Nick Read » spine http://www.nickread.co.uk Thu, 22 Oct 2015 13:29:54 +0000 en hourly 1 http://wordpress.org/?v=3.0.1 Spinal Injury http://www.nickread.co.uk/research/2009/03/spinal-injury/ http://www.nickread.co.uk/research/2009/03/spinal-injury/#comments Sun, 01 Mar 2009 08:54:01 +0000 admin http://www.nickread.co.uk/?p=143
  • Anorectal Function The anus is much cleverer than we like to think....
  • Faecal Incontinence “Harwich for the continent. Sheffield for the incontinent!” With this...
  • Faecal impaction in the elderly Dr Leila Abouzekry came from Egypt and was working in...
    • ]]>     Once in a while the opportunity arises to study something that could make a really important difference. People with spinal injury lose control of pelvic function but it is possible to regain a degree of autonomy by stimulating the nerves going to the pelvic organs. Wires are implanted onto the sacral anterior nerve roots and attached to a box inserted under the skin of the chest wall. Stimulation is effected by induction using an external signal. By applying different programmes of stimulation, patients could induce micturition, defaecation and penile erection. Some were able to father their own children ‘naturally’. We had the privilege to documenting the disturbances in anorectal function in patients with spinal injury and testing the prototypes.

    1. MacDonagh, R., Sun, W.M., Smallwood, R.H., Read, N.W. (1990) Control of defecation in patients with spinal injuries by stimulation of sacral anterior nerve roots. Brit. Med. J. 300: 1494-1497.
    2. Sun, W.M., Read, N.W. (1991) Reflex anal dilatation: effect of parting the buttocks on anal function in normal subjects and patients with anorectal and spinal disease. Gut 32: 670-673.
    3. MacDonagh, R., Sun, W.M., Thomas D.G, Smallwood, R., Read, N.W. (1992) Anorectal function in patients with complete supraconal spinal cord lesions. Gut 33: 1532-1538.
    4. Sun, W.M., Mac Donagh, R., Forster, D., Thomas, D.G., Smallwood, R., Read, N.W. (1995). Anorectal function in patients with complete spinal transection before and after sacral posterior rhizotomy. Gastroenterology. 108:990-998.

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    1. Anorectal Function The anus is much cleverer than we like to think....
    2. Faecal Incontinence “Harwich for the continent. Sheffield for the incontinent!” With this...
    3. Faecal impaction in the elderly Dr Leila Abouzekry came from Egypt and was working in...

    ]]>     http://www.nickread.co.uk/research/2009/03/spinal-injury/feed/ 0     Faecal impaction in the elderly http://www.nickread.co.uk/research/2009/03/faecal-impaction-in-the-elderly/ http://www.nickread.co.uk/research/2009/03/faecal-impaction-in-the-elderly/#comments Sun, 01 Mar 2009 08:40:16 +0000 admin http://www.nickread.co.uk/?p=139
  • Faecal Incontinence “Harwich for the continent. Sheffield for the incontinent!” With this...
  • Anorectal Function The anus is much cleverer than we like to think....
  • Constipation; the thief of time! “Constipation is the thief of time, diarrhoea waits for no...
    • ]]>     Dr Leila Abouzekry came from Egypt and was working in a geriatric hospital in Doncaster. She wanted to carry out a research project in her patients. I admit to some feelings of guilt in suggesting she study the physiology of faecal impaction, but nobody had done it before. Her results indicated a blunting of both rectal and perianal sensation and an inhibition of spinal reflexes, suggesting a neurological cause.

    1. Read, N.W., Abouzekry, L., Read, M.G., Howell, P. and Ottewell, D. (1985) Anorectal function in elderly patients with faecal impaction. Gastroenterology 89: 959-966.
    2. Read, N.W. and Abouzekry, L. (1986) Why do patients with faecal impaction have faecal incontinence. Gut 27: 283-287.
    3. Bannister, J.J., Abouzekry, L.A., Read, N.W. (1987). The effect of ageing on anorectal function. Gut 28: 353-357.
    4. Read, N.W. (1992) Colonic disease in the elderly. In: Textbook of Geriatric Medicine. Professor Grimley Evans, 816, pp.236-241.

    Related posts:

    1. Faecal Incontinence “Harwich for the continent. Sheffield for the incontinent!” With this...
    2. Anorectal Function The anus is much cleverer than we like to think....
    3. Constipation; the thief of time! “Constipation is the thief of time, diarrhoea waits for no...

    ]]>     http://www.nickread.co.uk/research/2009/03/faecal-impaction-in-the-elderly/feed/ 0     Constipation; the thief of time! http://www.nickread.co.uk/research/2009/03/constipation-the-thief-of-time/ http://www.nickread.co.uk/research/2009/03/constipation-the-thief-of-time/#comments Sun, 01 Mar 2009 08:38:13 +0000 admin http://www.nickread.co.uk/?p=137
  • Faecal impaction in the elderly Dr Leila Abouzekry came from Egypt and was working in...
  • Faecal Incontinence “Harwich for the continent. Sheffield for the incontinent!” With this...
  • Anorectal Function The anus is much cleverer than we like to think....
    • ]]>     “Constipation is the thief of time, diarrhoea waits for no man!”
    The literature suggested that idiopathic constipation, which mainly affected young women, could, like faecal incontinence, be caused by one of a number of possible defects. This was not true. Although our studies showed that a range of abnormalities, delays in colonic transit, a blunting or rectal sensitivity and propulsion, inhibition of internal sphincter relaxation and paradoxical contraction of the external sphincter, these all tended to co-exist. Moreover a blunting of spinal reflexes and a parallel inhibition of micturition suggested that it was the cerebral activation of the programme for evacuation that was at fault, even though there was no sign of stroke, tumor or any other neurological disease. This indicated a psychological inhibition and underlined the success of biofeedback and psychological therapies.

    1. Read, N.W., Timms, J.M., Barfield, L.J., Bannister, J.J., Donnelly, T.C. and Read, M.G. (1986) Impairment of defaecation in young women with severe constipation. Gastroenterology 90: 53-60.
    2. Bannister, J.J., Lawrence, W., Thomas, D.G., Smith, A.B.R., Read, N.W. (1988) Urological abnormalities in patients with slow transit constipation. Gut 29: 17-20.
    3. Kerrigan, D., Sun, W.M., Lucas, M.J., Read, N.W. (1989) Idiopathic constipation is associated with impaired urethrovesical and sacral reflex function. Brit. J. Surg. 76: 748-751.
    4. Read, N.W. (1992) Anismus; does biofeedback work after all? Lancet.

    Related posts:

    1. Faecal impaction in the elderly Dr Leila Abouzekry came from Egypt and was working in...
    2. Faecal Incontinence “Harwich for the continent. Sheffield for the incontinent!” With this...
    3. Anorectal Function The anus is much cleverer than we like to think....

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