Fortschritte in der Diagnostik anorektaler Erkrankungen

Abstract

Diagnostics and therapy of anorectal disorders remain a surgical question. In close cooperation between different departments (radiology and gastroenterology, urology and gynecology, dermatology and psychology), the role of radiologic imaging is of growing importance. Exact knowledge of functional anatomy and precise clinical examination constitute the basis of the according therapeutic strategies. In this context radiology has contributed decisively. Developments in imaging techniques, e.g. dynamic MRI, highly contributed to better understanding of complex functional pelvic floor disorders. The combination of nanotechnology and high-resolution imaging allows precise staging, especially in rectal cancer. Furthermore, advances in virtual colonoscopy could lead to widely acceptable and patient-friendly screening for colorectal malignancies.

Before and after Anorectal Surgery: Which Information Is Needed from the Functional Laboratory

“…A wide range of other diagnostic tools such as MRI, dynamic MRI, perineal ultrasound as well as evacuation proctography can be applied pre-and postoperatively to investigate the patient [47][48][49][50]. In many cases, these examinations are initially done to seek for rectocele or intussusception and sometimes constipation or rectal prolapse.…”