New method for assessment of anal sensation in various anorectal disorders

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Abstract
A new technique for quantifying anal sensation utilizing mucosal electrosensitivity is described and has been tested in 97 patients. Normal subjects (n = 20) have a sensory threshold varying from 2 to 7·3 mA being most acute in the region of the anal valves. Sensory awareness also extends into the upper anal canal. Patients with neuropathic incontinence (n = 17) have a sensory deficit (P <0·002) whilst patients with haemorrhoids (n = 28) have less sensitive mucosa displaced into the upper anal canal (P < 0·0001). Patients with acute fissure-in-ano (n = 10) have lower thresholds of sensation at the site of the fissure and slow transit constipation patients (n = 22) have normal anal sensation. The technique is reproducible and should prove useful in the investigation of anorectal disorders.
Funding Information
  • Incontinence Unit, Royal Devon and Exeter Hospital