Abstract
A case of poliomyelitis-induced paralysis of the puborectalis and external anal sphincter is described. This demonstrates the effect of an exclusively motor deficit of striated muscles controlling fecal continence. The patient has remained continent of feces for 37 years.
Similar content being viewed by others
References
Hardcastle JD, Parks AG. A study of anal incontinence and some principles of surgical treatment. Proc R Soc Med 1970;63 (suppl):116–8.
Milligan ET, Morgan CN. Surgical anatomy of the anal canal with special reference to anorectal fistulae. Lancet 1934:2:1150–6.
Gosling JA, Dixon JS, Humpherson JR. Functional anatomy of the urinary tract. In: Gross and microscopic anatomy of the urethra II. London: Gower, 1983:17–19.
Parks AG, Porter NH, Hardcastle JD. The syndrome of the descending perineum. Proc R Soc Med 1966;59:477–82.
Andreoli MD, Balloni F, Bigiotti A, et al. Anorectal continence and bladder function: effects of a major sacral resection. Dis Colon Rectum 1986;29:647–52.
Swash M, Snooks SJ, Chalmers DH. Parity as a factor in incontinence in multiple sclerosis. Arch Neurol 1987;44:504–9.
Schiller LR, Ana CA, Schmulen C, Hendler RS, Harford WV, Fordtran JS. pathogenesis of fecal incontinence in diabetes mellitus: evidence for internal anal sphincter dysfunction. N Engl J Med 1982;307:1666–71.
Goligher JC, Hughes ES. Sensibilityof the rectum and colon: its role in the mechanism of anal continence. Lancet 1951;1:543–8.
Author information
Authors and Affiliations
About this article
Cite this article
Wakeman, R., Allen-Mersh, T.G. Puborectalis and external anal sphincter paralysis with preservation of fecal continence. Dis Colon Rectum 32, 980–981 (1989). https://doi.org/10.1007/BF02552277
Issue Date:
DOI: https://doi.org/10.1007/BF02552277