Detection and Diagnosis

You may be asked by your doctor to determine the frequency of accidents (daily, weekly, monthly, occasionally), if and how often you wear pads and if or how often incontinence forces you to modify your lifestyle. To further test for diagnosis, the doctor may perform one of the following exams:

Urinary tract X-ray

  • Pelvic CT scan, ultrasound or MRI
  • Anal manometry: checks the tightness of the anal sphincter and its ability to respond to signals, as well as the sensitivity and function of the rectum
  • Anorectal ultrasonography: evaluates the structure of the anal sphincters
  • Proctography: also known as defecography, shows how much stool the rectum can hold, how well the rectum holds it and how well the rectum can evacuate the stool
  • Proctosigmoidoscopy: allows doctors to look inside the rectum for signs of disease or other problems that could cause fecal incontinence, such as inflammation, tumors, or scar tissue
  • Anal electromyography: tests for nerve damage, which is often associated with an obstetric injury


Urodynamics is a series of tests designed to provide objective information about the function of the bladder and urinary muscles. Urodynamic testing reproduces the symptoms experienced by the patient and provides an explanation for the symptoms.

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The GW Pelvic Floor
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