FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4360608669> ?p ?o ?g. }

• W4360608669 abstract "BACKGROUND: Despite the widely accepted association between excessive straining and perineal descent, the clinical significance of perineal descent in patients with obstructed defecation syndrome is still unclear. OBJECTIVE: To evaluate the prevalence of pathological perineal descent in patients with obstructed defecation syndrome and the impact of perineal descent on symptoms severity. DESIGN: This was a prospective multi-center uncontrolled study SETTINGS: The study involved three hospital pelvic-care centers and was conducted from January 2018 to January 2022. PATIENTS: The study included 141 consecutive adult patients with obstructed defecation syndrome-score ≥ 9 and no evidence of organic gastrointestinal pathology. All the patients underwent dynamic pelvic magnetic resonance and, in case of suspected paradoxical puborectalis contraction, anal manometry. MAIN OUTCOME MEASURES: Main outcome measures were the prevalence of excessive perineal descent and the correlation between perineal descent and obstructed defecation syndrome-score. RESULTS: One hundred twenty-eight (90.7%) patients completed magnetic resonance examination and were included in the analysis. Of these, 18 (14.1%) had a physiological perineal descent and 110 (85.9%) an excessive perineal descent. Excessive perineal descent was found in 46.1% (12/26) of patients with magnetic resonance signs of paradoxical puborectalis contraction and in 96% (98/102) of patients with normal puborectalis relaxation. In these last patients, a good correlation between obstructed defecation syndrome-score and maximum perineal descent during straining was found (Spearman r test: 0.68; p < 0.0001). LIMITATIONS: The study was limited by the small sample size and by the strong selection of study population. CONCLUSIONS: The excessive perineal descent is a common finding in patients with obstructed defecation syndrome and high symptoms score, occurring almost constantly in patients without paradoxical puborectalis contraction. In the last patients the maximum perineal descent seems to be well correlated with symptoms severity. See Video Abstract at https://links.lww.com/DCR/C135." @default.
• W4360608669 created "2023-03-24" @default.
• W4360608669 creator A5012983270 @default.
• W4360608669 creator A5015456229 @default.
• W4360608669 creator A5015779064 @default.
• W4360608669 creator A5034538482 @default.
• W4360608669 creator A5040888585 @default.
• W4360608669 creator A5064667938 @default.
• W4360608669 creator A5072870404 @default.
• W4360608669 creator A5091081843 @default.
• W4360608669 date "2023-03-21" @default.
• W4360608669 modified "2023-10-14" @default.
• W4360608669 title "The Relevance of the Excessive Perineal Descent in the Obstructed Defecation Syndrome: A Prospective Study of 141 Patients" @default.
• W4360608669 doi "https://doi.org/10.1097/dcr.0000000000002526" @default.
• W4360608669 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36952567" @default.
• W4360608669 hasPublicationYear "2023" @default.
• W4360608669 type Work @default.
• W4360608669 citedByCount "0" @default.
• W4360608669 crossrefType "journal-article" @default.
• W4360608669 hasAuthorship W4360608669A5012983270 @default.
• W4360608669 hasAuthorship W4360608669A5015456229 @default.
• W4360608669 hasAuthorship W4360608669A5015779064 @default.
• W4360608669 hasAuthorship W4360608669A5034538482 @default.
• W4360608669 hasAuthorship W4360608669A5040888585 @default.
• W4360608669 hasAuthorship W4360608669A5064667938 @default.
• W4360608669 hasAuthorship W4360608669A5072870404 @default.
• W4360608669 hasAuthorship W4360608669A5091081843 @default.
• W4360608669 hasConcept C108797546 @default.
• W4360608669 hasConcept C126322002 @default.
• W4360608669 hasConcept C141071460 @default.
• W4360608669 hasConcept C188816634 @default.
• W4360608669 hasConcept C207886595 @default.
• W4360608669 hasConcept C2780590118 @default.
• W4360608669 hasConcept C2781244320 @default.
• W4360608669 hasConcept C71924100 @default.
• W4360608669 hasConceptScore W4360608669C108797546 @default.
• W4360608669 hasConceptScore W4360608669C126322002 @default.
• W4360608669 hasConceptScore W4360608669C141071460 @default.
• W4360608669 hasConceptScore W4360608669C188816634 @default.
• W4360608669 hasConceptScore W4360608669C207886595 @default.
• W4360608669 hasConceptScore W4360608669C2780590118 @default.
• W4360608669 hasConceptScore W4360608669C2781244320 @default.
• W4360608669 hasConceptScore W4360608669C71924100 @default.
• W4360608669 hasLocation W43606086691 @default.
• W4360608669 hasLocation W43606086692 @default.
• W4360608669 hasOpenAccess W4360608669 @default.
• W4360608669 hasPrimaryLocation W43606086691 @default.
• W4360608669 hasRelatedWork W1597000482 @default.
• W4360608669 hasRelatedWork W1964796535 @default.
• W4360608669 hasRelatedWork W2016765406 @default.
• W4360608669 hasRelatedWork W2025282597 @default.
• W4360608669 hasRelatedWork W2121244597 @default.
• W4360608669 hasRelatedWork W2132693761 @default.
• W4360608669 hasRelatedWork W2138388253 @default.
• W4360608669 hasRelatedWork W2398710360 @default.
• W4360608669 hasRelatedWork W2490726595 @default.
• W4360608669 hasRelatedWork W4236972561 @default.
• W4360608669 hasVolume "Publish Ahead of Print" @default.
• W4360608669 isParatext "false" @default.
• W4360608669 isRetracted "false" @default.
• W4360608669 workType "article" @default.