How Anal Incontinence is Investigated

When you are seen in clinic the consultant will take a full history and carry out a clinical examination. Usually this will involve a rigid sigmoidoscopy  and sometimes a proctoscopy as well.

If you are over the age of 40 the consultant will normally recommend endoscopic examination of the bowel either by flexible sigmoidoscopy  or colonoscopy to ensure that the bowel is otherwise healthy.

Anorectal physiological testing with an endoanal ultrasound scan  (to look at the sphincter muscle) are usually performed. Sometimes an MRI scan can be helpful to look at all the pelvic floor muscles. If there any symptoms of rectocele or prolapse then a videoproctogram may be recommended.

What are the next steps?
If you think you have this condition or any of these symptoms
you will need to seek medical advice.
For more information or to make an appointment.
Contact birmingham bowel clinic on 0845 241 7762
or email
If you have private medical care or wish
to pay to see a consultant.
Take this factsheet along to your own
GP and request a referral to one
of our consultants
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What our patients think...
I would recommend anyone with any bowel concerns to see Mr Simon Radley. ”
Brian Kendrick. June 2011