title: Left lateral position and common gynecologic examining position in anal manometry measurements for evaluation of urogynecologic patients.
abstract: OBJECTIVE
  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).
  
  
  METHODS
  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.
  
  
  RESULTS
  There was no statistically difference between the anal manometric measurements of the left lateral and gynecologic examining positions (paired t-test, p>.05).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, İstanbul, Turkey.
authors.forename: Selçuk
authors.initials: S
authors.lastname: Selçuk
authors.affiliation: Department of Urogynecology, Zeynep Kamil Hospital, İstanbul, Turkey.
authors.forename: Çetin
authors.initials: Ç
authors.lastname: Çam
authors.affiliation: Department of Oncology, MD Anderson Cancer Center, Houston, USA.
authors.forename: Mehmet Reşit
authors.initials: MR
authors.lastname: Asoğlu
authors.affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, İstanbul, Turkey.
authors.forename: Ateş
authors.initials: A
authors.lastname: Karateke
keywords: Anal manometry; gynecologic examining position; lower urinary tract symptoms