Table 9

Frequency of the 6 main perineological symptoms and of the 3 signs of pudendal neuropathy according to the perineal descent measured with a Perineocaliper® [19,24].

Perineal descent

Number of cases

Urinary incontinence

Faecal incontinence

Prolapse 2–3

Dysuria

Dyschesia

Dyspareunia

3 signs

(n = 991)

(n = 566)

(n = 41)

(n = 256)

(n = 93)

(n = 261)

(n = 234)

(n = 152/820)


-1

5

80

0

0

40

0

20

0

-0,5

7

42,85

0

42,85

0

14,28

14,28

0

0

227

51,54

1,32

21,58

10,13

24,22

14,53

13,87

0,5

257

50,19

(NS)

3,50

(NS)

20,62

(NS)

6,22

(NS)

15,95

(NS)

17,89

(NS)

17,28

(NS)

1

308

60,06

(p<0.05)

4,54

(p<0.05)

25

(NS)

8,76

(NS)

25,97

(NS)

27,59

(p<0.001)

18,41

(NS)

1,5

76

60,52

(NS)

3,94

(NS)

34,21

(p<0.05)

9,21

(NS)

35,52

(NS)

32,89

(p<0.001)

23,33

(NS)

2

82

75,60

(p<0.001)

12,19

(p<0.001)

43,90

(p<0.001)

13,41

(NS)

48,78

(p<0.001)

36,58

(p<0.001)

27,94

(p<0.01)

2,5

15

66,66

6,66

33,33

20

53,33

46,66

55,55

3

11

81,81

9,09

54,54

27,27

72,72

54,54

44,44

3,5

2

50

0

50

50

50

0

0


The p values were obtained using chi-squared tests; comparison with descent = 0. A perineal descent of 2 cm (compared to a 0 cm descent) leads to a significant increase in the frequency of urinary incontinence, faecal incontinence (solid stools), genital prolapse (grade 2 and more) and dyschesia. The same threshold exists for the 3 clinical signs of pudendal neuropathy (820 cases). For dyspareunia the threshold seems to be at 1 cm and in case of dysuria, the difference is significant between 0.5 cm and 2 cm of descent (p < 0.05).

Beco BMC Surgery 2008 8:13   doi:10.1186/1471-2482-8-13

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