ABSTRACT

The aim of this study is to compare the anometrical parameters obtained in the left lateral position, which is the conventional position of anal manometry, with the same measurements taken in the common gynecologic examining position (45° sitting position in a birthing chair with maximum hip flexion).

Twenty-one patients with lower urinary tract symptoms (LUTS) were enrolled into this prospective cohort study. Basal mean resting pressure (BMRP), maximum squeeze pressure (MSP), rectal sensation, rectal compliance, and recto-anal inhibitory reflex (RAIR) were compared between the gynecologic examining position and left lateral position.

There was no statistically difference between the anal manometric measurements of the left lateral and gynecologic examining positions (paired t-test, p>.05).

It can be concluded that it seems to be unnecessary to change the examination chair and/or patient position in urogynecological patients who need an anorectal assessment.

Keywords: Anal manometry, lower urinary tract symptoms, gynecologic examining position\r\n