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Published in: International Journal of Colorectal Disease 11/2014

01-11-2014 | Original Article

Anorectal manometric parameters are influenced by gender and age in subjects with normal bowel function

Authors: Hyang Ran Lee, Seok-Byung Lim, Jeong Yun Park

Published in: International Journal of Colorectal Disease | Issue 11/2014

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Abstract

Purpose

Anorectal manometry provides objective information about anorectal function, but its results depend on the examiner’s skill, the type of equipment, and subject characteristics like age or gender. This single institution, prospective study was performed to investigate the effect of gender and age on the results of anorectal manometry.

Methods

All included subjects completed a questionnaire to assess their bowel function. The survey included 13 validated questions (eight on constipation and five on incontinence) and was used to exclude subjects with pathological constipation or incontinence. Subjects with normal bowel function underwent anorectal manometry to measure anal sphincter length (ASL), maximum resting pressure (MRP), and maximum squeeze pressure (MSP), and the results were compared by gender and age.

Results

The mean age of the 154 participants (94 male and 60 female) was 59.1 years. ASL was greater in men (4.23 vs. 3.85 cm, p < 0.001). MRP was not significantly different according to gender (p = 0.93), but MSP was higher in men (190.18 vs. 116.49 mmHg, p < 0.001). ASL did not correlate with age (p = 0.707). MRP was inversely related to age in both men (R 2 = 0.152, p < 0.001) and women (R 2 = 0.282, p < 0.001), and MSP only in women (R 2 = 0.210, p < 0.001).

