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Anorectal functioning in fecal incontinence.

M L Allen1, W C Orr, M G Robinson

  • 1Presbyterian Hospital, Department of Clinical Physiology, Oklahoma City, Oklahoma 73104.

Digestive Diseases and Sciences
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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Aging weakens anal muscles, potentially causing fecal incontinence. However, improved rectal sensation in continent individuals helps prevent leakage, even with similar muscle strength to incontinent patients.

Area of Science:

  • Gastroenterology
  • Gerontology
  • Physiology

Background:

  • Fecal incontinence is a common issue, particularly in older adults.
  • Anal sphincter muscle strength and rectal sensation are crucial for continence.
  • The aging process's impact on anorectal sensorimotor function requires further investigation.

Purpose of the Study:

  • To compare anal sphincter function and rectal sensation in fecal incontinence patients, continent individuals, and younger controls.
  • To investigate the role of aging in anorectal sensorimotor function.
  • To identify factors contributing to fecal incontinence in older adults.

Main Methods:

  • Manometric testing of external anal sphincter and puborectalis contractions.
  • Assessment of internal and external anal sphincter relaxation.

Related Experiment Videos

  • Rectal distension threshold testing for sensation.
  • Saline retention tests in incontinent and normal subjects.
  • Main Results:

    • Younger controls showed stronger anal sphincter contractions than both patient groups.
    • No significant differences in sphincter relaxation were observed between groups.
    • Incontinent patients had a higher threshold for detecting rectal distension.
    • Incontinent patients retained less rectally infused saline compared to controls.
    • Aging appears to weaken striated anal canal muscles, but continence can be maintained.

    Conclusions:

    • While aging may weaken anal muscles, it doesn't always lead to fecal incontinence.
    • Enhanced rectal sensation in continent individuals aids in preventing incontinence.
    • The afferent limb of the anorectal sensorimotor mechanism remains functional with aging.