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Anorectal Manometric and Urodynamic Parameters According to the Spinal Cord Injury Lesion

OBJECTIVE: To assess the correlation between the anorectal function and bladder detrusor function in patients with complete spinal cord injury (SCI) according to the type of lesion. METHODS: Medical records of twenty-eight patients with SCI were included in this study. We compared the anorectal mano...

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Autores principales: Koo, Bon Il, Bang, Tae Sik, Kim, Soo-Yeon, Ko, Sung Hwa, Kim, Wan, Ko, Hyun-Yoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951373/
https://www.ncbi.nlm.nih.gov/pubmed/27446791
http://dx.doi.org/10.5535/arm.2016.40.3.528
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author Koo, Bon Il
Bang, Tae Sik
Kim, Soo-Yeon
Ko, Sung Hwa
Kim, Wan
Ko, Hyun-Yoon
author_facet Koo, Bon Il
Bang, Tae Sik
Kim, Soo-Yeon
Ko, Sung Hwa
Kim, Wan
Ko, Hyun-Yoon
author_sort Koo, Bon Il
collection PubMed
description OBJECTIVE: To assess the correlation between the anorectal function and bladder detrusor function in patients with complete spinal cord injury (SCI) according to the type of lesion. METHODS: Medical records of twenty-eight patients with SCI were included in this study. We compared the anorectal manometric and urodynamic (UD) parameters in total subjects. We analyzed the anorectal manometric and UD parameters between the two groups: upper motor neuron (UMN) lesion and lower motor neuron (LMN) lesion. In addition, we reclassified the total subjects into two groups according to the bladder detrusor function: overactive and non-overactive. RESULTS: In the group with LMN lesion, the mean value of maximal anal squeeze pressure (MSP) was slightly higher than that in the group with UMN lesion, and the ratio of MSP to maximal anal resting pressure (MRP) was statistically significant different between the two groups. In addition, although the mean value of MSP was slightly higher in the group with non-overactive detrusor function, there was no statistical correlation of anorectal manometric parameters between the groups with overactive and non-overactive detrusor function. CONCLUSION: The MSP and the ratio of MSP to MRP were higher in the group with LMN lesion. In this study, we could not identify the correlation between bladder and bowel function in total subjects. We conclude that the results of UD study alone cannot predict the outcome of anorectal manometry in patients with SCI. Therefore, it is recommended to perform assessment of anorectal function with anorectal manometry in patients with SCI.
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spelling pubmed-49513732016-07-21 Anorectal Manometric and Urodynamic Parameters According to the Spinal Cord Injury Lesion Koo, Bon Il Bang, Tae Sik Kim, Soo-Yeon Ko, Sung Hwa Kim, Wan Ko, Hyun-Yoon Ann Rehabil Med Original Article OBJECTIVE: To assess the correlation between the anorectal function and bladder detrusor function in patients with complete spinal cord injury (SCI) according to the type of lesion. METHODS: Medical records of twenty-eight patients with SCI were included in this study. We compared the anorectal manometric and urodynamic (UD) parameters in total subjects. We analyzed the anorectal manometric and UD parameters between the two groups: upper motor neuron (UMN) lesion and lower motor neuron (LMN) lesion. In addition, we reclassified the total subjects into two groups according to the bladder detrusor function: overactive and non-overactive. RESULTS: In the group with LMN lesion, the mean value of maximal anal squeeze pressure (MSP) was slightly higher than that in the group with UMN lesion, and the ratio of MSP to maximal anal resting pressure (MRP) was statistically significant different between the two groups. In addition, although the mean value of MSP was slightly higher in the group with non-overactive detrusor function, there was no statistical correlation of anorectal manometric parameters between the groups with overactive and non-overactive detrusor function. CONCLUSION: The MSP and the ratio of MSP to MRP were higher in the group with LMN lesion. In this study, we could not identify the correlation between bladder and bowel function in total subjects. We conclude that the results of UD study alone cannot predict the outcome of anorectal manometry in patients with SCI. Therefore, it is recommended to perform assessment of anorectal function with anorectal manometry in patients with SCI. Korean Academy of Rehabilitation Medicine 2016-06 2016-06-29 /pmc/articles/PMC4951373/ /pubmed/27446791 http://dx.doi.org/10.5535/arm.2016.40.3.528 Text en Copyright © 2016 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Koo, Bon Il
Bang, Tae Sik
Kim, Soo-Yeon
Ko, Sung Hwa
Kim, Wan
Ko, Hyun-Yoon
Anorectal Manometric and Urodynamic Parameters According to the Spinal Cord Injury Lesion
title Anorectal Manometric and Urodynamic Parameters According to the Spinal Cord Injury Lesion
title_full Anorectal Manometric and Urodynamic Parameters According to the Spinal Cord Injury Lesion
title_fullStr Anorectal Manometric and Urodynamic Parameters According to the Spinal Cord Injury Lesion
title_full_unstemmed Anorectal Manometric and Urodynamic Parameters According to the Spinal Cord Injury Lesion
title_short Anorectal Manometric and Urodynamic Parameters According to the Spinal Cord Injury Lesion
title_sort anorectal manometric and urodynamic parameters according to the spinal cord injury lesion
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4951373/
https://www.ncbi.nlm.nih.gov/pubmed/27446791
http://dx.doi.org/10.5535/arm.2016.40.3.528
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