360˚Endorectal Ultrasound 

Endorectal ultrasound is yet another diagnostic tool able to be used in the assessment and management of patients with fecal incontinence.  It can detect external and internal anal sphincter defects in these patients confirming what may be seen following an Anorectal Manometry diagnostic study.   It can assess and evaluate the structure of the sphincter muscle and surrounding tissue.

There is little to no preparation for an Endorectal Ultrasound to be performed.  The patient is placed in the left lateral decubitus position.  A condom filled with ultrasound conductive gel is placed over the ultrasound transducer and is lubricated with gel and then gently inserted into the anal canal.  The 360˚ Endorectal Ultrasound is relatively well-tolerated by most patients.

Endorectal  ultrasound can then provide an image of the anal sphincter musculature and other structures of the pelvic floor such as the puborectalis  along with the external and internal sphincter.  Certain defects or pelvic floor injury can be identified.  The images can be stored with measurements and defects labeled which can then transfer easily and become a part of the patients’  (electronic) medical record.

Written by
Denise D’Andrea
Director of Clinical Services
The Prometheus Group