Профилактика диспареунии при трансвагинальной коррекции ректоцеле
Assessment of the reflex function of the rectum according to Poligraf ID data by observation period
n=50; P- the reliability of differences in indicators before surgery and 1 year after surgery in the main group; P٭ - the reliability of differences in indicators after 1 year and 3 years after surgery in the main group; P٭٭– reliability of differences in indicators before surgery and 1 year after surgery in the control group; P٭٭٭- the reliability of differences in indicators after 1 year and 3 years after surgery in the control group; P is calculated based on the Newman-Keil’s criterion
The main indicators of reflex function | Main group | Control group |
Validity of differences | ||||
Before surgery | 1 year after surgery | 3 year after surgery | Before surgery | 1 year after surgery | 3 year after surgery | ||
Sensitivity threshold (in healthy volunteers 18.7 ±5.1 ml)
| 33.9±0.9 | 20.9±0.6 | 21.8±0.8 | 33.2±0.9 | 22.1±0,6 | 23.2±0.8 | Р =0.000 P*=0.370 Р**=0.000 Р***=0.274 |
The volume causing the urge to defecate (in healthy volunteers 72.6 ± 0.9 g/sec)
| 84.1±5.2 | 76.2±1.8 | 77.9±2.1 | 85.2±4.1 | 75.9±2.6 | 76.9±2.8 | Р =0.154 P*=0.540 Р**=0.538 Р***=0.794
|
The amplitude of the rectoanal inhibitory reflex (in healthy volunteers 32.5±2.8 mm Hg)
| 47.8±5.9
| 36.9±4.9
| 37.3±5.2
| 48.5±5,7
| 36.9±4.9
| 36.8±5.1
| Р =0.158 P*=0.955 Р**=0.162 Р***=0.988
|
Duration of rectoanal inhibitory reflex (in healthy volunteers 15.6 ±1.7 sec | 26.9±4.3 | 17.9±3.9
| 18.3±4.1 | 27.4±3.5 | 16.3±3.2 | 17.1±3.8 | Р =0.124 P*=0.943 Р**=0.021 Р***=0.872 |