Excellent response rate of anismus to botulinum toxin if rectal prolapse misdiagnosed as anismus ('pseudoanismus') is excluded.

@article{Hompes2012ExcellentRR,
  title={Excellent response rate of anismus to botulinum toxin if rectal prolapse misdiagnosed as anismus ('pseudoanismus') is excluded.},
  author={Roel Hompes and Christopher Harmston and Niels A T Wijffels and Oliver Jones and Christopher R. Cunningham and Ian Lindsey},
  journal={Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland},
  year={2012},
  volume={14 2},
  pages={224-30}
}
AIM Anismus causes obstructed defecation as a result of inappropriate contraction of the puborectalis/external sphincter. Proctographic failure to empty after 30 s is used as a simple surrogate for simultaneous electromyography/proctography. Botulinum toxin is theoretically attractive but efficacy is variable. We aimed to evaluate the efficacy of botulinum toxin to treat obstructed defecation caused by anismus. METHOD Botulinum toxin was administered, under local anaesthetic, into the… CONTINUE READING
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