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. 2023 Jul 30;29(3):370–377. doi: 10.5056/jnm21233

Table 2.

Anorectal Manometry Results According to the London Classification

London classification diagnoses All patients
N = 479
Arab Israeli
n = 87 (18.2%)
Former Soviet Union
n = 76 (15.9%)
Jewish Israeli
n = 316 (66.0%)
P-value
Disorders of rectoanal inhibitory reflex
Rectoanal areflexia 54 (11.3) 6 (6.9) 7 (9.2) 41 (13.0) 0.247
Disorders of anal tone and contractility
Max resting pressure 62.6 ± 28.1 52.2 ± 24.7 65.1 ± 29.4 64.9 ± 28.0
Max squeeze pressure 127.2 ± 65.0 82.2 ± 43.7 146.6 ± 65.3 134.8 ± 64.6
Combined anal hypotension and hypocontractility 113 (23.6) 38 (43.7) 15 (19.7) 60 (19.0) < 0.001
Anal hypotension with normal contractility 36 (7.5) 0 (0.0) 9 (11.8) 27 (8.5) 0.007
Anal normotension with hypocontractility 174 (36.3) 37 (42.5) 20 (26.3) 117 (37.0) 0.090
Disorders of rectoanal coordination (n = 357)
Dyssynergia 238 (66.7) 45 (54.9) 37 (66.7) 156 (69.6) 0.036
Poor propulsion 12 (3.4) 5 (6.1) 2 (3.9) 5 (2.2) 0.353
Poor propulsion and dyssynergia 22 (6.2) 4 (4.9) 2 (3.9) 16 (7.1) 0.628
Disorders of rectal sensation
Rectal hyposensation 197 (41.1) 39 (44.8) 36 (47.4) 122 (38.6) 0.276
Borderline rectal hyposensation 118 (24.6) 17 (19.5) 20 (26.3) 81 (25.6) 0.485
Either rectal hyposensation or borderline hyposensation 315 (65.8) 56 (64.4) 56 (73.7) 203 (64.4) 0.288
Rectal hypersensation 2 (0.4) 0 (0.0) 0 (0.0) 2 (0.6) -
Overall London classification
Normal exam per London classification 22 (4.6) 1 (1.1) 1 (1.3) 20 (6.3) 0.048
High pressure zone
High pressure zone length 2.54 ± 0.82 2.41 ± 0.76 2.49 ± 0.96 2.59 ± 0.80
Short high pressure zone 208 (43.4) 45 (51.7) 35 (46.1) 128 (40.5) 0.157

Data are presented as n (%) or mean ± SD.

P < 0.05 was considered statistically significant.