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In ten patients there was paradoxical puborectalis muscle activity on straining, but damage to the innervation of the external anal sphincter muscle was correlated with a history of straining, and with excessive perineal descent, rather than with paradoxical puborectalis activity. We suggest that this syndrome does not have a single cause.<\/jats:p>","DOI":"10.1002\/bjs.1800720221","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T02:59:21Z","timestamp":1172890761000},"page":"131-133","source":"Crossref","is-referenced-by-count":76,"title":["Electrophysiological and manometric assessment of the pelvic floor in the solitary rectal ulcer syndrome"],"prefix":"10.1093","volume":"72","author":[{"given":"S J","family":"Snooks","sequence":"first","affiliation":[{"name":"St Mark's Hospital , City Road, London, EC1V 2PS,","place":["UK"]}]},{"given":"R J","family":"Nicholls","sequence":"additional","affiliation":[{"name":"St Mark's Hospital , City Road, London, EC1V 2PS,","place":["UK"]}]},{"given":"M M","family":"Henry","sequence":"additional","affiliation":[{"name":"St Mark's Hospital , City Road, London, EC1V 2PS,","place":["UK"]}]},{"given":"M","family":"Swash","sequence":"additional","affiliation":[{"name":"St Mark's Hospital , City Road, London, EC1V 2PS,","place":["UK"]}]}],"member":"286","published-online":{"date-parts":[[1985,2,1]]},"reference":[{"key":"2024092717233784000_bib1","first-page":"379","article-title":"A physiological study of the pelvic floor in rectal prolapse","volume":"31","author":"Porter","year":"1962","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092717233784000_bib2","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/S0300-5089(21)00249-2","article-title":"The solitary ulcer syndrome of the rectum","volume":"4","author":"Rutter","year":"1975","journal-title":"Clin Gastroenterol"},{"key":"2024092717233784000_bib3","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1136\/gut.18.8.656","article-title":"Sphincter denervation in anorectal incontinence and rectal prolapse","volume":"18","author":"Parks","year":"1977","journal-title":"Gut"},{"key":"2024092717233784000_bib4","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1002\/bjs.1800710817","article-title":"Slowed conduction in the pudendal nerves in idiopathic (neurogenic) faecal incontinence","volume":"71","author":"Kiff","year":"1984","journal-title":"Br J Surg"},{"key":"2024092717233784000_bib5","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/0022-510X(79)90156-4","article-title":"Pathogenesis of ano-rectal incontinence. 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