Sphinctermetry

Sphincterometry is a simple and accurate way to find out if everything is okay with the muscles that are responsible for controlling the intestines. The procedure helps you understand what happens if you have difficulty holding or defecating, and choose the best treatment.

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What is Sphincterometry?

Sphincterometry is a diagnostic method that measures the strength of contraction of the sphincters, in particular the anal or urethra. These muscles are responsible for holding and controlling the excretory functions of the body.

What is Sphincterometry?
Indications for sphincterometry

Sphincterometry is prescribed in the following cases:

  • Fecal or urinary incontinence. If you notice a loss of control over your excretory functions, the test helps determine the cause: muscle weakness or problems with nerve regulation
  • Chronic constipation. Sometimes constipation can be caused by spasm of the sphincter or disruption of its work
  • Pelvic injuries or surgeries. After surgery, sphincterometry allows you to assess how the muscles have recovered and their functionality
  • After childbirth. Women after vaginal childbirth may have problems with the tone of the pelvic floor muscles, including the sphincters
  • Age-related changes. As we age, muscles lose tone, and this can lead to impaired excretory control

If there are problems with the transmission of signals from the nerves to the muscles, sphincterometry also helps to identify them.

Contraindications

When sphincterometry cannot be performed:

  1. Acute inflammation. If there is inflammation in the anal canal or rectum (e.g., proctitis, anal fissures, exacerbated hemorrhoids), the procedure may increase symptoms or cause pain
  2. Infections and purulent processes. If there are infectious diseases or abscesses in the study area, the procedure is postponed until complete recovery to avoid the spread of infection
  3. Trauma and surgery. If surgery has been performed in the next 3-4 weeks or injuries to the anus and rectum have occurred, the procedure can be painful or even dangerous
  4. Oncological diseases. In case of confirmed tumor processes in the rectum or anus, the doctor may decide to postpone the examination or use alternative diagnostic methods
  5. Serious problems with the cardiovascular system. If the patient has unstable angina, arrhythmia, or severe hypertension, the procedure may cause a worsening of the condition due to stress

Pregnancy is a special case. In the early stages or with the threat of miscarriage, sphincterometry is possible only with the permission of a gynecologist.

General information about the procedure

How is sphincterometry performed?

Sphincterometry is performed in several steps:

  1. Patient position. The patient is asked to lie on a couch, usually on his left side, with his legs pulled up to his abdomen. In this position, it is convenient for the doctor to work with the anal area, and the patient is comfortable
  2. Sensor Insertion. The doctor carefully inserts a special device into the anal canal - a sphincterometer. It is small, with a smooth surface, so the discomfort is minimal. For convenience and softness, use lubricant
  3. Blood Pressure Measurement. The device records blood pressure readings at rest and during muscle contraction. The doctor may ask the patient to tighten the muscles to assess their strength and response
  4. Data Analysis. The measurement results are recorded by the device. This allows the doctor to see abnormalities, such as decreased tone or excessive sphincter strain

Does it hurt? Sphincterometry does not cause pain. Some patients may experience mild discomfort when the transducer is inserted. These are temporary sensations that disappear immediately after the end of the study.

The entire sphincterometry study, including preparation, takes about 10-15 minutes. After the procedure, you can immediately return to your normal activities.

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Preparation for the sphincterometry procedure

Tell your doctor prior to sphincterometry:

  • Chronic diseases (diabetes, hypertension, gastrointestinal diseases)
  • What medications are you taking (including laxatives, pain relievers, or blood thinners)
  • Allergies to medicines or disinfectants
  • If you are pregnant or breastfeeding

The intestine must be empty for the sphincterometry to be accurate. How to do it:

  1. The day before the procedure, exclude heavy food from your diet: fatty, fried, spicy, sweet
  2. Give preference to light dishes: soups, boiled vegetables, yogurt, kefir
  3. In the evening before the procedure, take a laxative (only what the doctor prescribed)
  4. In the morning, 2-3 hours before the visit, do an enema or use a microenema (Microlax, Norgalax)

Advice! After cleansing, drink some water if you feel weak.

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Result of the procedure

What does sphincterometry show:

  1. Anal sphincter tone. The force of muscle contraction and relaxation is measured, which helps to identify their weakness or excess tension
  2. Coordination of muscle work. It is determined how well the muscles work during defecation or other functions. This is important for chronic constipation or incontinence
  3. Presence of pathologies. If the muscles are damaged (e.g., after childbirth, injury, or surgery), the results will indicate the extent of the impairment

In most cases, the results are available immediately after the procedure. The doctor will explain in detail their meaning, answer questions and offer a plan for further action.

