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Anorectal motor disorders.

Jose M Remes-Troche¹, Satish S C Rao

¹Section of Neurogastroenterology, Division of Gastroenterology-Hepatology, Department of Internal Medicine University of Iowa Carver College of Medicine & Clinical Research Center, Iowa City, IA 52242, USA.

Best Practice & Research. Clinical Gastroenterology

|July 24, 2007

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Anorectal motor disorders significantly impact quality of life and present economic burdens. Advances in diagnostics offer new insights, but treatment options for conditions like faecal incontinence remain limited, necessitating further research.

Area of Science:

Gastroenterology and Colorectal Surgery
Neurogastroenterology and Motility

Background:

Anorectal motor disorders, including faecal incontinence and chronic anorectal pain, are prevalent conditions.
These disorders cause significant psychological distress, diminish quality of life, and incur substantial economic costs.
While diagnostic understanding has advanced, consensus on abnormalities and optimal approaches is lacking.

Purpose of the Study:

To review recent advancements in the diagnostic criteria and mechanistic understanding of anorectal motor disorders.
To highlight the role of innovative diagnostic techniques and psychological factors.
To identify the unmet needs in the management of these conditions.

Main Methods:

Review of recent literature on anorectal motor disorders.

Related Experiment Videos

Analysis of innovative manometric, neurophysiological, and radiological techniques.

Consideration of the role of psychological dysfunction in pathophysiology.

Main Results:

Innovative diagnostic techniques have improved the understanding of anorectal disorder pathophysiology.
Psychological dysfunction is increasingly recognized as a contributing factor.
Limited progress has been made in pharmacological treatments, with insufficient evidence from controlled trials for many interventions.

Conclusions:

Despite diagnostic progress, a lack of consensus persists regarding diagnostic criteria and optimal testing.
There is a critical need for the development of improved medical, behavioral, and surgical treatments.
Further research and robust clinical trials are essential to advance therapeutic options for anorectal motor disorders.