Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Are pelvic floor movements abnormal in disordered defecation?

M Pinho1, K Yoshioka, M R Keighley

  • 1Department of Surgery, Queen Elizabeth Hospital, Birmingham, United Kingdom.

Diseases of the Colon and Rectum
|December 1, 1991
PubMed
Summary

Neuropathic fecal incontinence is linked to a flaccid, noncontractile pelvic floor, unlike constipation. This suggests a progressive neuropathy affecting pelvic floor function.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Hypervariable region sequence in cryoglobulin-associated hepatitis C virus in sera of patients with chronic hepatitis C: relationship to antibody response against hypervariable region genome.

Hepatology (Baltimore, Md.)·1996
Same author

Sequence analysis of hypervariable region of hepatitis C virus (HCV) associated with immune complex in patients with chronic HCV infection.

The Journal of infectious diseases·1996
Same author

Absence of alpha 6(IV) collagen in kidney and skin of X-linked Alport syndrome patients.

Pediatric nephrology (Berlin, Germany)·1996
Same author

[A case of acute occlusion of the cervical portion of the right internal carotid artery with successful stepwise vascular dilatation by rescue PTA and deferred PTA].

No shinkei geka. Neurological surgery·1996
Same author

The tumor promoter arsenite stimulates AP-1 activity by inhibiting a JNK phosphatase.

The EMBO journal·1996
Same author

Association of Trp64Arg mutation of the beta 3-adrenergic receptor gene with NIDDM, current and maximal body mass index.

Diabetologia·1996

Area of Science:

  • Physiology
  • Gastroenterology
  • Neurology

Background:

  • Pelvic floor dysfunction is a common cause of fecal incontinence and constipation.
  • Understanding pelvic floor dynamics is crucial for diagnosing and treating these conditions.

Purpose of the Study:

  • To investigate and compare pelvic floor movements in patients with neuropathic fecal incontinence, chronic constipation, and healthy controls.
  • To elucidate the role of pelvic floor muscle function in the pathophysiology of these disorders.

Main Methods:

  • Videoproctography was utilized to assess pelvic floor movements in 126 subjects.
  • The study included 44 patients with neuropathic fecal incontinence, 52 with chronic constipation, and 30 healthy controls.

Main Results:

Related Experiment Videos

  • Incontinent patients exhibited a lower resting pelvic floor position and a more obtuse anorectal angle compared to controls.
  • Neuropathic fecal incontinence patients demonstrated reduced pelvic floor movement during contraction, indicating a flaccid, noncontractile state.
  • Constipated patients showed no significant resting differences from controls, but also had reduced movement during contraction.

Conclusions:

  • The pelvic floor is flaccid and noncontractile in neuropathic fecal incontinence, supporting a progressive neuropathy of the sacral outflow.
  • These specific pelvic floor changes were not observed at rest in constipated patients despite a history of straining.