Evaluation of rectal sensory and motor function by means of the electronic barostat after stapled hemorrhoidopexy

Paola De Nardi, Maura Corsetti, Sandro Passaretti, Simone Squillante, Antonio Gianluca Castellaneta, Carlo Staudacher, Pier Alberto Testoni

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE: Stapled hemorrhoidopexy is designed to replace the hemorrhoids into the anal canal by excising the redundant rectal mucosa above the anorectal ring, thus resulting in an intrarectal suture. Few studies have evaluated rectal function after this procedure. This prospective study was designed to use the electronic barostat to assess whether rectal motor and sensory functions change after stapled hemorrhoidopexy. METHODS: Ten patients (4 women, mean age, 46±9 years) with third-degree and fourth-degree hemorrhoids who underwent stapled hemorrhoidopexy were studied. One week before and six months after surgery, they underwent three different rectal distensions (pressure-controlled stepwise, volume-controlled stepwise, and ramp) controlled by an electronic barostat. RESULTS: Rectal distensibility was significantly lower after surgery during pressure stepwise (P=0.01), during volume stepwise (P=0.006), and during ramp distension (P=0.001). Volume thresholds for desire to defecate, urgency, and discomfort were significantly lower after surgery during all three distensions (P

Original languageEnglish
Pages (from-to)1255-1260
Number of pages6
JournalDiseases of the Colon and Rectum
Volume51
Issue number8
DOIs
Publication statusPublished - Aug 2008

Keywords

  • Barostat
  • Hemorrhoidopexy
  • Rectal distensibility
  • Rectal motor function
  • Rectal sensations

ASJC Scopus subject areas

  • Gastroenterology

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