{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:26:25Z","timestamp":1790436385346,"version":"4.1.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[1995,9,1]],"date-time":"1995-09-01T00:00:00Z","timestamp":809913600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1995,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A proportion of patients with faecal incontinence experience debilitating urgency of defaecation and urge incontinence. This study prospectively assessed 56 faecally incontinent patients by means of standard interview, physical examination and anorectal physiology. Patients with urge incontinence, when compared with those without urge incontinence, were symptomatically worse, had had more vaginal deliveries and had more bowel actions each day. Physiological tests included anal manometry, anal electrosensitivity, pudendal nerve terminal motor latency and a standard proctometrogram. The only physiological differences between the groups were a reduction in voluntary squeeze pressure (median (interquartile range (i.q.r.)) 43 (26\u201367) versus 67 (45\u2013122) mmHg, P = 0.01) and a smaller percentage change in pressure-volume, an integral of sphincter length and squeeze (median (i.q.r.) 43.5 (0\u2013289) versus 247 (71\u2013455), P = 0.02), in those with urgency. The authors conclude that urge incontinence is associated with impairment of the striated musculature of the anal sphincter complex.<\/jats:p>","DOI":"10.1002\/bjs.1800820910","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T23:00:08Z","timestamp":1172962808000},"page":"1179-1182","source":"Crossref","is-referenced-by-count":55,"title":["Urge incontinence of faeces is a marker of severe external anal sphincter dysfunction"],"prefix":"10.1093","volume":"82","author":[{"given":"A S","family":"Gee","sequence":"first","affiliation":[{"name":"University Department of Surgery , Level 7, Bristol Royal Infirmary, Bristol BS2 8HW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Durdey","sequence":"additional","affiliation":[{"name":"University Department of Surgery , Level 7, Bristol Royal Infirmary, Bristol BS2 8HW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1995,9,1]]},"reference":[{"key":"2024092815593359200_bib1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/BF02050307","article-title":"Etiology and management of fecal incontinence","volume":"36","author":"Jorge","year":"1993","journal-title":"Dis Colon Rectum"},{"key":"2024092815593359200_bib2","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1007\/BF02049310","article-title":"Vectormanometry for differential diagnosis of fecal incontinence","volume":"37","author":"Braun","year":"1994","journal-title":"Dis Colon Rectum"},{"key":"2024092815593359200_bib3","first-page":"263","article-title":"Computerised 3-dimensional vector volume analysis - the role of a new method for assessing anal sphincter competence","volume":"21","author":"Ho","year":"1992","journal-title":"Ann Acad Med Singapore"},{"key":"2024092815593359200_bib4","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1136\/jnnp.47.8.820","article-title":"Normal proximal and delayed distal conduction in the pudendal nerves of patients with idiopathic (neurogenic) faecal incontinence","volume":"47","author":"Kiff","year":"1984","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2024092815593359200_bib5","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/bjs.1800730421","article-title":"New method for assessment of anal sensation in various anorectal disorders","volume":"73","author":"Roe","year":"1986","journal-title":"Br J Surg"},{"key":"2024092815593359200_bib6","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1007\/BF02150739","article-title":"Rectal compliance in the assessment of patients with fecal incontinence","volume":"33","author":"Rasmussen","year":"1990","journal-title":"Dis Colon Rectum"},{"key":"2024092815593359200_bib7","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1002\/bjs.1800760123","article-title":"Air-filled microballoon manometry for use in anorectal physiology","volume":"76","author":"Miller","year":"1989","journal-title":"Br J Surg"},{"key":"2024092815593359200_bib8","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1002\/bjs.1800750116","article-title":"Anorectal sampling: a comparison of normal and incontinent patients","volume":"75","author":"Miller","year":"1988","journal-title":"Br J Surg"},{"key":"2024092815593359200_bib9","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/BF02076194","article-title":"History and examination in the assessment of patients with idiopathic fecal incontinence","volume":"37","author":"Hill","year":"1994","journal-title":"Dis Colon Rectum"},{"key":"2024092815593359200_bib10","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1007\/BF02047871","article-title":"Relationship between clinical symptoms of anal incontinence and the results of anorectal manometry","volume":"35","author":"Delechenaut","year":"1992","journal-title":"Dis Colon Rectum"},{"key":"2024092815593359200_bib11","first-page":"315","article-title":"Perineal rupture following vaginal delivery. Long-term consequences","volume":"67","author":"Mellerup-Sorensen","year":"1988","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2024092815593359200_bib12","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1002\/bjs.1800771213","article-title":"Effect of vaginal delivery on the pelvic floor: a 5-year follow-up","volume":"77","author":"Snooks","year":"1990","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800820910","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/9\/1179\/59417403\/bjs1800820910.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/82\/9\/1179\/59417403\/bjs1800820910.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T15:59:40Z","timestamp":1727539180000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/82\/9\/1179\/6167362"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,9,1]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[1995,9,1]]},"published-print":{"date-parts":[[1995,9,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800820910","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1995,9]]},"published":{"date-parts":[[1995,9,1]]}}}