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Anal sphincter structure and function in homosexual males engaging in anoreceptive intercourse
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Objectives: To evaluate the structure and function of the internal IAS and external EAS anal sphincters in anoreceptive homosexual men and to determine whether anoreceptive intercourse ARI is associated with a higher risk of incontinence in this population. Methods: We studied 14 anoreceptive homosexual males and 10 age-matched non-anoreceptive heterosexual males in a controlled, prospective cohort study. Subjects underwent evaluation of resting and maximum squeeze anal canal pressures maximum squeeze pressure obtained over resting pressure by station pull-through technique, using a manometric perfusion catheter followed by endoanal ultrasonography to evaluate the structure of the IAS and EAS. Manometry also was performed in age-matched male controls.