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Journal of the Royal Society of Medicine logoLink to Journal of the Royal Society of Medicine
. 1993 Mar;86(3):144–147. doi: 10.1177/014107689308600309

Effect of anoreceptive intercourse on anorectal function.

A J Miles 1, T G Allen-Mersh 1, C Wastell 1
PMCID: PMC1293903  PMID: 8459377

Abstract

This study is the first published assessment of the effect of anoreceptive intercourse (ARI) on anal sphincter tone and function. Forty anoreceptive (AR) male homosexuals were compared with 18 age matched non-anoreceptive (non-AR) heterosexual males. Subjects were questioned about ARI, defaecation and faecal incontinence. Anal resting pressure, maximum voluntary squeeze pressure, anal mucosal electrosensitivity, perineal descent and rectal sensation were measured in all subjects. Fourteen of the AR subjects but only one of the non-AR subjects had symptoms of frequent anal incontinence (P < 0.05). There was a significant reduction in both maximum anal resting pressure (P < 0.01) and anal mucosal electrosensitivity (P < 0.05) and a significant difference in the anal resting pressure profile (P = 0.02) in the AR subjects compared with the non-AR subjects. There was a significant reduction in maximum squeeze pressure in AR subjects with anal incontinence compared with either AR subjects without anal incontinence (P < 0.01) or non-AR subjects (P < 0.01). There were no significant differences in stoll consistency, frequency of defaecation, perineal descent or rectal sensation between the groups. ARI is associated with reduced resting pressure in the anal canal and an increased risk of anal incontinence. The risk of incontinence is greatest amongst AR subjects with reduced maximum squeeze pressure.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Agnew J. Some anatomical and physiological aspects of anal sexual practices. J Homosex. 1985 Fall;12(1):75–96. doi: 10.1300/j082v12n01_04. [DOI] [PubMed] [Google Scholar]
  2. Bush R. A., Jr, Owen W. F., Jr Trauma and other noninfectious problems in homosexual men. Med Clin North Am. 1986 May;70(3):549–566. doi: 10.1016/s0025-7125(16)30939-7. [DOI] [PubMed] [Google Scholar]
  3. Catterall R. D. Sexually transmitted diseases of the anus and rectum. Clin Gastroenterol. 1975 Sep;4(3):659–669. [PubMed] [Google Scholar]
  4. Dardick L., Grady K. E. Openness between gay persons and health professionals. Ann Intern Med. 1980 Jul;93(1):115–119. doi: 10.7326/0003-4819-93-1-115. [DOI] [PubMed] [Google Scholar]
  5. Frenckner B., Euler C. V. Influence of pudendal block on the function of the anal sphincters. Gut. 1975 Jun;16(6):482–489. doi: 10.1136/gut.16.6.482. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hancock B. D. Lord's procedure for haemorrhoids: a prospective anal pressure study. Br J Surg. 1981 Oct;68(10):729–730. doi: 10.1002/bjs.1800681017. [DOI] [PubMed] [Google Scholar]
  7. Henry M. M., Parks A. G., Swash M. The pelvic floor musculature in the descending perineum syndrome. Br J Surg. 1982 Aug;69(8):470–472. doi: 10.1002/bjs.1800690813. [DOI] [PubMed] [Google Scholar]
  8. Hobbs C. J., Wynne J. M. Buggery in childhood--a common syndrome of child abuse. Lancet. 1986 Oct 4;2(8510):792–796. doi: 10.1016/s0140-6736(86)90310-7. [DOI] [PubMed] [Google Scholar]
  9. Kazal H. L., Sohn N., Carrasco J. I., Robilotti J. G., Delaney W. E. The gay bowel syndrome: clinico-pathologic correlation in 260 cases. Ann Clin Lab Sci. 1976 Mar-Apr;6(2):184–192. [PubMed] [Google Scholar]
  10. Keighley M. R., Henry M. M., Bartolo D. C., Mortensen N. J. Anorectal physiology measurement: report of a working party. Br J Surg. 1989 Apr;76(4):356–357. doi: 10.1002/bjs.1800760414. [DOI] [PubMed] [Google Scholar]
  11. Khubchandani I. T., Reed J. F. Sequelae of internal sphincterotomy for chronic fissure in ano. Br J Surg. 1989 May;76(5):431–434. doi: 10.1002/bjs.1800760504. [DOI] [PubMed] [Google Scholar]
  12. Kiff E. S., Swash M. Slowed conduction in the pudendal nerves in idiopathic (neurogenic) faecal incontinence. Br J Surg. 1984 Aug;71(8):614–616. doi: 10.1002/bjs.1800710817. [DOI] [PubMed] [Google Scholar]
  13. Neill M. E., Swash M. Increased motor unit fibre density in the external anal sphincter muscle in ano-rectal incontinence: a single fibre EMG study. J Neurol Neurosurg Psychiatry. 1980 Apr;43(4):343–347. doi: 10.1136/jnnp.43.4.343. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Read N. W., Timms J. M. Defecation and the pathophysiology of constipation. Clin Gastroenterol. 1986 Oct;15(4):937–965. [PubMed] [Google Scholar]
  15. Roe A. M., Bartolo D. C., Mortensen N. J. New method for assessment of anal sensation in various anorectal disorders. Br J Surg. 1986 Apr;73(4):310–312. doi: 10.1002/bjs.1800730421. [DOI] [PubMed] [Google Scholar]
  16. Rogers J., Henry M. M., Misiewicz J. J. Combined sensory and motor deficit in primary neuropathic faecal incontinence. Gut. 1988 Jan;29(1):5–9. doi: 10.1136/gut.29.1.5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Rogers J., Henry M. M., Misiewicz J. J. Disposable pudendal nerve stimulator: evaluation of the standard instrument and new device. Gut. 1988 Aug;29(8):1131–1133. doi: 10.1136/gut.29.8.1131. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Rogers J., Levy D. M., Henry M. M., Misiewicz J. J. Pelvic floor neuropathy: a comparative study of diabetes mellitus and idiopathic faecal incontinence. Gut. 1988 Jun;29(6):756–761. doi: 10.1136/gut.29.6.756. [DOI] [PMC free article] [PubMed] [Google Scholar]

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