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[Methods of anorectal functional studies]
1Chirurgische Klinik, Spital Neumünster, Zollikerberg.
Schweizerische Medizinische Wochenschrift
|June 16, 1990
Summary
Anorectal functional investigation methods are reviewed, with manometry lacking precise utility and standardization. Clinical digital investigation and dynamic radiological studies offer valuable insights into anorectal function and constipation.
Area of Science:
- Gastroenterology
- Physiology
Context:
- Current anorectal functional investigation methods require critical review.
- Manometry's clinical utility and standardization remain undefined.
Purpose:
- To critically review available anorectal functional investigation methods.
- To define the precise clinical utility and standardization of manometry.
Summary:
- Manometry is best used for group comparisons (pre/postoperative), not precise continence determination.
- Clinical digital investigation offers qualitative assessment of anal sphincter function.
- Radiological dynamic investigations identify anorectal constipation types (outlet obstruction, prolapse, rectocele).
- Electrophysiological studies highlight pudendal nerve damage in pelvic floor disorders and incontinence.
Impact:
- Standardizing manometry and integrating electrophysiological findings could improve diagnostic accuracy.
- Enhanced understanding of anorectal function aids in diagnosing and managing constipation and incontinence.
- Clinical digital investigation remains a valuable tool for qualitative functional assessment.