Skip to main content
SpringerLink
Log in

Disorders of the Pelvic Floor

  • Chapter
Highlights in Coloproctology

Abstract

Included in this group of diseases are the following: idiopathic (neurogenic) incontinence, rectal prolapse, solitary rectal ulcer syndrome and idiopathic perineal pain. These conditions may be associated with disorders of the levator ani muscle and/or the internal and external sphincter ani muscles.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Parks AG, Porter NH, Hardcastle J (1966) The syndrome of the descending perineum. Proc R Soc Med 59: 477 - 482

    PubMed  CAS  Google Scholar 

  2. Parks AG (1975) Anorectal incontinence. Proc R Soc Med 68: 681 - 690

    PubMed  CAS  Google Scholar 

  3. Bartolo DC, Roe AM, Locke-Edmunds JC, Virjee J, Mortensen NJ (1986) Flap-valve theory of anorectal incontinence. Br J Surg 73: 1012 - 1014

    Article  PubMed  CAS  Google Scholar 

  4. Duthie HL, Bennett RC (1963) The relation of sensation in the anal canal to the functional anal sphincter: a possible factor in anal continence. Gut 4: 179 - 182

    Article  PubMed  CAS  Google Scholar 

  5. Buchmann P, Mogg GAG, Alexander-Williams J, Allan RN, Keighley MRB (1980) Relationship of proctitis and rectal capacity in Crohn’s disease. Gut 21: 137 - 140

    Article  PubMed  CAS  Google Scholar 

  6. Swash M (1983) Pathophysiology of idiopathic (neurogenic) faecal incontinence. Ann R Coll Surg Engl (Suppl) 65: 22 - 23

    Google Scholar 

  7. Read NW, Bartolo DCC, Read MG (1984) Difference in anal function in patients with incontinence to solids and in patients with incontinence to liquids. Br J Surg 71: 39 - 42

    Article  PubMed  CAS  Google Scholar 

  8. Motson RW, McPartlin JF, Browning GGP (1983) Anal sphincter injury. Ann R Coll Surg Engl (Suppl) 65: 33 - 35

    Google Scholar 

  9. Duthie HL (1971) Progress report on anal continence. Gut 12: 844 - 852

    Article  PubMed  CAS  Google Scholar 

  10. Aaranson I, Nixon HH (1972) Clinical evaluation of anorectal pressure studies in the diagnosis of Hirschsprung’s disease. Gut 13: 138 - 146

    Article  Google Scholar 

  11. Henry MM, Parks AG, Swash M (1982) The pelvic floor musculature in the descending perineum syndrome. Br J Surg 69: 470 - 472

    Article  PubMed  CAS  Google Scholar 

  12. Kiff ES, Swash M (1984) Slowed conduction in the pudendal nerves in idiopathic (neurogenic) faecal incontinence. Br J Surg 71: 614 - 616

    Article  PubMed  CAS  Google Scholar 

  13. Neil ME, Swash M (1980) Increased motor unit fibre density in the external anal sphincter muscle in anorectal incontinence: a single fibre EMG study. J Neurol Neurosurg Psychiatry 43: 343 - 347

    Article  Google Scholar 

  14. Mahieu P, Pringot J, Bodard P (1984) Defecography. I. Description of a new procedure and results in normal patients. Gastrointest Radiol 9: 247-251

    Google Scholar 

  15. Law PJ, Kamm MA, Bertram CI (1991) Anal endosonography in the investigation of faecal incontinence. Br J Surg 78: 312 - 314

    Article  PubMed  CAS  Google Scholar 

  16. Karulf RE, Coller JA, Bartolo DCC et al. (1991) Anorectal physiology testing. A survey of availability and use. Dis Colon Rectum 34: 464-468

    Google Scholar 

  17. Hopkinson BR, Lightwood R (1966) Electrical treatment of anal incontinence. Lancet 1: 297 - 298

    Article  PubMed  CAS  Google Scholar 

  18. Engel BT, Nikoomanesh P, Schuster MM (1974) Operant conditioning of rectosphincteric repairs in the treatment of faecal incontinence. N Engl J Med 290: 646 - 649

    Article  PubMed  CAS  Google Scholar 

  19. Parks AG, McPartlin JF (1971) Late repair of injuries of the anal sphincter. Proc R Soc Med 64: 1187 - 1189

    PubMed  CAS  Google Scholar 

  20. Pickrell KL, Broadbent TR, Masters FW, Metzger JT (1952) Construction of a rectal sphincter and restoration of anal continence by transplanting the gracilis muscle. Ann Surg 135: 853 - 862

    Article  PubMed  CAS  Google Scholar 

  21. Williams NS, Patel J, George BD, Hallen RI, Watkins ES (1991) Development of an electrically stimulated neoanal sphincter. Lancet 338: 1166 - 1169

    Article  PubMed  CAS  Google Scholar 

  22. Sun WM, Read NW, Donnelly TC, Bannister JJ, Shorthouse AJ (1989) A common pathophysiology for full thickness rectal prolapse, anterior mucosal prolapse and solitary rectal ulcer. Br J Surg 76: 290 - 295

    Article  PubMed  CAS  Google Scholar 

  23. Stephens FD (1958) Minor surgical conditions of the anus and perineum in paediatrics. Med J Aust 1: 244 - 246

    Google Scholar 

  24. Devadhar DSC (1965) A new concept of mechanism and treatment of rectal procedentia. Dis Colon Rectum 8: 75 - 77

    Article  PubMed  CAS  Google Scholar 

  25. Williams JG, Wong WD, Jensen L, Rothenberger DA, Goldberg SM (1991) Incontinence and rectal prolapse: a prospective manometric study. Dis Colon Rectum 34: 209 - 216

