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Diagnostic Outpatient Procedures

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When your system is out of order, there could be many factors contributing to the dysfunction. It is only with accurate diagnosis that the proper and permanent solution can be found, such as with the assistance of the following:

  • Pudendal Nerve Testing
  • Anorectal Manometry
  • Anal and Rectal Ultrasound
  • MR Defecography
  • Proctoscopy
  • Flexible Sigmoidoscopy
  • Anorectal Physiology Lab
  • Biofeedback

Anal Manometry

This test uses a thin tube and balloon to measure pressure and movements of the rectal and anal sphincter muscles.  It is usually used to diagnose chronic constipation and fecal incontinence. The test takes approximately one hour.  It is not painful.  During the exam you will be lying on your side with your knees bent.  The nurses performing the test will ask you to perform simple tasks (rectally) such as squeezing, resting and pushing. 

Prep:  About one hour prior to leaving your home for this appointment we ask that you administer one fleet enema.  Hold for about 5 minutes then expel.  You can pick one of these enemas up at any pharmacy.

Pudendal Nerve Study

The pudendal nerve is found in the pelvis.  Right & left branches of this nerve extend to the bladder & bowel sphincter muscles.  When the nerves & muscles perform normally, there is control of bladder & bowel functions without discomfort.  A problem with pudendal nerve function may lead to loss of control of the sphincter muscles.  Such problems may cause leakage of urine or stool.  Conditions referred to as urinary incontinence & fecal incontinence & may also cause chronic constipation or rectal pain.  This test will determine whether your pudendal nerve is functioning normally, or whether there is delay between the time the nerve senses stimulation & then sends a message to the sphincter muscle. The actual test takes about 15 minutes. 

Prep:  About one hour prior to leaving your home for this appointment we ask that you administer one fleet enema.  Hold for about 5 minutes then expel.  You can pick one of these enemas up at any pharmacy.

To learn more about our diagnostic outpatient procedures, please call our office at 407.303.2615 or contact us via our online form.