Dr Petrushnko has set up a pelvic floor clinic which provides diagnostic services which include; anal manometry studies, ultrasound diagnostics and pelvic nerve conduction studies to aid in the diagnosis and management of a range of pelvic floor disorders.
Anal manometry is a procedure used to evaluate:
Proper bowel movements require coordination between the sphincter complex, the rectum, and the nerves surrounding the rectum and anal canal. When this process is disrupted, opening your bowels may become difficult or uncomfortable, leading to poor bowel function.
Anal manometry is a non-invasive procedure that does not require anesthesia. During the test, a catheter with a small balloon at the tip is inserted into the anal canal. This catheter is connected to pressure sensors, which measure the pressures within the anal canal. After the examination, you can resume normal activities, including driving yourself home.
The pudenal nerve terminal motor latency (PNTML) is another test that involves inserting a gloved finger with an electrode into the anus to assess the nerves that control your sphincter muscles. Finally, an endo anal ultrasound is performed to assess the anatomical structures of the anal canal. This test is similar to a digital rectal examination, instead, using an ultrasound probe.
Anal manometry may be recommended for individuals experiencing:
The assessment will take between 30-40min including consultation time. During the procedure, Dr Petrushnko will guide you through the process. If, at any stage, you feel uncomfortable, you should let Dr Petrushnko know immediately.
Before your assessment, you can eat and drink normally. There is no need to fast. You will require a laxative enema (microlax) to be administered at home prior to attending the clinic. This will ensure an accurate assessment with an empty rectum. This can be purchased at the chemist without a prescription.
To attend the clinic, you will need a referral from your GP or specialist. Anal manometry is a safe procedure, and complications are extremely rare. If you think you may benefit from this test, please consult your GP for a referral to see Dr. Petrushnko.
