Skip to main content

Advertisement

Log in

Puborectalis and external anal sphincter paralysis with preservation of fecal continence

Report of a case

  • Case Report
  • Published:
Diseases of the Colon & Rectum

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hardcastle JD, Parks AG. A study of anal incontinence and some principles of surgical treatment. Proc R Soc Med 1970;63 (suppl):116–8.

    PubMed  Google Scholar 

  2. Milligan ET, Morgan CN. Surgical anatomy of the anal canal with special reference to anorectal fistulae. Lancet 1934:2:1150–6.

    Article  Google Scholar 

  3. 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.

    Google Scholar 

  4. Parks AG, Porter NH, Hardcastle JD. The syndrome of the descending perineum. Proc R Soc Med 1966;59:477–82.

    PubMed  CAS  Google Scholar 

  5. 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.

    PubMed  CAS  Google Scholar 

  6. Swash M, Snooks SJ, Chalmers DH. Parity as a factor in incontinence in multiple sclerosis. Arch Neurol 1987;44:504–9.

    PubMed  CAS  Google Scholar 

  7. 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.

    Article  PubMed  CAS  Google Scholar 

  8. Goligher JC, Hughes ES. Sensibilityof the rectum and colon: its role in the mechanism of anal continence. Lancet 1951;1:543–8.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02552277

Key words

Navigation