ArticleAmerican journal of obstetrics and gynecology2010
Fecal incontinence in older women: are levator ani defects a factor?
Article in American journal of obstetrics and gynecology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Systematic Review and Meta-analysis of the Prevalence of Levator Ani Avulsion with Obstetric Anal Sphincter Injury and its Effects on Pelvic Floor Dysfunction.International urogynecology journal · 2024Pooled it
- Management of levator ani avulsion: a systematic review and narrative synthesis.Archives of gynecology and obstetrics · 2023Pooled it
- Diagnosing pubovisceral avulsions: a systematic review of the clinical relevance of a prevalent anatomical defect.International urogynecology journal · 2012Pooled it
- Identifying the Best Way to Manage Labor.Missouri medicineTrial
- The Muscle Cells in Pelvic Floor Dysfunctions: Systematic Review.Muscles (Basel, Switzerland) · 2025Review
- Anal canal coronal-sagittal ratio: a novel parameter for diagnosing pelvic floor injury in 2-dimensional transanal ultrasound.Annals of coloproctology · 2024Article
- Hiatal failure: effects of pregnancy, delivery, and pelvic floor disorders on level III factors.International urogynecology journal · 2023Review
- MRI measurements predict major low anterior resection syndrome in rectal cancer patients.International journal of colorectal disease · 2022Article
- Levator plate descent angle in pelvic floor disorders.Techniques in coloproctology · 2021Article
- Establishing a peripartum perineal trauma clinic: a narrative review.International urogynecology journal · 2021Review
- Perianal ultrasound (PAUS): visualization of sphincter muscles and comparison with digital-rectal examination (DRE) in females.BMC women's health · 2021Article
- Predictive Factors for Recurrence of External Rectal Prolapse after Laparoscopic Ventral Rectopexy.Journal of the anus, rectum and colon · 2021Article
- Age-associated changes in the mechanical properties of human cadaveric pelvic floor muscles.Journal of biomechanics · 2020Article
- Does estrogen deprivation affect pelvic floor muscle contractility?International urogynecology journal · 2020Article
- Does flatus incontinence matter?International urogynecology journal · 2019Article
- Fecal Incontinence Symptoms and Impact in Older Versus Younger Women Seeking Care.Diseases of the colon and rectum · 2019Article
- Age-related alterations in female obturator internus muscle.International urogynecology journal · 2017Article
- Impact of vaginal parity and aging on the architectural design of pelvic floor muscles.American journal of obstetrics and gynecology · 2016Article
- Interrater reliability of assessing levator ani deficiency with 360° 3D endovaginal ultrasound.International urogynecology journal · 2014Article
- 3D pelvic floor ultrasound findings and severity of anal incontinence.International urogynecology journal · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveWe sought to compare pelvic floor structure and function between older women with and without fecal incontinence (FI) and young continent (YC) women. STUDY
designYC (n=9) and older continent (OC) (n=9) women were compared to older women with FI (older incontinent [OI]) (n=8). Patients underwent a pelvic organ prolapse quantification, measurement of levator ani (LA) force at rest and with maximum contraction, and magnetic resonance imaging. Displacement of structures and LA defects were determined on dynamic magnetic resonance imaging.
resultsLA defects were more common in the OI vs the YC (75% vs 11%, P=.01) and OC (22%, P=.14) groups; women with FI were more likely to have LA defects than women without (odds ratio, 14.0, 95% confidence interval, 1.8-106.5). OI women generated 27.0% and 30.1% less force during maximum contraction vs the OC (P=.13) and YC (P=.04) groups. During Kegel, OI absolute structural displacements were smaller than in the OC group (P=.01).
conclusionOI women commonly have LA defects, and cannot augment pelvic floor strength.
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Registered trials
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