Anorectal manometry

Have you ever heard about the anorectal manometry exam?

It's an assessment exam that consist in an introduction of a balloon probe in the rectum that measure the anal pressure during the contraction of the sphincter and the muscles around the rectum.

That is typically used to diagnose several diseases about the anorectal tract.

Do you have real experiences about this examination?

I think that in a play exam a Doctor can simulate this examination with an inflatable anal plug or something similar. I'd like to introduce this examination in my play exam just to try something new, I'm very curious about it.

No, I have never heard of an anorectal manometry exam? I think I would really like to have it done to me, as I am into anal play. I wonder if an enema is required prior to the exam.

I have heard of this! My brother and I saw the same pediatric gastroenterologist as kids (at different times, a few years apart) and from what I understand, he had a procedure like that - he described it as the doctor blowing up a balloon in his butt and clenching while laying on his side (he also said they had a Nintendo for him to play with to pass time during the procedure).

He was very matter-of-fact when talking about it. None of those visits really seemed to leave an impression on him the way they did with me, at least to my knowledge.

Back 6 or 7 years ago, the colon & rectal surgeon I was going to back then for recurrent hemorrhoids and pelvic floor spasms offered to do anorectal manometry on me. That was after she had already treated me (mostly successfully) for those conditions. I asked if it would change either the diagnosis or the treatment. She answered probably not. So, I declined to have the anorectal manometry. I'll also point out that experienced colon & rectal surgeons pretty much get the same information through digital rectal exam, since that gives a pretty good feel for sphincter tone.

I have had that exam after spinal op see if there was some nerve damage to snsl muscles

I was reading recently that it can be used as a test when treating constipation to see if your rectum is less sensitive to stretching.

No, I have never heard of an anorectal manometry exam? I think I would really like to have it done to me, as I am into anal play. I wonder if an enema is required prior to the exam.

Yes of course, an enema is required I think, the rectum must be empty and clean in order to have the right result.

Https://my.clevelandclinic.org/health/diagnostics/12760-anorectal-manometry. An enema is definitely required before the diagnosis

Anorectal manometry is required to accurately diagnose certain disorders of the rectum. The only one I have personally seen is Hirschsprungs disease which is an absence of nerve endings which are ordinarily required to cause the colon to empty. It's present at birth and results in megacolon. I saw one case in my pediatric rotation in medical school. It was pretty awful!

I had it as standard patient during a trial of a new ARM (Ano Recral Manometey) instrument developed in my university hospital. The complete examination requires half a day and was quite unconfortable. They required to be rectally cleaned and I have a couple of enemas. I was naked with a gown, they did a genital examination before starting the ARM procedure, not clear why. The doctor did also a DRE and a ball expulsion test. Finally they applied a couple of electrodes on the sides of my anus and started to insert the sensorized baloon catheter. It was a long examination they did a complete anorectal manometry testing including an anal sphincter electromyography, the anorectal rest and squeeze pressure profiling, the rectal volume measurement and the rectoanal inhibitory reflex measurement.

Extremely embarassing...

@Obertaller oh wow! Very interesting, I can imagine your embarrassment. Can you tell us more details? In which positions they examined you? Thanks

I got a couple of glycerine enemas about 40 minutes before. When I was completely cleaned I was placed in a lithotomy position in a chair with knees rests. Here the doctor did the unexpected genital exam then inserted his fingers in my anus for the proctologic exam. She asked to squeeze her finger at different depth of penetration in my rectum. Finally she forced a plastic ball through my anus and reclined my feet rests making me in a sort of squat position where my anus was well exposed to her sight. She ask to try to expell the ball. It takes some time and effort. Then she lubricated my anus and inserted the probe. Ask me to relax in a left later position and did all the manometry things, different depth, different inflating of the ball, asking to cough, squeeze, relax and warn her when I felt the urge to poop...

I had one done a maybe five years ago. I had to undress and wear a gown with nothing on under it. There was a female nurse/technician who did the procedure. I had to lay on a medical table during the procedure. Before the procedure I had to give myself an enema at home.

It started with her giving me a digital rectal exam. I was in the sims position for the exam. Then we did the manometry, which involved her placing the catheter with the balloon on the end in my anus. The balloon would then be inflated and the pressure measured. There were times I had to bear down as if I was having a bowel movement. The catheter was inserted several times into my hole. At the end I had to go into the bathroom with her and expel the ballon from my anus while she was right next to me.

The entire process probably took 30-45 minutes. Needless to say you are very exposed and spend a lot of time getting probed.

I never heard of this but would love to have that exam performed. who knows what might come up?

Sounds awesome and very erotic and like all med exams, getting turned on is a no-no, yes-yes; it's not supposed to happed for just an exam and these exams by Zity docs are designed to make sure it does.

I was naked with a gown

@Obertaller That sounds like an amazing procedure. Was the gown open in the back?

Were your genitals exposed while you were on your back, or were they covered by the gown or a sheet?

The entire process probably took 30-45 minutes. Needless to say you are very exposed and spend a lot of time getting probed.

@chiefmojorisin That sounds amazing!

@jblasphemy17 it was a gown opened in the pelvic area and genitals were exposed while I was on my back.

I just recently learned what it was when I was looking up different anal exam procedures and it seems like a fascinating experiment. Never had one done but it would certain make an exam all the more interesting!

A play doctor could have the patient bear down while doing rectal exam. Not as scientific as a pressure measuring device.

Have been “threatened” with that, since it’s used to diagnose issues that are sometimes associated with gastroparesis, which I have. Never had the pleasure and am honestly happy to live in the dark about this particular test. If that is your cup of tea, however, you should look up all the other diagnostic procedures that are used to diagnose and evaluate motility disorders (I’m really not squeamish and am into medfet, as well as 98% of anal things, but the sole thought of having them done almost had me in tears). I subject myself to a variety of stuff because I have to and I am rather matter of fact about it but these, dang, I’ll pass, if given the chance.

…(I’m really not squeamish and am into medfet, as well as 98% of anal things, but the sole thought of having them done almost had me in tears).

@TheBriannaYouCrave Thanks for sharing… I’ve not come across gastroparesis myself, but it sounds like it has a lot more to do with your upper GI tract than the lower, so I’m guessing your exams weren’t as focused on your … bottom end?

I guess I’m curious, though, if you’re not too squeamish, and don’t mind anal things, what is it in particular about this test that gives you the bad feels?

It’s my understanding that is basically just fairly small catheter inserted followed by weird sensations and questions as they inflate/deflate the balloon. In my mind, nothing *too unpleasant*.

Definitely very embarrassing and probably a bit uncomfortable, but not much more than that? I could be totally wrong. Probably am, this my question… is it just the embarrassing focus on your back passage that puts you off, or is there something else I’m misssing?

-tyd

I discussed this with my colonic hydrotherapist during my last appointment. She told me that her mother-in-law had been for such a test.

A play doctor could have the patient bear down while doing rectal exam. Not as scientific as a pressure measuring device.

Never had that done, but it sounds very interesting.

Sounds similar to something I had done a few yrs ago. When my prostate was removed, it left me leaking when I stood up. What they did was put a 6" partially-inflated hotdog-shaped balloon in my rectum that logged my squeezes while I did Kegel exercises. I did this 1x/wk for 6 weeks.