Abstract
The location and mobility of pelvic floor in different body positions and their relation to age and gender was assessed in 117 patients (19 men, 98 women, age range 10–77 years) with chronic nonorganic constipation (defined as less than three bowel movements per week for at least three years) by means of defecography. Eleven females (age range 16–69 years), without gastrointestinal symptoms, affected by noninvasive carcinoma of the cervix represented a control group. Pelvic floor location was measured as the distance in centimeters of the anorectal junction from the pubococcygeal line; pelvic floor mobility was measured during squeezing, straining, and defecation assuming the pelvic location at rest as zero reference. Pelvic floor location and mobility did not differ between controls and constipated patients. In both groups pelvic floor location at rest was significantly higher (P=0.001) with patients lying down than sitting up, whereas pelvic floor mobility during squeezing was greater with the patients sitting up than lying down (P=0.003). In both positions, pelvic floor location at rest was significantly lower (P=0.01) in females than in males. Pelvic floor mobility during squeezing was significantly different between gender. Parity and hysterectomy did not appear to affect pelvic floor location. Data emerging from this study indicate that body position is one of the major determinants of the pelvic floor location.
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References
Parks AG, Porter NH, Hardcastle JD: The syndrome of the descending perineum. Proc R Soc Med 59:477–482, 1966
Preston DM, Butler MG, Smith B, Lennard Jones JE: Neuropathology of slow-transit constipation. Gut 24:997A, 1983
Martelli H, Devroede G, Arhan P, Duguay C: Mechanisms of idiopathic constipation: outlet obstruction. Gastroenterology 75:623–631, 1978
Parks AG: Anorectal incontinence. Proc R Soc Med 68:21–30, 1975
Swash M: Pelvic floor outlet and sphincter disorders. Ital J Gastroenterol 20:344–347, 1988
Bartolo DC, Read NW, Jarratt JA, Read MG, Donnelly TC, Johnson AG: Differences in anal sphincter function and clinical presentation in patients with pelvic floor descent. Gastroenterology 85:68–75, 1983
Shorvon PJ, McHugh S, Diamant NE, Somers S: Defecography in normal volunteers: Results and implication. Gut 30:1737–1749, 1989
Preston DM, Lennard Jones JE, Thomas BM: The balloon proctogramme. Br J Surg 71:29–32, 1984
Thouchais JY, Ducrotte P, Weber J, Louvel JP, Martin PA, Benozio M, Denis P: Relationship between results of radiological pelvic floor study and anorectal manometry in patients consulting for constipation. Int J Colorect Dis 3:53–58, 1988
Bartolo DCC, Roe AM, Virjee J, Mortensen NJMcC, Locke-Edmunds JC: An analysis of rectal morphology in obstructed defecation. Int J Colorect Dis 3:17–22, 1988
Brodén B, Snellman B: Procidentia of the rectum studied with cineradiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum 11:330–347, 1968
Mahieu P, Pringot J, Bodart P: Defecography: I. Desciption of a new procedure and results in normal patients. Gastrointest Radiol 9:247–251, 1984
Mahieu P, Pringot J, Bodart P: Defecography: II. Contribution to the diagnosis of defecation disorders. Gastrointest Radiol 9:253–261, 1984
Ekberg O, Nylander G, Fork FT: Defecography. Radiology 155:45–48, 1985
Skomorowska E, Hegedus V: Sex differences in anorectal angle and perineal descent. Gastrointest Radiol 12:353–355, 1987
Skomorowska E, Hegedus V, Christiansen J: Evaluation of perineal descent by defecography. Int J Colorect Dis 3:191–194, 1988
Bartram CI, Turnbull GK, Lennard-Jones JE: Evacuation proctography: An investigation of rectal expulsion in 20 subjects without defecatory disturbances. Gastrointest Radiol 13:72–80, 1988
Turnbull GK, Bartram CI, Lennard-Jones JE: Radiologic studies of rectal evacuation in adults with idiopathic constipation. Dis Colon Rectum 31:190–197, 1988
Goei R, van Engelshoven J, Schouten H, Baeten C, Stassen C: Anorectal function: defecographic measurement in asymptomatic subjects. Radiology 173:137–141, 1989
Hinton JM, Lennard Jones JE, Young AC: A new method for studying gut transit times using radio opaque markers. Gut 10:842–847, 1969
Corazziari E, Bausano G, Torsoli A, Fanucci A, Fraracci L, Capurso L, Montesi A, Pinzello G, Novara V: Italian cooperative study on chronic constipation.In Motility of the Digestive Tract. M Wienbeck (ed). New York, Raven Press, 1982, pp 523–526
Johnson GP, Pemberton JH, Ness J, Samson M, Zinsmeister AR: Transducer manometry and the effect of body position on anal canal pressures. Dis Colon Rectum 33:469–475, 1990
Loening-Baucke V, Anuras S: Effects of age and sex on anorectal manometry. Am J Gastroenterol 80:50–53, 1985
McHugh SM, Diamant NE: Effect of age, gender and parity on anal canal pressuress. Dig Dis Sci 32:726–736, 1987
Wei Ming Sun, Read NW: Anorectal function in normal human subjects: Effect of gender. Int J Colorect Dis 4:188–196, 1989
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Habib, F.I., Corazziari, E., Viscardi, A. et al. Role of body position, gender, and age on pelvic floor location and mobility. Digest Dis Sci 37, 500–505 (1992). https://doi.org/10.1007/BF01307570
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DOI: https://doi.org/10.1007/BF01307570