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E Skomorowska

Publications and source records attributed to E Skomorowska.

6 recordsLinked to original sources
PubMed1988

Evaluation of perineal descent by defaecography.

Perineal descent was studied by defaecography with the patients in the sitting position in 55 healthy volunteers, 21 women with idiopathic faecal incontinence and 8 women with obstructed defaecation. This technique provides data necessary for the evaluation of defaecation disorders, i.e. morphological changes during defaecation as well as the dynamics of the pelvic floor. It was found that the pelvic floor position during rest and during straining is almost the same in women with incontinence and in women with obstructed defaecation. Furthermore patients with normal position of the pelvic floor during rest may exhibit considerable descent during straining while patients with abnormal position of the perineum during rest may show normal descent during straining. This observation may indicate that the first sign of abnormal function may be an increased descent during straining, only later following by descent during rest. The importance of establishing control data is emphasized since differences in defaecographic techniques between different centres may render comparison difficult.

Adult↗
PubMed1987

Persisting incontinence after postanal repair treated by anterior perineoplasty.

Eight patients who failed to achieve continence after postanal repair for idiopathic incontinence were treated by anterior perineoplasty. Six gained satisfactory continence. Failure of the original postanal repair was probably because the anterior part of the pelvic floor had not been sufficiently supported as indicated by defecography pre- and postoperatively. Anterior perineoplasty corrected this defect.

Aged↗
PubMed1987

Sex differences in anorectal angle and perineal descent.

To elucidate whether sex differences have a significant influence on anorectal angle (ARA) and perineal descent (D), female and male asymptomatic volunteers were examined, using cinedefecography. We found ARA generally bigger in male than in female patients. Mean male values resembled those measured in females with anal incompetence. We also found that the spread of normal ARA in male patients was nearly twice that in female patients, suggesting little value of this variable. D, however, is similar in the 2 groups. Our conclusion is that ARA measured in males has no clinical value. D can probably be useful in both male and female patients for preoperative evaluation of corrective surgery.

Adult↗
PubMedDate not supplied

Videodefaecography combined with measurement of the anorectal angle and of perineal descent.

Cineradiographic defaecography combined with measurement of the anorectal angle and descent of the pelvic floor is proposed. The method used in 73 women gave valuable information in 48 patients who complained of anal incompetence, rectal tenesmus, and chronic constipation. In these patients, high and low rectal intussusception, rectocele, and pathologic movement of the pelvic floor were detected. Some of these phenomena could only be diagnosed by the radiologic method here described. Quantitations of the anorectal angle and descent of the pelvic floor placed the group with constipation halfway between normal individuals and those with anal incompetence. The value of this finding is discussed. Recent improvements in anorectal surgery often make videodefaecography decisive for the choice of the optimal operative method. Therefore, videodefaecography together with measurement of the anorectal angle and pelvic floor descent is recommended whenever anorectal surgery for correction of functional disturbances is contemplated.

Adult↗