Re: Anal Incontinence

From: Marco A. Pelosi, III, MD (marcop@tao.agoron.com)
Thu Jun 5 12:33:54 1997


At Wed, 4 Jun 1997, Garry E. Siegel, M.D. wrote: >
>Please give opinions about the following patients:
>
>36 YO P 1102 referred for a 2 to 4 month
>history of anal incontinece of normal stool. Her BE and sigmoidoscopy were normal.

The evaluation of fecal incontinence of uncertain etiology demands physiologic testing. Proctosigmoidoscopy has excluded colonic pathology and impaction. Anal manometry may suggest pudendal nerve damage which may further be elucidated by needle electromyography. Transanal ultrasound may reveal visible muscular defects which correlate with findings from the latter two modalities. Many patients so tested may be candidates for nonsurgical initial treatment.

--
M.A. Pelosi, III, MD




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