Title: Abnormalities of the Innervation of the Urethral Striated Sphincter Musculature in Incontinence
Abstract: British Journal of UrologyVolume 56, Issue 4 p. 401-405 Abnormalities of the Innervation of the Urethral Striated Sphincter Musculature in Incontinence S. J. SNOOKS, S. J. SNOOKS Department of Physiology, St Mark's Hospital, City Road, London EClV 2PS.Search for more papers by this authorM. SWASH, M. SWASH Department of Physiology, St Mark's Hospital, City Road, London EClV 2PS.Search for more papers by this author S. J. SNOOKS, S. J. SNOOKS Department of Physiology, St Mark's Hospital, City Road, London EClV 2PS.Search for more papers by this authorM. SWASH, M. SWASH Department of Physiology, St Mark's Hospital, City Road, London EClV 2PS.Search for more papers by this author First published: August 1984 https://doi.org/10.1111/j.1464-410X.1984.tb05830.xCitations: 108AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Summary— Perineal nerve and transcutaneous spinal cord stimulation have been used to study 17 patients with idiopathic neurogenic faecal incontinence, 12 of whom also had urinary incontinence. Significant increases in spinal, perineal and pudendal nerve motor latencies were demonstrated in all 17 patients. These results suggest that there is damage to the nerves innervating both the urethral and perianal sphincter musculature in these patients, including those with isolated faecal incontinence. There was evidence of both a distal (perineal nerve) and a proximal (sacral root) component to the damage to the nerve supply of the urethral striated sphincter muscle in half of the patients. References Brindley, G. S. (1981). Electroejaculation: its technique, neurological implications and uses. Journal of Neurology, Neurosurgery and Psychiatry, 44, 9–18. Gosling, J. A. (1979). The structure of the bladder and urethra in relation to function. Urologic Clinics of North America, 6, 31–38. Henry, M. M., Parks, A. G. and Swash, M. (1982). The pelvic floor musculature in the descending perineum syndrome. British Journal of Surgery, 69, 470–472. Kiff, E. and Swash, M. (1984). Slowed conduction in the pudendal nerves in idiopathic (neurogenic) faecal incontinence. British Journal of Surgery,. Merton, P. A., Morton, H. B., Hill, D. K. and Marsden, C. D. (1982). Scope of a technique for electrical stimulation of human brain, spinal cord and muscle. Lancet, ix, 597–600. Neill, M. E., Parks, A. G. and Swash, M. (1981). Physiological studies of the pelvic floor in idiopathic faecal incontinence and rectal prolapse. British Journal of Surgery, 68, 531–536. Neill, M. E. and Swash, M. (1980). Increased motor unit fibre density in the external anal sphincter muscle in anorectal incontinence: a single fibre EMG study. Journal of Neurology, Neurosurgery and Psychiatry, 43, 343–347. Parks, A. G., Swash, M. and Urich, H. (1977). Sphincter denervation in anorectal incontinence and rectal prolapse. Gut, 18, 656–665. Snooks, S. J. and Swash, M. (1984). Perineal nerve and transcutaneous spinal stimulation: new methods for investigation of the urethral striated sphincter musculature. British Journal of Urology, 56, 407–411. Stalberg, E. and Trontelj, J. V. (1979). Single Fibre Electromyography. Old Woking : Mirvalle Press. Upton, A. R. M. and McComas, A. J. (1973). The double crush in nerve entrapment syndromes. Lancet, 2, 359–362. Citing Literature Volume56, Issue4August 1984Pages 401-405 ReferencesRelatedInformation
Publication Year: 1984
Publication Date: 1984-08-01
Language: en
Type: article
Indexed In: ['crossref', 'pubmed']
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Cited By Count: 128
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