Reliability of manometry for assessing pelvic floor muscle function in healthy men
Reliability of manometry for assessing pelvic floor muscle function in healthy men
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DOI：
10.1002/nau.24374
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发表时间：
2020-04-27
影响因子：
2
通讯作者：
Shinohara, Nobuo
中科院分区：
文献类型：
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作者：
Ouchi, Mifuka;Kitta, Takeya;Shinohara, Nobuo
目标 据我们所知，尚无研究检验男性盆底肌肉 (PFM) 功能评估方法的可靠性。因此，本研究旨在阐明使用肛门传感器（Peritron cat 9300A）进行测压来评估健康男性 PFM 功能的可靠性。 方法 对无漏尿的健康男性受试者（n = 21）进行测试以评估 PFM 功能，并对检查者进行组内和组间可靠性测试。 PFM 功能包括最大肛门直肠挤压压力、耐力、平均肛门直肠挤压压力、梯度和 PFM 自主收缩期间的曲线下面积。 结果 参与者的中位年龄为 38 岁（范围 26-51），平均 BMI 为 23.2 +/- 2.0 kg/m(2)。在静息压、肛门直肠挤压压和耐力方面发现了令人满意的组内和组间可靠性评分。检查者 1 的静息压力、肛门直肠挤压压力和耐力的评估者内部可靠性分别为 0.71、0.89 和 0.75，检查者 2 的评估者内可靠性分别为 0.72、0.89 和 0.87。静息压力、肛门直肠挤压压力和耐力的评估者间可靠性分别为 0.58、0.93 和 0.61。 结论 这是第一个前瞻性研究表明测压法对于健康男性 PFM 功能具有良好的组内和组间可靠性。我们的研究结果表明，测压法可以提供有关大陆男性 PFM 功能的可靠且可重复的数据，表明 Peritron cat 9300A 可用于评估男性的 PFM 功能。
Objectives To the best of our knowledge, no study has examined the reliability of assessment methods for male pelvic floor muscle (PFM) function. Therefore, this study aimed to clarify the reliability of manometry with an anal sensor (Peritron cat 9300A) to assess PFM function in healthy men.Methods Healthy male subjects (n = 21) without urinary leakage underwent testing to assess PFM function, and intra- and interrater reliability tests among examiners were performed. The PFM function included maximal anorectal squeeze pressure, endurance, mean anorectal squeeze pressure, gradient, and area under the curve during PFM voluntary contraction.Results Participants had a median age of 38 years (range 26-51), and a mean BMI of 23.2 +/- 2.0 kg/m(2). Satisfactory intra- and interrater reliability scores were found for resting pressure, anorectal squeeze pressure, and endurance. The intra-rater reliability of resting pressure, anorectal squeeze pressure, and endurance were 0.71, 0.89, and 0.75 for examiner 1 and 0.72, 0.89, and 0.87 for examiner 2. The interrater reliability for resting pressure, anorectal squeeze pressure, and endurance were 0.58, 0.93, and 0.61, respectively.Conclusions This is the first prospective study showing the favorable intra- and interrater reliability of manometry for PFM function in healthy men. Our findings demonstrated that manometry can provide both reliable and reproducible data regarding PFM function in continent men, suggesting Peritron cat 9300A can be used to evaluate the PFM function in men.