Physiologic and Radiographic Testing in Patients with Pelvic Floor Disorders and Pelvic Organ Prolapse

Elsevier

Available online 10 December 2022, 100935

Seminars in Colon and Rectal SurgeryAuthor links open overlay panelAbstract

Pelvic floor disorders are a common condition that affects mainly the female population, especially the elderly. Anorectal physiology and imaging tests are important way to assess anal sphincter function and structure of the pelvic floor. Those tests are part of the workup for patients with incontinence, defecatory disorders and pelvic organ prolapse. The most relevant tests will be discussed in this article.

Section snippetsINTRODUCTION

Aging in the general population, especially in female patients, has been associated with different symptoms related to disorders of the pelvic floor.1 In addition, many patients present with sarcopenia and lesions of different pelvic floor structures, related to their obstetrical and surgical history. These lesions can produce a variety of urinary and defecatory symptoms that adversely impact quality of life. To obtain a better evaluation, together with clinical assessment, physiological tests

CONCLUSION

In conclusion, specialized anorectal testing can help to delineate the pathophysiology of pelvic floor and anorectal dysfunction. These tests can define functional or structural abnormalities and help to select treatment, modalities, especially in cases where initial or secondary interventions have failed or were ineffective.

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