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. 1984 Nov;25(11):1279–1282. doi: 10.1136/gut.25.11.1279

Evidence of pudendal neuropathy in patients with perineal descent and chronic straining at stool.

E S Kiff, P R Barnes, M Swash
PMCID: PMC1432308  PMID: 6094314

Abstract

In 17 women with chronic constipation, and abnormal perineal descent on straining at stool, there was more severe neurogenic damage to the external anal sphincter muscle and to its pudendal innervation in those patients with a long history than in those with a short history. These results suggest that recurrent trauma to the pudendal nerves can occur during perineal descent, and that this can lead to denervation and weakness of the external anal sphincter muscle.

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Selected References

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

  1. Beersiek F., Parks A. G., Swash M. Pathogenesis of ano-rectal incontinence. A histometric study of the anal sphincter musculature. J Neurol Sci. 1979 Jun;42(1):111–127. doi: 10.1016/0022-510x(79)90156-4. [DOI] [PubMed] [Google Scholar]
  2. 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]
  3. Neill M. E., Parks A. G., Swash M. Physiological studies of the anal sphincter musculature in faecal incontinence and rectal prolapse. Br J Surg. 1981 Aug;68(8):531–536. doi: 10.1002/bjs.1800680804. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. Parks A. G., Porter N. H., Hardcastle J. The syndrome of the descending perineum. Proc R Soc Med. 1966 Jun;59(6):477–482. [PMC free article] [PubMed] [Google Scholar]
  6. Parks A. G., Swash M., Urich H. Sphincter denervation in anorectal incontinence and rectal prolapse. Gut. 1977 Aug;18(8):656–665. doi: 10.1136/gut.18.8.656. [DOI] [PMC free article] [PubMed] [Google Scholar]

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