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Sphincter function in the urethra and the anal canal: A comparison in women with manifest urinary incontinence

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Abstract

Thirty-three women with urinary incontinence — 26 with stress and 7 with urge incontinence — were examined with anal profilometry, a low complaint recording system using a perfusion catheter. No statistical differences were found in anal variables between the two subgroups. Individual urethral and anal pressures were unrelated. A significant relationship (r =0.41) was found between body weight and the reservoir pressures (i.e., bladder and rectal pressures). Seventeen women reported problems with anal incontinence, of whom all but one belonged to the stress incontinent subgroup. Anal pressures were lower in the urinary incontinent group as a whole than in a younger control group (P<0.001). We conclude that women with stress urinary incontinence often have concomitant symptoms of anal incontinence (i.e., double incontinence) and reduced anal pressures.

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Correspondence to Dr K. Haadem.

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Haadem, K., Dahlstrom, J.A., Bengtsson, M. et al. Sphincter function in the urethra and the anal canal: A comparison in women with manifest urinary incontinence. Int Urogynecol J 2, 85–89 (1991). https://doi.org/10.1007/BF00376567

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Keywords

  • Anal incontinence
  • Anal profilometry
  • Anal sphicter muscle
  • Double incontinence
  • Urinary incontinence