Diagnosis of Faecal Incontinence
Anorectal manometry
This examination makes it possible to differentiate between various aspects of continence and plan specific diagnostic procedures and treatment. In this procedure, a probe is inserted into the rectum, which allows precise measurement of the pressure of the sphincter in the voluntary and relaxed state. Sensory disorders are also recorded. The procedure is painless and should take place after the bowels have been emptied, for example by means of an enema.
Proctoscopy and rectoscopy
These examinations enable the detection of tumours and inflammatory changes. This is an endoscopic procedure, which means that the intestinal mucosa can be precisely evaluated. As with a conventional colonoscopy, an endoscope is inserted into the anus to assess the colon and rectum. On request, this can be done under general anaesthesia. An enema is performed about 30 minutes beforehand in preparation for the examination.
Rectal endoscopic ultrasound
This examination helps to accurately assess the anal canal for pathological changes of the rectum, such as scarring. An individualised treatment plan is then devised based on the extent of the changes and their severity.
Defecating proctogram
With this radiological exam, an ultrasound probe is inserted into the rectum (upon request with general anaesthesia). Here, defecation is simulated and recorded using a contrast enema. This provides a dynamic representation of defecation (bowel motions) and gives information on any pathological changes of the pelvic floor.
