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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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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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  1. 1.

    Iosif S, Henriksson L, Ulmsten U. The frequency of disorders of the lower urinary tract as evaluated by a questionnaire survey. Acta Obster Gynecol Scand 1981; 60:71–76

  2. 2.

    Henriksson L, Andersson KE, Ulmsten U. The urethral pressure profiles in continent and stress incontinent women. Scand J Urol Nephrol 1979; 13:5–10

  3. 3.

    Thomas TM, Egan M, Welgrave A, Meader TN. The prevalence of faecal and double incontinence. Community Med 1984; 3:216–220

  4. 4.

    Fall M, Frankenberg S, Frisén M, Larsson B, Petrén M. 456000 Svenskar kan ha urininkontinens. Endst var fjärde söker hjälp för besvären. Läkardidningen 1985; 82:2054–2056

  5. 5.

    Engberg A, Frank D, Sundström G, Åberg J. Urethral pressure profilometry: a low complaint recording system with perfused catheter. Clin Physiol 1981; 1:313–321

  6. 6.

    Keys A, Fidanza F, Karvonen MJ, Kimura N, Taylor HL. Indices of relative weight and obesity. J Chronic Dis 1972; 25:239–343

  7. 7.

    Godec CJ, Cass AS. Comparison of pressure measurements in the lower urinary and lower fecal pathways. J Urol 1980; 123:58–60

  8. 8.

    Warrel DW. Incontinence of urine in women. Nursing Times 1975; 1470–1473

  9. 9.

    Williams DI, Chrisholm GD. Scientific foundations of urology, vol II. London: Heinemann Medical, 1976; 96–97

  10. 10.

    Loening-Bancke V, Anuras S. Effects of age and sex on anal manometry. Am J Gastroenterol 1985; 80:50–53

  11. 11.

    Pedersen IK, Christiansen J. A Study of the physiological variation in anal manometry. Br J Surg 1989; 76:69–71

  12. 12.

    Haadem K, Dahlström JA, Ling L, Ohrlander S. Anal sphincter function after delivery rupture. Obstet Gynecol 1987; 70:53–56

  13. 13.

    Browning GGP, Motson RW. Results of Parks operation for the faecal incontinence after anal sphincter injury. Br Med J 1983; 286:1873–1875

  14. 14.

    Snooks SJ, Swash M. Abnormalities of the innervation of the urethral striated sphincter musculature in incontinence. Br J Urol 1984; 56:401–405

  15. 15.

    Keighley MRB, Henry MM, Bartolo DCC, Mortensen NJM. Anorectal physiology measurement. Report of a working party. Br J Surg 1989; 76:356–357

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