Sa1370 Utility of MRI Defecography After Manometry in the Diagnosis and Management of Constipation and Fecal Incontinence

Abstract

G A A b st ra ct s from 40.25 (SD 21.6) to 73.25 (SD 41.5) mmHg p=0.031, correspondingly (Graph 1 & Figure 1). Due to the physiologic improvement observed at the second ARM, in 4 (33%) cases the recommendation of the pelvic floor clinic was changed and vaginal delivery was considered as an acceptable option in subsequent deliveries. Conclusions: When there is discrepancy between severity of anal weakness on ARM and anatomy based on EAUS findings at three months postpartum, a second ARM within 6 months after pelvic floor physiotherapy may show significant improvement in external anal sphincter function. This repeated evaluation may alter the decision regarding future delivery mode, in up to one third of the patients.