Re: Anal Incontinence

From: Dr. A. Hensenne (cdtg@skynet.be)
Fri Jun 6 17:15:45 1997


Ok with you.

Dr A.Hensenne cdtg@skynet.be 72 rue verte 4100 Seraing (LIEGE) - Belgium - Gynécologie médicale et chirurgicale LIEGE .

--
----------
> De : Marco A. Pelosi, III, MD <marcop@tao.agoron.com>
> A : Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Objet : Re: Anal Incontinence
> Date : jeudi 5 juin 1997 19:34
>
> 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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