    Article  PubMed  CAS  Google Scholar 

  26. Keighley MRB, Fielding JWL, Alexander-Williams J (1983) Results of Marlex mesh abdominal rectopexy for rectal prolapse in 100 consecutive patients. Br J Surg 70: 229 - 232

    Article  PubMed  CAS  Google Scholar 

  27. Schlinkert RT, Beart RW Jr, Wolff BG, Pemberton JH (1985) Anterior resection for complete rectal prolapse. Dis Colon Rectum 28: 409 - 412

    Article  PubMed  CAS  Google Scholar 

  28. Porter NH (1962) Collective results of operation for rectal prolapse. Proc R Soc Med 55: 1087 - 1091

    PubMed  CAS  Google Scholar 

  29. Goldberg SM, Gordon PH, Nivatvongs S (1980) Essentials of anorectal surgery. Lippincott, Philadelphia

    Google Scholar 

  30. Morgan CN, Wells C (1962) Polyvinyl alcohol sponge prosthesis. Proc R Soc Med 55: 1083 - 1084

    Google Scholar 

  31. Ripstein CB (1965) Surgical care of massive rectal prolapse. Dis Colon Rectum 8: 34 - 38

    Article  PubMed  CAS  Google Scholar 

  32. Uhlig BE, Sullivan ES (1979) The modified Delorme operation: its place in surgical treatment of massive rectal prolapse. Dis Colon Rectum 22: 513 - 514

    Article  PubMed  CAS  Google Scholar 

  33. Madigan MR, Morson BC (1969) Solitary ulcer of the rectum. Gut 10: 71 - 81

    Article  Google Scholar 

  34. Rutter KRP, Riddell RH (1975) The solitary ulcer syndrome of the rectum. Clin Gastroenterol 4: 505 - 530

    PubMed  CAS  Google Scholar 

  35. White CM, Findlay JM, Price JJ (1980) The occult rectal prolapse syndrome. Br J Surg 67: 528 - 530

    Article  PubMed  CAS  Google Scholar 

  36. Du Boulay CEH, Fairbrother J, Issacson PG (1983) Mucosal prolapse syndrome — a unifying concept for solitary ulcer syndrome and related disorders. J Clin Pathol 36: 1264 - 1268

    Article  PubMed  Google Scholar 

  37. Martin CJ, Parks TG, Biggart JD (1981) Solitary rectal ulcer syndrome in Northern Ireland 1971-1980. Br J Surg 68: 744 - 747

    Article  PubMed  CAS  Google Scholar 

  38. Ford W, Anderson JR, Gilmour HM, Holt S, Sircus W, Heading RC (1983) Clinical spectrum of “solitary ulcer” of the rectum. Gastroenterology 84: 1533 - 1540

    PubMed  CAS  Google Scholar 

  39. Thiele GH (1937) Coccygodynia and pain in the superior gluteal region and down the back of the thigh; causation by tonic spasm of the levator ani, coccygeus and piriformis muscles and relief by massage of these muscles. JAMA 109: 1271 - 1275

    Article  Google Scholar 

  40. Sinaki M, Merritt JL, Stillwell GK (1977) Tension myalgia of the pelvic floor. Mayo Clin Proc 52: 717 - 722

    PubMed  CAS  Google Scholar 

  41. Sohn N, Weinstein MA, Robbins RD (1982) The levator syndrome and its treatment with high-voltage electrogalvanic stimulation. Am J Surg 144: 580 - 582

    Article  PubMed  CAS  Google Scholar 

  42. Billingham RP, Isler JT, Friend WG, Hostetler J (1987) Treatment of levator syndrome using high-voltage electrogalvanic stimulation. Dis Colon Rectum 30: 584 - 587

    Article  PubMed  CAS  Google Scholar 

  43. Maroy B (1988) Spontaneous and evoked coccygeal pain in depression. Dis Colon Rectum 31: 210 - 215

    Article  PubMed  CAS  Google Scholar 

  44. Wright JE (1985) Inhaled salbutamol for proctalgia fugax. Lancet ii: 659 - 660

    Google Scholar 

  45. Bouquet J, Moore N, Lhuintre JP, Boismare F (1986) Diltiazem for proctalgia fugax. Lancet i: 1493

    Google Scholar 

  46. Swain R (1987) Oral clonidine for proctalgia fugax. Gut 28: 1039 - 1040

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University Hospital of South Manchester, Nell Lane, West Didsbury, M20 8LR, Manchester, UK

    Philip F. Schofield MD, FRCS (Consultant Surgeon and Honorary Visiting Professor), N. Y. Haboubi MB, ChB, DPath, MRCPath (Consultant Head of Department of Histopathology) & D. F. Martin MB, ChB, MRCP, FRCR (Consultant Radiologist)

Authors
  1. Philip F. Schofield MD, FRCS
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Y. Haboubi MB, ChB, DPath, MRCPath
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. F. Martin MB, ChB, MRCP, FRCR
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag London Limited

About this chapter

Cite this chapter

Schofield, P.F., Haboubi, N.Y., Martin, D.F. (1993). Disorders of the Pelvic Floor. In: Highlights in Coloproctology. Springer, London. https://doi.org/10.1007/978-1-4471-3456-5_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3456-5_18

  • Publisher Name: Springer, London

  • Print ISBN: 978-3-540-19779-9

  • Online ISBN: 978-1-4471-3456-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation