Anal Manometry
The evaluation of the strength of the muscles which control your bowel movements. The test is performed by placing a small tube the size of a drinking straw into the rectum. Pressure monitors inside the tube transmit the muscle impulses to a graph similar to an electrocardiogram. It is a painless procedure which takes 10 minutes to perform.

Anal Ultrasound
An examination using high frequency sound waves to create images of tissue layers beneath the surface of the anal canal. A smooth probe the size of a finger is placed in the anus. This test is used to map out anal fistulas before surgery, and to look for lesions, tears, or scarring in the sphincter muscles. It is a safe, painless procedure and no radiation is used.

Rectal Ultrasound
an examination using high frequency sound waves to create images of tissue layer beneath the surface of the rectum. A probe is put into the rectum through the anal opening. A small amount of fluid is put into the tip of the probe so that the surface of the probe is touching the inside of the rectum. This allows for better visualization of the tissue. It is a safe painless procedure and no radiation is used.

EMG
EMG is a test to determine if the nerves that supply your sphincter muscle are intact and that all your muscles relax and contract as they should. These tests are performed by measuring the electrical activity with a small sponge in the anus, or by stimulating the nerve with a small electrode. There is minimal discomfort associated with this test.

Cine Defecography
A test of the motion of the pelvic floor, the muscles which control a bowel movement, and the motion of the anus and rectum during a bowel movement. A small amount of thickening barium is placed in the rectum while a video recording is made as you expel the barium. Contrast may also be placed in the vagina of female patients to better define movement of the rectum toward the vagina.

Triple Contrast Cine Defecography
Looks at the motion of the small intestine during bowel movements. You will have to drink a small glass of barium 90 minutes before the test. The test is then conducted the same as a cine defecography.

Peritoneography
Peritoneography is a more advanced test for patients who have pelvic floor problems which can-not be fully diagnosed with the usual tests. These patients may have had previous surgery for a pelvic floor problem. It combines a cine defecography with the placement of a special fluid in your abdomen. An area on your abdomen is injected with a numbing agent (Lidocaine). A small needle is then inserted into your abdomen to inject the contrast. A cine defecography is then performed.