E-Posters-10174_Kadam

10174_Kadam_Halani

Pdf Summary

The objective of this study was to compare the results of anorectal manometry (ARM) testing in both the left lateral (LL) and dorsal lithotomy (DL) positions. The study included 21 women with fecal incontinence who underwent ARM testing in both positions. The results showed that there was no significant difference between the ARM values obtained in the LL and DL positions. The level of agreement for anal resting pressure and anal squeeze pressure was found to be within the acceptable clinical criteria. Sensory parameters, such as volume at first rectal sensation and volume at strong urge sensation, also showed a similar trend of agreement between the LL and DL positions. <br /><br />The study concludes that ARM testing can be performed in the DL position instead of the traditional LL position with good agreement for the values of anal resting pressure and anal squeeze pressure. This finding is important because women are usually evaluated in the DL position for pelvic and rectal exams, and gynecologists and pelvic floor physical therapists are accustomed to evaluating and treating patients in this position. Performing ARM testing in the DL position can accommodate patient preferences, streamline diagnostic testing for fecal incontinence, and improve the ease of diagnostic testing for gynecologists and treatment for pelvic floor physical therapists conducting biofeedback in the DL position.

Keywords

anorectal manometry

left lateral position

dorsal lithotomy position

fecal incontinence

anal resting pressure

anal squeeze pressure

sensory parameters

rectal sensation

urge sensation

pelvic floor physical therapists