Effect of Perineal Compression on the Rectal Tone

Abstract

The study has shown that rectal tone increase during digital perineal pressure represents most probably a reflex action. This was evidenced by absence of rectal tone response on individual anesthetization of the assumed two arms of the reflex arc: perineum and rectum. The perineorectal reflex may be of diagnostic significance in rectal motor disorders and has the potential to be used as an investigative tool, provided further studies are performed to prove these points.

Effect of Perineal Self-Acupressure on Constipation: A Randomized Controlled Trial

“…Similarly, it is uncertain whether perineal self-acupressure would aid patients with rectal wall abnormalities (such as rectocoele or descending perineum syndrome) 8,9 or impaired rectal tone. 11 Additionally, it is uncertain whether similar pressure techniques would produce analogous improvements to patientreported outcome. Some female patients have reported "applying transvaginal pressure [to] aid fragmentation and expulsion" [14, p. 661].…”

“…7 Several non-controlled studies also suggest perineal or transvaginal pressure may aid in defecation. 2,3,[8][9][10][11][12][13][14][15][16] In addition, digitally applying perineal or transvaginal pressure has been used by patients with rectocele or descending perineum syndrome. [8][9][10] Perineal pressure has been shown to increase rectal tone by an average of approximately 52 %.…”