Table 9 |
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|
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]. |
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|
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) |
|
|
|
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|
-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 |
|
|
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|
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). |
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|
Beco BMC Surgery 2008 8:13 doi:10.1186/1471-2482-8-13 |
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