Diagnostic testing in fecal incontinence

Kumar, Abhishek; Rao, Satish S.

doi:10.1007/s11894-003-0054-2

“…It is of most importance for selecting a treatment option, and establishing the actual situation of the anal canal sphincter, not only by the recognition of a muscle tear but also by identifying the location and amount of tissue involved (9). In this regard, anal endosonography, a cheap, easy-to-perform and well-tolerated examination, is very useful (10).…”

Section: Discussionmentioning

confidence: 99%

The utility of endovaginal sonography in the evaluation of fecal incontinence

Ramı́rez¹,

Aguilella²,

Martínez³

et al. 2006

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Objective: the endoanal sonography in female patients with faecal incontinence is sometimes difficult and can lead to diagnostic errors. The aim of this study is to evaluate the value of endovaginal sonography in such cases.Material and method: thirty female patients complaining of faecal incontinence are included in the study. Anal endosonography was performed in all of them in a single ambulatory session, pictures were taken from all along the anal and results were analyzed afterward. Vaginal endosonography was then perfomed using the same equipment. Result from both techniques were compared.Results: endoanal sonography was performed in all 30 patients. In 17 cases no anomalies were found. In 3 patients a simple internal anal sphincter defect was found. One case showed a lateral lesion in both sphincters. Six cases presented anterior external defect and in the rest 3 cases a clear view of the anterior wall was imposible. Vaginal endosonography shows a clear image of the anal canal in 23 out of 30 patients. In two cases changed the results of anal endosonography.Conclusion: in the study of faecal incontinence, despite of its technical limitations, endovaginal ulltrasound could be of help when the anterior wall of the anal canal is not properly defined.

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“…The coming of anal endosonography to the study of fecal incontinence has probably been the most important improvement in the management of these patients during the last decades. It is of most importance for selecting a treatment option, and establishing the actual situation of the anal canal sphincter, not only by the recognition of a muscle tear but also by identifying the location and amount of tissue involved (9). In this regard, anal endosonography, a cheap, easy-to-perform and well-tolerated examination, is very useful (10).…”

Section: Discussionmentioning

confidence: 99%

The utility of endovaginal sonography in the evaluation of fecal incontinence

Ramírez

¹

,

Aguilella

²

,

Martínez

³

et al. 2005

Rev. esp. enferm. dig.

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Objective: the endoanal sonography in female patients with faecal incontinence is sometimes difficult and can lead to diagnostic errors. The aim of this study is to evaluate the value of endovaginal sonography in such cases.Material and method: thirty female patients complaining of faecal incontinence are included in the study. Anal endosonography was performed in all of them in a single ambulatory session, pictures were taken from all along the anal and results were analyzed afterward. Vaginal endosonography was then perfomed using the same equipment. Result from both techniques were compared.Results: endoanal sonography was performed in all 30 patients. In 17 cases no anomalies were found. In 3 patients a simple internal anal sphincter defect was found. One case showed a lateral lesion in both sphincters. Six cases presented anterior external defect and in the rest 3 cases a clear view of the anterior wall was imposible. Vaginal endosonography shows a clear image of the anal canal in 23 out of 30 patients. In two cases changed the results of anal endosonography.Conclusion: in the study of faecal incontinence, despite of its technical limitations, endovaginal ulltrasound could be of help when the anterior wall of the anal canal is not properly defined. Key words: Sonography. Endoanal sonography. Vaginal sonography. Faecal incontinence. Ramírez JM, Aguilella V, Martínez M, Gracia JA. The utility of endovaginal sonography in the evaluation of fecal inconti nence. Rev Esp Enferm Dig 2005; 97: 317-322.

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“…Pudendal nerve terminal motor latency test (PNTML) assesses the neuromuscular circuit between the terminal branch of the pudendal nerve and the external anal sphincter by measuring the conduction time between the initial stimulation and the EAS contraction (seen by motor evoked potential curve). Prolonged latency time suggests pudendal neuropathy [76]. However, the test is not sensitive enough to be related with clinical symptoms, manometric findings, and histologic findings [76,80].…”

Section: Functional and Neurophysiologic Assessmentmentioning

confidence: 99%

“…Electromyography (EMG) performed by inserting a needle electrode in the external anal sphincter muscle and levator ani muscle had been used to assess integrity of neuromuscular connection of the muscle [76]. Due to invasiveness, surface EMG had also been used [77].…”

Section: Functional and Neurophysiologic Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Comprehensive Clinical Approach to Fecal Incontinence

Tantiphlachiva¹

2020

Current Topics in Faecal Incontinence

2

0

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Fecal incontinence is a disturbing condition, which reduces the quality of life of patients. Prevalence of this apprehensive problem is usually underestimated. However, it is more common in female, elderly, and institutionalized subjects. Factors that may be associated are urinary incontinence, diabetes mellitus, depression, diarrhea, history of anorectal surgery, anorectal trauma, pelvic organ surgery, and pelvic irradiation. To improve this condition, physicians should have insight into the individual's pathophysiology through the process of careful history taking, severity, and quality of life assessment, thorough physical examination and comprehensive anatomic and neurophysiologic evaluation. These tests include imaging, anorectal manometry, and neural conduction tests. Finally, by these gathered information, individualized treatment for the patient is designed. Patient's education and judicious follow-up are also parts of the plan.

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Diagnostic testing in fecal incontinence

Cited by 16 publications

References 53 publications

The utility of endovaginal sonography in the evaluation of fecal incontinence

The utility of endovaginal sonography in the evaluation of fecal incontinence

The utility of endovaginal sonography in the evaluation of fecal incontinence

Comprehensive Clinical Approach to Fecal Incontinence

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