Conclusions

Anorectal manometric parameters are influenced by gender and age. This should be taken into consideration when interpreting manometric readings in a clinical setting.
Literature
1.
go back to reference Jorge JM, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36(1):77–97PubMedCrossRef Jorge JM, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36(1):77–97PubMedCrossRef
3.
go back to reference Jorge JM, Wexner SD (1993) Anorectal manometry: techniques and clinical applications. Southern Med J 86(8):924–931PubMedCrossRef Jorge JM, Wexner SD (1993) Anorectal manometry: techniques and clinical applications. Southern Med J 86(8):924–931PubMedCrossRef
4.
go back to reference Rao SS (2004) Diagnosis and management of fecal incontinence. American College of Gastroenterology Practice Parameters Committee. Am J Gastroenterol 99(8):1585–1604PubMedCrossRef Rao SS (2004) Diagnosis and management of fecal incontinence. American College of Gastroenterology Practice Parameters Committee. Am J Gastroenterol 99(8):1585–1604PubMedCrossRef
5.
go back to reference Seong MK, Kim KY, Yoo TB (2009) Evaluation of anal continence function by advanced anal manometric parameters. J Korean Soc Coloproctol 25(1):20–25CrossRef Seong MK, Kim KY, Yoo TB (2009) Evaluation of anal continence function by advanced anal manometric parameters. J Korean Soc Coloproctol 25(1):20–25CrossRef
6.
go back to reference Li Y, Yang X, Xu C, Zhang Y, Zhang X (2013) Normal values and pressure morphology for three-dimensional high-resolution anorectal manometry of asymptomatic adults: a study in 110 subjects. Int J Colorectal Dis 28(8):1161–1168. doi:10.1007/s00384-013-1706-9 PubMedCrossRef Li Y, Yang X, Xu C, Zhang Y, Zhang X (2013) Normal values and pressure morphology for three-dimensional high-resolution anorectal manometry of asymptomatic adults: a study in 110 subjects. Int J Colorectal Dis 28(8):1161–1168. doi:10.​1007/​s00384-013-1706-9 PubMedCrossRef
7.
go back to reference Jones MP, Post J, Crowell MD (2007) High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry. Am J Gastroenterol 102(4):850–855PubMedCrossRef Jones MP, Post J, Crowell MD (2007) High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry. Am J Gastroenterol 102(4):850–855PubMedCrossRef
9.
10.
go back to reference Cali RL, Blatchford GJ, Perry RE, Pitsch RM, Thorson AG, Christensen MA (1992) Normal variation in anorectal manometry. Dis Colon Rectum 35(12):1161–1164PubMedCrossRef Cali RL, Blatchford GJ, Perry RE, Pitsch RM, Thorson AG, Christensen MA (1992) Normal variation in anorectal manometry. Dis Colon Rectum 35(12):1161–1164PubMedCrossRef
11.
go back to reference Chaliha C, Sultan AH, Emmanuel AV (2007) Normal ranges for anorectal manometry and sensation in women of reproductive age. Colorectal Dis 9(9):839–844PubMedCrossRef Chaliha C, Sultan AH, Emmanuel AV (2007) Normal ranges for anorectal manometry and sensation in women of reproductive age. Colorectal Dis 9(9):839–844PubMedCrossRef
12.
go back to reference Agachan F, Chen T, Pfeifer J, Reissman P, Wexner SD (1996) A constipation scoring system to simplify evaluation and management of constipated patients. Dis Colon Rectum 39(6):681–685PubMedCrossRef Agachan F, Chen T, Pfeifer J, Reissman P, Wexner SD (1996) A constipation scoring system to simplify evaluation and management of constipated patients. Dis Colon Rectum 39(6):681–685PubMedCrossRef
13.
go back to reference Park YT (1999) Anorectal manometry. Korean J Neurogastroenterol Motil 5:215–226 Park YT (1999) Anorectal manometry. Korean J Neurogastroenterol Motil 5:215–226
14.
go back to reference Diamant NE, Kamm MA, Wald A, Whitehead WE (1999) AGA technical review on anorectal testing techniques. Gastroenterology 116(3):735–760PubMedCrossRef Diamant NE, Kamm MA, Wald A, Whitehead WE (1999) AGA technical review on anorectal testing techniques. Gastroenterology 116(3):735–760PubMedCrossRef
15.
go back to reference Azpiroz F, Enck P, Whitehead WE (2002) Anorectal functional testing: review of collective experience. Am J Gastroenterol 97(2):232–240PubMed Azpiroz F, Enck P, Whitehead WE (2002) Anorectal functional testing: review of collective experience. Am J Gastroenterol 97(2):232–240PubMed
17.
go back to reference Gearhart S, Hull T, Floruta C, Schroeder T, Hammel J (2005) Anal manometric parameters: predictors of outcome following anal sphincter repair? J Gastrointest Surg 9(1):115–120PubMedCrossRef Gearhart S, Hull T, Floruta C, Schroeder T, Hammel J (2005) Anal manometric parameters: predictors of outcome following anal sphincter repair? J Gastrointest Surg 9(1):115–120PubMedCrossRef
18.
go back to reference Seong M-K, Park U-C, Jung S-I (2011) Determinant of anal resting pressure gradient in association with continence function. J Neurogastroenterol Motil 17(3):300–304PubMedCrossRefPubMedCentral Seong M-K, Park U-C, Jung S-I (2011) Determinant of anal resting pressure gradient in association with continence function. J Neurogastroenterol Motil 17(3):300–304PubMedCrossRefPubMedCentral
20.
go back to reference Kritasampan P, Lohsiriwat S, Leelakusolvong S (2004) Manometric tests of anorectal function in healthy adult Thai subjects. J Med Assoc Thailand (Chotmaihet thangphaet) 87(5):536–542 Kritasampan P, Lohsiriwat S, Leelakusolvong S (2004) Manometric tests of anorectal function in healthy adult Thai subjects. J Med Assoc Thailand (Chotmaihet thangphaet) 87(5):536–542
21.
go back to reference Heo SC, Kang S-B, Park K-J, Park J-G (2009) Effects of age and sex on anorectal manometry. J Korean Soc Coloproctol 25(5):285–293CrossRef Heo SC, Kang S-B, Park K-J, Park J-G (2009) Effects of age and sex on anorectal manometry. J Korean Soc Coloproctol 25(5):285–293CrossRef
22.
go back to reference Corsetti MPS, Barzaghi F, Limido E et al (2010) Anorectal manometry with water-perfused catheter in healthy adults with no functional bowel disorders. Colorectal Dis 12(3):220–225CrossRef Corsetti MPS, Barzaghi F, Limido E et al (2010) Anorectal manometry with water-perfused catheter in healthy adults with no functional bowel disorders. Colorectal Dis 12(3):220–225CrossRef
23.
go back to reference Zetterstrom J, Mellgren A, Jensen LL et al (1999) Effect of delivery on anal sphincter morphology and function. Dis Colon Rectum 42(10):1253–1260PubMedCrossRef Zetterstrom J, Mellgren A, Jensen LL et al (1999) Effect of delivery on anal sphincter morphology and function. Dis Colon Rectum 42(10):1253–1260PubMedCrossRef
24.
go back to reference Chaliha C, Sultan AH, Bland JM, Monga AK, Stanton SL (2001) Anal function: effect of pregnancy and delivery. Am J Obstet Gynecol 185(2):427–432PubMedCrossRef Chaliha C, Sultan AH, Bland JM, Monga AK, Stanton SL (2001) Anal function: effect of pregnancy and delivery. Am J Obstet Gynecol 185(2):427–432PubMedCrossRef
25.
go back to reference Speakman CT, Hoyle CH, Kamm MA et al (1995) Abnormal internal anal sphincter fibrosis and elasticity in fecal incontinence. Dis Colon Rectum 38(4):407–410PubMedCrossRef Speakman CT, Hoyle CH, Kamm MA et al (1995) Abnormal internal anal sphincter fibrosis and elasticity in fecal incontinence. Dis Colon Rectum 38(4):407–410PubMedCrossRef
26.
go back to reference Gundling F, Seidl H, Scalercio N, Schmidt T, Schepp W, Pehl C (2010) Influence of gender and age on anorectal function: normal values from anorectal manometry in a large Caucasian population. Digestion 81(4):207–213PubMedCrossRef Gundling F, Seidl H, Scalercio N, Schmidt T, Schepp W, Pehl C (2010) Influence of gender and age on anorectal function: normal values from anorectal manometry in a large Caucasian population. Digestion 81(4):207–213PubMedCrossRef
28.
go back to reference Storer TW, Woodhouse L, Magliano L et al (2008) Changes in muscle mass, muscle strength, and power but not physical function are related to testosterone dose in healthy older men. J Am Geriatr Soc 56(11):1991–1999PubMedCrossRefPubMedCentral Storer TW, Woodhouse L, Magliano L et al (2008) Changes in muscle mass, muscle strength, and power but not physical function are related to testosterone dose in healthy older men. J Am Geriatr Soc 56(11):1991–1999PubMedCrossRefPubMedCentral
29.
go back to reference Snooks SJ, Henry MM, Swash M (1985) Faecal incontinence due to external anal sphincter division in childbirth is associated with damage to the innervation of the pelvic floor musculature: a double pathology. Br J Obstet Gynaecol 92(8):824–828PubMedCrossRef Snooks SJ, Henry MM, Swash M (1985) Faecal incontinence due to external anal sphincter division in childbirth is associated with damage to the innervation of the pelvic floor musculature: a double pathology. Br J Obstet Gynaecol 92(8):824–828PubMedCrossRef
Metadata
Title
Anorectal manometric parameters are influenced by gender and age in subjects with normal bowel function
Authors
Hyang Ran Lee
Seok-Byung Lim
Jeong Yun Park
Publication date
01-11-2014
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Colorectal Disease / Issue 11/2014
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-014-1961-4

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