Anorectal Manometry

Anorectal physiology testing including manometry is used to identify pelvic floor abnormalities which can cause constipation and faecal incontinence. Severe forms of these conditions can be debilitating and lead to poor quality of life. If pelvic floor dysfunction is identified, pelvic floor physiotherapy or anorectal biofeedback therapy can help treat these symptoms.

Sometimes, anorectal physiology testing is also used to assess the function of the anal sphincter after a severe injury sustained during vaginal delivery.

Whilst you are lying on your side, a small catheter is inserted into the anus and you will be asked to perform a few squeezes, coughs and pushes. The pressures will be measured on a computer. A small balloon at the end of the catheter will then be slowly inflated to test your rectal sensation which can be abnormal in certain disorders such as irritable bowel syndrome. Following this, another disposable catheter will be inserted via the anus, into the rectum and filled with a small amount of warm water. You will be asked to expel the balloon in a private bathroom. This will help determine if you have features of dyssynergia.

No form of bowel preparation or aperients, including enemas or suppositories are required prior to the procedure. You will also not need to fast prior to anorectal physiology testing.

As anorectal physiology testing does not require any sedation or anaesthetics, you will be able to drive both prior to and after your appointment.