Pannek J, Haupt G, Sommerfeld H J, Schulze H, Senge T
Department of Urology, Ruhr-University Bochum, Germany.
Scand J Urol Nephrol. 1996 Dec;30(6):457-60. doi: 10.3109/00365599609182323.
To investigate the correlation of urinary and fecal incontinence, 52 patients with urinary incontinence underwent cystometry and rectomanometry. Twenty-five patients suffered from stress, 20 from urge and 7 from overflow urinary incontinence. The rectomanometry showed normal results in 29 patients, 5 presented with a compensated and 18 with a partially compensated sphincter incompetence. Whereas 18 of 20 urge incontinent patients had a normal rectal sphincter function, in contrast 16 of 25 stress incontinent patients suffered from rectal sphincter incompetence. In conclusion, there is a marked correlation between stress urinary incontinence and rectal sphincter incompetence. This supports the general thesis that a weakness of the entire pelvic floor is one of the characteristic features of urinary incontinence.
为研究尿失禁与大便失禁之间的相关性，对52例尿失禁患者进行了膀胱测压和直肠测压。25例为压力性尿失禁，20例为急迫性尿失禁，7例为充溢性尿失禁。直肠测压结果显示，29例患者正常，5例为代偿性括约肌功能不全，18例为部分代偿性括约肌功能不全。20例急迫性尿失禁患者中有18例直肠括约肌功能正常，相比之下，25例压力性尿失禁患者中有16例存在直肠括约肌功能不全。总之，压力性尿失禁与直肠括约肌功能不全之间存在显著相关性。这支持了一个普遍观点，即整个盆底功能薄弱是尿失禁的特征之一。
