PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 9574298

[Therapy: perineal operation].

H Müller-Lobeck
View original source ↗Export metadata ↓

Abstract

In most cases, the pelvic floor insufficiency is the result of combined traumas, degeneration and functional disorders of the rectum, pelvic floor and the anal canal with a great variety of terms and, therefore, unclear indication of special operative procedures. The internal or complete rectal prolapse may be removed by the Delorme's procedure, without causing damage to the pudendal nerves. The increase in defaecatory control is significant and the complication rate is tolerable. The best outcome will be achieved by suturing of the traumatic dissected sphincter muscles, without neurogenic injury during vaginal delivery in about 80 to 90 percent. Parks' post-anal repair, in addition to the other procedures, may increase the resistance to the egress of rectal contents.

Explore related subjects

Fecal IncontinenceFemaleFollow-Up StudiesHumansMalePelvic FloorPostoperative ComplicationsPuerperal DisordersRectal ProlapseTreatment OutcomeEnglish AbstractJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

H Müller-Lobeck. 1997. [Therapy: perineal operation].. https://pubmed.ncbi.nlm.nih.gov/9574298/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Questionnaires to assess urinary and anal incontinence: review and recommendations.

PURPOSE: We reviewed and provide recommendations about the most scientifically robust and appropriate questionnaires for evaluating symptoms and the quality of life impact of urinary and/or anal incontinence, and vaginal and pelvic floor problems. We also investigated the use of these questionnaires in randomized, controlled trials of treatment strategies. MATERIALS AND METHODS: The Symptom and Quality of Life Committee of the International Consultation on Incontinence performed a systematic review of questionnaires related to urinary and anal incontinence, and vaginal and pelvic floor problems, searching MEDLINE, The Cochrane Library and other electronic databases between 2001 and 2004. RESULTS: A total of 23 robust and relevant questionnaires could be recommended in clinical practice and research. The development of questionnaires to assess anal incontinence, and pelvic floor and vaginal problems has been limited with some promising measures but with none achieving the highest level of rigor. From 2001 to 2004 there were 150 published randomized trials of treatments for incontinence. Increasingly trials of incontinence are using recommended measures (38% of those for urinary incontinence and 22% of those for anal incontinence used the highest quality questionnaires in 2001 to 2004) but none of vaginal and pelvic floor problems used recommended questionnaires. CONCLUSIONS: With increasing acknowledgment of the value of patient based assessment much attention has been given to the development of questionnaires to assess symptoms and quality of life. Sufficient measures are now available for urinary incontinence, and researchers and clinicians are encouraged to use the 18 achieving the highest level of rigor and their validated translations. In contrast, the development of questionnaires for anal incontinence and pelvic/vaginal problems is in its infancy and further study in this area is needed. Randomized trials of treatments for incontinence should use only questionnaires achieving the highest level of scientific rigor.

Fecal Incontinence↗
PubMed2007

Postpartum genitourinary changes.

Genitourinary changes following childbirth and pregnancy are common, and include urinary and anal incontinence, pelvic pain, sexual dysfunction, and pelvic organ prolapse. At present, it is unclear whether or not these changes are a result of the pregnancy itself or the mode of delivery (cesarean section or vaginal birth). In this article, the authors aim to describe genitourinary postpartum pelvic floor changes, and review the literature regarding the impact of pregnancy or childbirth on these changes. Data is needed that compare the effects of pregnancy alone, cesarean delivery (labored and unlabored), and vaginal birth, so that physicians can better advise patients about the postpartum genitourinary tract changes they might expect.

Fecal Incontinence↗