The association of anal sphincter morphology and somatotype characteristics with the pathogenesis of hemorrhoidal disease

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dc.contributor.authorYilmaz, Nesibe
dc.contributor.authorÖzbağ, Davut
dc.contributor.authorKose, Evren
dc.contributor.authorAtes, Mustafa
dc.contributor.authorKavaklı, Ahmet
dc.date.accessioned2026-04-04T13:14:39Z
dc.date.available2026-04-04T13:14:39Z
dc.date.issued2024
dc.departmentİnönü Üniversitesi
dc.description.abstractAim: This study aims to evaluate the changes that may occur in the morphology of the anal sphincter muscles in hemorrhoidal disease. The relationship between the somatotype features of individuals and the disease was also evaluated. Materials and Methods: The study was conducted with 76 stage IV hemorrhoidal disease patients and 75 controls. Internal (IAS) and external (EAS) anal sphincter muscle thicknesses were measured at the middle anal canal level, and in four quadrants (anterior, posterior, right, left), puborectalis muscle thicknesses were measured at the upper anal canal level and in two quadrants (right, left) by using 3D-endoanal ultrasonography (3DEAUSG). Anal triangle dimensions were measured with a digital caliper and the area was calculated with the relevant formula. The somatotype features were determined using the Heath-Carter formula. Results: It was observed that the external anal sphincter muscle thicknesses were higher in the right and posterior quadrants of the patients compared to the control group. The internal anal sphincter muscle thicknesses were thicker in the right and anterior quadrants in the patient group. Somatotype features of individuals in the patient and control groups were similar. Conclusion: The thickening in some quadrants of the anal sphincter muscles in the patient group can be considered a result of hemorrhoidal disease. However, the fact that there is no difference the mean value cannot confirm its relationship with the disease. Therefore, it can be concluded that individual somatotype differences do not affect pathogenesis of hemorrhoidal disease.
dc.identifier.doi10.5455/annalsmedres.2024.04.077
dc.identifier.endpage669
dc.identifier.issn2636-7688
dc.identifier.issue9
dc.identifier.startpage664
dc.identifier.trdizinid1265929
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2024.04.077
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1265929
dc.identifier.urihttps://hdl.handle.net/11616/107374
dc.identifier.volume31
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofAnnals of Medical Research
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20250329
dc.subjectKadın Hastalıkları ve Doğum
dc.subjectGenel ve Dahili Tıp
dc.titleThe association of anal sphincter morphology and somatotype characteristics with the pathogenesis of hemorrhoidal disease
dc.typeArticle

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