALTER THE PROCTOGRAPHIC PARAMETERS IN FECAL INCONTINENCE

被引：0
作者：
PAPACHRYSOSTOMOU, MC [1 ]
SMITH, AN [1 ]
STEVENSON, AJM [1 ]
机构：
[1] WESTERN GEN HOSP,DEPT SURG,EDINBURGH EH4 2XU,MIDLOTHIAN,SCOTLAND
来源：
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY | 1994年 / 6卷 / 02期
关键词：
STIMULATION; PELVIC FLOOR; PROCTOGRAPHY; INCONTINENCE;
D O I：
10.1097/00042737-199402000-00009
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Objective: To evaluate the effects of electrical stimulation of the pelvic floor on proctographic parameters in patients with faecal incontinence. Design: Patients with faecal incontinence, resistant to medical or surgical management, were randomly selected for anorectal studies. Patients: The study included 24 patients suffering from idiopathic faecal incontinence with anal sphincter weakness and detectable pudendal neuropathy randomly selected for treatment with a pudendo-anal reflex electrical stimulator. Interventions: Manometric studies, electrophysiological tests and X-ray videoproctography were performed before and after chronic intermittent application of a pudendo-anal reflex electrical stimulator over 8 weeks. Main outcome measure: Improvement in the parameters relating to continence control. Results: The intra-anal pressures showed an increase in the cough (P<0.0001), voluntary contraction (P<0.03) and maximum resting (P<0.004) pressures. The functional length of the anal canal was also enhanced (P<0.004). The anorectal angles remained unchanged; however, there was a significant increase in the pelvic floor ascent (P<0.02), with no change in descent. The poststimulator group had fewer patent anal canals (P<0.04). Conclusions: Chronic neuro-stimulation of the pelvic floor can be used to restore continence.
引用
收藏
页码：139 / 144
页数：6
相关论文
共 24 条
  • [11] Papachrysostomou M., Studies in anorectal disorders — faecal incontinence and intractable constipation, Phd Thesis. University of Edinburgh, (1991)
  • [12] Varma J.S., Smith A.N., Reproducibility of the proctometro-gram, Gut, 86, pp. 288-292, (1986)
  • [13] Binnie N.R., Kawimbe B.M., Papachrysostomou M., Clare N., Smith A.N., The importance of the orientation of the electrode plates in recording the external anal sphincter EMG by non-invasive anal plug electrodes, Int J Colored Dis, 6, pp. 5-8, (1991)
  • [14] Parks A.G., Anorectal incontinence, Proc R Soc Med, 68, pp. 681-690, (1975)
  • [15] Schroder H.D., Organisation of the motor neurons innervating the pelvic floor muscles in the male rat, J Comparat Neurol, 192, pp. 567-587, (1980)
  • [16] Schroder H.D., Onufs nucleus X: A morphological study of a human spinal nucleus, Anat Embryol, 162, pp. 443-453, (1981)
  • [17] Snooks S.J., Swash M., Nerve stimulation techniques: Pudendal nerve motor latency, and spinal stimulation, In Colorproctology and the Pelvic Floor — Pathophysiology and Management, pp. 112-124, (1985)
  • [18] Wexner S.D., Marchetti F., Jagelman D.G., The role of sphincteroplasty for fecal incontinence reevaluated: A prospectivephysiologic and functional review, Dis Colon Rectum, 34, pp. 22-30, (1991)
  • [19] Neill M.E., Swash M., Increased motor unit fibre density in the external anal sphincter muscle in anorectal incontinence: A single fibre EMG study, J Neurol Neurosurg Psych, 43, pp. 343-347, (1980)
  • [20] Percy J.P., Neill M.E., Swash M., Parks A.G., Electrophysiological study of motor nerve supply to pelvic floor, Lancet, pp. 16-17, (1981)
123