PURPOSE: The aims of this study were to evaluate several clinical and instrumental parameters in a large number of patients with constipation and incontinence as well as in healthy controls and discuss their potential implications in the functional aspects of these disorders. METHODS: Eighty-four constipated and 38 incontinent patients and 45 healthy controls were submitted to a protocol based on proctologic examination, clinico-physiatric assessment, and instrumental evaluation. RESULTS: Constipated and incontinent patients had significantly worse lumbar lordosis as well as lower rate in the presence of perineal defense reflex than controls. Constipated but not incontinent patients had a lower rate of puborectalis relaxation than controls. Furthermore, worse pubococcygeal tests and a higher rate of muscle synergies presence, either agonist or antagonist, were observed in both constipated and incontinent patients compared to controls. CONCLUSIONS: This study has demonstrated strong correlations between physiatric disorders and the symptoms of constipation and incontinence. Further studies designed to demonstrate a causal relationship between these parameters and the success of a specific treatment of the physiatric disorders on the proctology symptoms are warranted.
PURPOSE: The aims of this study were to evaluate several clinical and instrumental parameters in a large number of patients with constipation and incontinence as well as in healthy controls and discuss their potential implications in the functional aspects of these disorders. METHODS: Eighty-four constipated and 38 incontinentpatients and 45 healthy controls were submitted to a protocol based on proctologic examination, clinico-physiatric assessment, and instrumental evaluation. RESULTS:Constipated and incontinentpatients had significantly worse lumbar lordosis as well as lower rate in the presence of perineal defense reflex than controls. Constipated but not incontinentpatients had a lower rate of puborectalis relaxation than controls. Furthermore, worse pubococcygeal tests and a higher rate of muscle synergies presence, either agonist or antagonist, were observed in both constipated and incontinentpatients compared to controls. CONCLUSIONS: This study has demonstrated strong correlations between physiatric disorders and the symptoms of constipation and incontinence. Further studies designed to demonstrate a causal relationship between these parameters and the success of a specific treatment of the physiatric disorders on the proctology symptoms are warranted.
Authors: Luigi Brusciano; Claudio Gambardella; Bruno Roche; Salvatore Tolone; Roberto Maria Romano; Francesco Tuccillo; Gianmattia Del Genio; Gianmattia Terracciano; Giorgia Gualtieri; Ludovico Docimo Journal: Updates Surg Date: 2020-06-28
Authors: L Brusciano; C Gambardella; S Tolone; G Del Genio; G Terracciano; G Gualtieri; M Schiano di Visconte; L Docimo Journal: Tech Coloproctol Date: 2019-05-07 Impact factor: 3.781
Authors: M V Ortega; Y Kim; K Hung; K James; L Savitt; E Von Bargen; L G Bordeianou; M M Weinstein Journal: Tech Coloproctol Date: 2021-11-24 Impact factor: 3.781
Authors: L Brusciano; P Limongelli; G del Genio; C Di Stazio; G Rossetti; S Sansone; S Tolone; F Lucido; A D'Alessandro; G Docimo; L Docimo Journal: Int J Colorectal Dis Date: 2012-09-15 Impact factor: 2.571
Authors: Luigi Brusciano; Claudio Gambardella; Giorgia Gualtieri; Gianmattia Terracciano; Salvatore Tolone; Michele Schiano di Visconte; Ugo Grossi; Gianmattia Del Genio; Ludovico Docimo Journal: Open Med (Wars) Date: 2020-01-30