Title

Clinical and manometric evaluation of continence after the Bacon two-stage pull-through procedure.

Publication/Presentation Date

4-1-1985

Abstract

Twenty-eight patients who underwent the Bacon pull-through operation were evaluated for continence by clinical and radiologic means. Six patients were available for anal manometry. Eighty-three percent of those patients followed for function did not have the sensation to defecate spontaneously. They had normal functioning of the external sphincter, failure of reflex inhibition of the internal sphincter, and decreased rectal compliance secondary to fibrosis of the presacral space. These factors created a distal high-pressure zone which, when combined with sensory loss due to transection of the levators, rendered the patient continent but without the ability to defecate spontaneously unless an enema was administered.

Volume

28

Issue

4

First Page

232

Last Page

234

ISSN

0012-3706

Disciplines

Medicine and Health Sciences

PubMedID

3979224

Department(s)

Department of Surgery

Document Type

Article

Share

COinS