A vaginal childbirth can cause varying degrees of injury to the muscles in the anorectal area leading to different bowel symptoms. In severe cases this can cause leakage of stool through the anus (faecal incontinence). There are many risk factors including instrumental deliveries, big babies and position of the baby's head like posterior babies. In such cases, problems with bowel movements may occur soon after childbirth or several years later. Anorectal manometry is a diagnostic procedure done to evaluate the integrity and function of the muscles and nerves of the anal sphincter and rectum which will help Dr Gailani giving proper advise with future deliveries.
Dr. Omar Gailani is one of the select physicians offering this test in his clinic at Canberra Urology and Gynaecology Centre. An advanced anorectal manometry device that consists of a highly flexible catheter with multiple sensors is inserted gently into the rectum. You will be asked to squeeze and relax the muscles in the anorectal area as well as perform certain movements. The sensors accurately measure the pressure applied by the muscles of the anal sphincter, the sensation within the rectum, and the neural reflexes necessary for normal bowel movement. You may feel slight pressure as the catheter is being inserted, but there will be no pain. The entire procedure should take no more than 15-20 minutes.
Anorectal manometry is a very safe procedure and there is only a very minimal risk of bleeding or perforation. After the procedure, you will be able to drive back home and return to your activities of daily living.
To learn more, click on the below pdf.