Protocolo diagnóstico de la incontinencia anal

Although fecal incontinence is an anorectal functional disorder in most cases, sometimes has a concrete and demonstrable cause. It is therefore important to conduct a thorough evaluation to exclude treatable causes. Having excluded these causes and confirmed the IA, it is necessary to confirm the underlying anal injury and the severity of the problem, for which we have a lot of diagnostics tests. The diagnostic algorithm should begin by manometry and endoanal ultrasound because there is a good correlation between both techniques. The remaining tests (defecography, MRI, endoscopy, electrophysiologic tests) are reserved for discordant results between manometry and ultrasound.