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.