Functional Assessment of the Anorectum in Faecal Incontinence

  1. Greg Bock Organizer and
  2. Julie Whelan
  1. N. W. Read

Published Online: 28 SEP 2007

DOI: 10.1002/9780470513941.ch7

Ciba Foundation Symposium 151 - Neurobiology of Incontinence

Ciba Foundation Symposium 151 - Neurobiology of Incontinence

How to Cite

Read, N. W. (2007) Functional Assessment of the Anorectum in Faecal Incontinence, in Ciba Foundation Symposium 151 - Neurobiology of Incontinence (eds G. Bock and J. Whelan), John Wiley & Sons, Ltd., Chichester, UK. doi: 10.1002/9780470513941.ch7

Author Information

  1. Sub-Department of Gastrointestinal Physiology & Nutrition, Floor K, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK

Publication History

  1. Published Online: 28 SEP 2007

ISBN Information

Print ISBN: 9780471926870

Online ISBN: 9780470513941

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Keywords:

  • anorectum;
  • faecal incontinence;
  • functional testing;
  • muscular resistance;
  • neurobiology

Summary

The functional ability of the anorectum to maintain continence is best assessed by a provocative assessment of continence to a standard load of rectally infused saline. Faecal incontinence is not caused by one condition. The combination of multiport anorectal manometry, electrophysiology and rectal sensory testing can identify several causes, which logically require different treatments. Only time and carefully conducted trials will establish whether such functional testing will be useful.