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An analysis of factors associated with increased perineal descent in women

Title
An analysis of factors associated with increased perineal descent in women
Authors
Chang J.Chung S.S.
Ewha Authors
정순섭
SCOPUS Author ID
정순섭scopus
Issue Date
2012
Journal Title
Journal of the Korean Society of Coloproctology
ISSN
2093-7822JCR Link
Citation
vol. 28, no. 4, pp. 195 - 200
Indexed
SCOPUS scopus
Abstract
Purpose: Treatment of descending perineal syndrome is focused on personal etiology and on improving symptoms. However, the etiology of increased perineal descent (PD) is unclear. Therefore, the aim of the present study was to evaluate factors associated with increased resting and dynamic PD in women. Methods: From January 2004 to August 2010, defecographic findings in 201 female patients were reviewed retrospectively. Patients age, surgical history, manometric results and defecographic findings were compared with resting and dynamic PD. Results: Age (P < 0.01), number of vaginal deliveries (P < 0.01) and resting anorectal angle (P < 0.01) were correlated with increased resting PD. Also, findings of rectoceles (P < 0.05) and intussusceptions (P < 0.05) were significantly correlated with increased resting PD. On the other hand, increased dynamic PD was correlated with age (P < 0.05), resting anal pressure (P < 0.01) and sigmoidoceles (P < 0.05). No significant correlation existed between non-relaxing puborectalis, history of pelvic surgery and increased PD. Also, no significant differences in PD according to the symptoms were observed. Conclusion: Increased number of vaginal deliveries and increased resting rectoanal angle are associated with increased resting PD whereas increased resting anal pressure is correlated with increased dynamic PD. Older age correlates with both resting and dynamic PD. Defecographic findings, such as rectoceles and intussusceptions, are associated with resting PD, and sigmoidoceles correlated with dynamic PD. These results can serve as foundational research for understanding the pathophysiology and causes of increasing PD in women better and for finding a fundamental method of treatment. © 2012 The Korean Society of Coloproctology.
DOI
10.3393/jksc.2012.28.4.195
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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