Anorectal Manometry

Anorectal Manometry (ARM)

  • For Patients of Practice $995
  • If you are not a patient of practice, we require a additional 30 min ($445) consultation fee to review procedure details.
  • To schedule an appointment for an Anorectal Manomerty email us at: info@laintegrativegi.com

Read more about Clinical Value of Anorectal Manometry

 

 

Indications and Uses of Arm

The primary indications for anorectal manometry (ARM) are the evaluation of fecal incontinence (FI) and chronic constipation refractory to laxatives, particularly when a functional defecatory disorder (FDD) is suspected[2][4][5].

ARM assesses anorectal sensorimotor function and is recommended when organic pathology (e.g., structural abnormalities, inflammation) has been excluded[5]. Key clinical scenarios include:

  • Fecal incontinence: To evaluate anal sphincter tone, contractility, and reflex responses[1][4].
  • Chronic constipation: To diagnose FDD by assessing recto-anal coordination during simulated defecation and rectal sensation[1][5].
  • Preoperative assessment: To evaluate baseline anorectal function before pelvic floor surgery[4].
  • Biofeedback therapy: To guide and monitor treatment for FI or FDD[4].

ARM is typically performed alongside complementary tests such as rectal balloon expulsion and imaging (e.g., defecography) to improve diagnostic accuracy[5].

Sources

  1. The Clinical Utility of Anorectal Manometry: A Review of Current Practices (https://pmc.ncbi.nlm.nih.gov/articles/PMC11761937/).
  2. A Review of the Indications, Methods, and Clinical Utility of Anorectal Manometry and the Rectal Balloon Expulsion Test (https://pmc.ncbi.nlm.nih.gov/articles/PMC9418387/).
  3. ncbi.nlm.nih.gov (https://pmc.ncbi.nlm.nih.gov/articles/PMC9972655/).
  4. ncbi.nlm.nih.gov (https://pubmed.ncbi.nlm.nih.gov/35220645/).
  5. ncbi.nlm.nih.gov (https://pmc.ncbi.nlm.nih.gov/articles/PMC7497505/).

Purpose of an Anorectal Manoetry

To Evaluate:

  • Chronic Constipation
  • Abnormal Defecation
  • Pelvic Floor Weakness or Spasm (Anismus)
  • Pelvic Floor Dyssynergia
  • Abnormal Rectal, Delayed Sensation
  • Rectal Incontinence