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How to evaluate patients with fecal incontinence: role of physiologic testing.(Women's Health)

Family Practice News

| January 01, 2004 | Worcester, Sharon | COPYRIGHT 2009 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

ST. Louis -- Anal physiologic testing in patients with fecal incontinence is of greatest value for those who have failed medical or surgical treatment, Dr. Wayne B. Tuckson said at the 13th International Pelvic Reconstructive and Vaginal Surgery Conference.

Studies suggest that physiologic tests are more accurate than medical history and physical examination alone, but they only alter the treatment as planned on the basis of history and physical exam in 10%-20% of cases.

Types of tests include manometry, electromyography, endoanal ultrasonography, defecography, magnetic resonance imaging, and saline continence testing, said Dr. Tuckson, a colorectal surgeon…

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