{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:17:55Z","timestamp":1761675475307},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[1988,11,1]],"date-time":"1988-11-01T00:00:00Z","timestamp":594345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"St. Mark's Hospital Research Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1988,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The relationship between perineal descent and pudendal nerve damage was tested in 57 consecutive patients by measuring the left and right pudendal nerve terminal motor latency (PNTML) before and after a maximal defaecation straining effort. In 13 patients the PNTML was also measured 1 and 4 min later. The difference between the mean PNTML before and after straining (\u0394PNTML) was correlated with the amount of descent (r = 0.40, P&amp;lt;0.005), and with the perineal position during straining (r = \u22120.46, P&amp;lt;0.001). Four minutes after the straining effort the PNTML again approached the resting value in each subject. These findings support the concept that perineal descent causes pudendal nerve damage.<\/jats:p>","DOI":"10.1002\/bjs.1800751115","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:37:32Z","timestamp":1172918252000},"page":"1095-1097","source":"Crossref","is-referenced-by-count":119,"title":["Increase in pudendal nerve terminal motor latency with defaecation straining"],"prefix":"10.1093","volume":"75","author":[{"given":"D Z","family":"Lubowski","sequence":"first","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"]}]},{"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"]}]}],"member":"286","published-online":{"date-parts":[[1988,11,1]]},"reference":[{"key":"2024092719500069100_bib1","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1007\/BF01648831","article-title":"Risk factors in childbirth causing damage to the pelvic floor innervation","volume":"1","author":"Snooks","year":"1986","journal-title":"Int J Colorect Dis"},{"key":"2024092719500069100_bib2","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1136\/gut.25.11.1279","article-title":"Evidence of pudendal neauropathy in patients with perineal descent and chronic straining at stool","volume":"25","author":"Kiff","year":"1984","journal-title":"Gut"},{"key":"2024092719500069100_bib3","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 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