The results of sphincterometry help to make a diagnosis: weakness of the sphincter indicates anal incontinence, and excessive tone indicates pelvic floor dysfunction. On their basis, treatment is determined: exercises and physiotherapy for muscle weakness, surgery for injuries. The repeated study evaluates the effectiveness of therapy and the need for its adjustment.

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Advantages of sphincterometry in the K+31 clinic

Sphincterometry in K+31 clinics (Moscow) is an accurate diagnosis at the level of European standards. Here's why you should choose us:

  1. Modern equipment. The procedure is performed on high-precision devices, which provides the most reliable results
  2. Experienced specialists. Diagnostics are performed by coloproctologists with many years of experience, using European treatment protocols
  3. Integrated Approach. In one center, you can undergo all stages of the examination: from diagnosis to treatment and rehabilitation
  4. Comfortable conditions. The procedure is performed in a comfortable and safe environment, with minimal stress for the patient
  5. Quick results. The report is provided immediately after the procedure, allowing treatment to start quickly if necessary

K+31 are multidisciplinary full-cycle medical centers, where each patient is surrounded by attention and professional care. We use the best Russian and international practices to guarantee high quality diagnostics and treatment.

Advantages of sphincterometry in the K+31 clinic

Answers to popular questions

Before the sphincterometry procedure, many people have questions. We have collected the most common ones to dispel doubts and prepare you for the examination.

Is it possible to undergo the procedure during menstruation?

Yes, menstruation is not a contraindication, but for the maximum comfort of the patient, it is recommended to agree on the date of the procedure with the doctor.

Which doctor conducts the examination?

Sphincterometry is performed by coloproctologists who specialize in diseases of the rectum and pelvic floor.

Our doctors

Molchanov Ivan Sergeyevich
Experience 18 years
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Molchanov
Ivan Sergeyevich
Head of the department of rehabilitation treatment, physical therapy physician, physiotherapist
Orlova Anastasia Valeryevna
Experience 17 years
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Anastasia Valeryevna
Physiotherapist
Pasechnik Oleg Vladimirovich
Experience 21 year
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Oleg Vladimirovich
Manual Therapist
Ilyina Anastasia Vitalievna
Experience 19 years
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Ilyina
Anastasia Vitalievna
Reflexologist
Belavin Alexei Anatolevich
Experience 18 years
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Belavin
Alexei Anatolevich
Physical education instructor
Mashavets Ivan Vladimirovich
Experience 14 years
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Mashavets
Ivan Vladimirovich
Physical education instructor
Kushnaryova Antonina Grigoryevna
Experience 20 years
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Kushnaryova
Antonina Grigoryevna
Physical education instructor
Mityagin Pavel Alekseevich
Experience 19 years
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Mityagin
Pavel Alekseevich
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Chaplygin Evgeny Ivanovich
Experience 23 years
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Chaplygin
Evgeny Ivanovich
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Savelova Elena Anatolievna
Experience 29 years
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Physiotherapist
Tishkova Veronika Alexandrovna
Experience 19 years
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Veronika Alexandrovna
Reflexologist
Chernyshova Elena Nikolaevna
Experience 18 years
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Chernyshova
Elena Nikolaevna
Physiotherapist
Tsareva Elizaveta Yuryevna
Experience 11 years
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Tsareva
Elizaveta Yuryevna
Physiotherapist
Kondaraki Alexander Viorelovich
Experience 29 years
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Kondaraki
Alexander Viorelovich
Osteopath, neurologist, manual therapist
Toptygina Anastasiya Alekseevna
Experience 5 years
Toptygina
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Instructor-methodologist in therapeutic physical education
Esenov Viktor Valerievich
Experience 5 years
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Esenov
Viktor Valerievich
Physiotherapist, physical rehabilitation doctor
Medvedev Nikita Romanovich
Experience 5 years
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Medvedev
Nikita Romanovich
Instructor-methodologist of exercise therapy
Shokh Dmitry Vyacheslavovich
Experience 29 years
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Shokh
Dmitry Vyacheslavovich
Manual therapist, neurologist
Lipin Mikhail Nikolaevich
Experience 9 years
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Lipin
Mikhail Nikolaevich
Medical massage brother
Simonenko Galina Anatolevna
Experience 10 years
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Simonenko
Galina Anatolevna
Physical therapist, occupational therapist
Belova Elena Vladimirovna
Experience 6 years
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Belova
Elena Vladimirovna
Massage nurse
Bogomolov Evgeny Fedorovich
Experience 16 years
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Bogomolov
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