Influence of age and sex on anal sphincters: manometric evaluation of anorectal continence. 1986

R J Poos, and J Frank, and R Bittner, and H G Beger

To investigate the exact nature of anorectal continence, a manometric evaluation was performed in 88 healthy test persons with a two-balloon catheter. The pressure in the anal canal (PAC) and the rectal ampulla at rest (PAR), the maximum squeeze pressure (PAC max) and pressure rise in the anal canal after dilatation of the rectal ampulla delta PAC) were evaluated separately for men and women, and the test persons were divided into 3 age groups (group I: under 40 years, group II: 40-60 years, group III: over 60 years). PAC showed a statistically significant difference between men and women and a constant decrease with age--statistically significant for men and for women between groups II and III--whereas the statistical significance of the 3 other values had to be restricted to a constant decrease with advance in years. Anorectal continence is characterized by a PAC at rest of over 40 mm Hg, a PAC max reaching at least 80 mm Hg, a pressure gradient between rectal ampulla and anal canal of over 20 mm Hg and a delta PAC of more than 10 mm Hg. These values as well as the differences depending on age and sex should be kept in mind for the evaluation of the continence function.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011312 Pressure A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Pressures
D012007 Rectum The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL. Rectums
D002404 Catheterization Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions. Cannulation,Cannulations,Catheterizations
D003672 Defecation The normal process of elimination of fecal material from the RECTUM. Bowel Function,Bowel Movement,Bowel Functions,Bowel Movements,Defecations
D005242 Fecal Incontinence Failure of voluntary control of the anal sphincters, with involuntary passage of feces and flatus. Bowel Incontinence,Fecal Soiling,Incontinence, Bowel,Incontinence, Fecal,Soilings, Fecal
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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