ANAL MANOMETRY TREATMENT NYC
AWARD-WINNING, NATIONALLY TRUSTED ANAL MANOMETRY SERVICES
Anorectal manometry is a simple, comfortable test designed to measure how well the rectum and anal muscles are working. At Bespoke Surgical, this evaluation provides detailed insights into strength, coordination, and sensation, helping us create treatment plans tailored to your unique pelvic floor needs.Visit our NYC office or give us a call to schedule an anorectal manometry appointment today.
WHAT IS ANORECTAL MANOMETRY?
Anorectal Manometry (sometimes referred to as anal manometry or rectal manometry) is a set of pain-free tests that allow us to evaluate the pelvic floor function of men, women, trans, and non-binary individuals. The test is administered by positioning a thin, flexible catheter into the anus that feeds through to the rectum.
The variables most commonly measured are the anal sphincter resting pressure, the anal squeeze pressure as a mark of muscle strength, the Rectoanal Inhibitory Reflex, rectal sensation tone and compliance, simulated defecation, sensation, discrimination, fatigue, and paradoxical contraction.
WHY IS ANORECTAL MANOMETRY NEEDED?
Anorectal Manometry is necessary for some patients to evaluate pelvic floor function and uncover potential issues that may be causing unwanted symptoms. Symptoms that may require Anorectal Manometry testing include anal fissures, anal tightness, anal looseness, constipation, fecal incontinence, difficulty defecating, non-complete emptying, pain in the pelvis, pre- or post-surgical interventions, pain with or the inability to participate in receptive anal sex, and having a weak unsatisfactory orgasm.
Gay men and others who engage in receptive anal sex need to be especially conscious of the health and wellbeing of their pelvic floor to avoid issues that may arise from the combination of anal play and aging. Regular, yearly Pelvic Health Screenings are recommended as a preventative measure to ensure your pelvic health is strong and vital. Using normative data, timely manometry tests for men, women, trans, and non-binary individuals can detect changes, so preventative treatment can be instigated before symptoms are inevitable.
Anorectal Manometry & Pelvic Floor Evaluation
If you’ve noticed changes in control, comfort, or strength in your pelvic floor, anorectal manometry can help identify the cause. This simple test measures the strength and coordination of your anal sphincter muscles, providing essential information for customized treatment.
Common concerns that may benefit from testing include:
- Anal tightness, looseness, or pain
- Difficulty holding gas or stool
- Fecal smearing or incontinence
- Straining with bowel movements
- Post-surgical or age-related changes in muscle strength
- Discomfort or avoidance of intimacy due to pelvic floor issues
Based on your results, we can design a treatment plan tailored to your needs. Options may include targeted pelvic floor therapy or innovative solutions such as the BTL Emsella Chair, which uses electromagnetic energy to strengthen pelvic muscles without the need for probes or undressing.
ANAL MANOMETRY TREATMENT
Anal Manometry Preparation
If you’re considering an anorectal manometry test in NYC, we can guide you throughout the process. There is no need for any elaborate preparation prior to the anorectal manometry test. If you have had a normal bowel movement before taking the test, you will be fine. There is no need for an enema, nor is there a need to alter your diet. Additionally, you do not need to stop taking prescribed medications because of the test. If you have any concerns, please contact someone at our office.
Anal Manometry Results
The results of the Anorectal Manometry test will be considered and compared with the information from the other tests and observations made on the day of your evaluation so a complete holistic personal picture of the individual can be made and a personalized program toward recovery established.
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Anorectal Manometry at Bespoke Surgical
At Bespoke Surgical, we use gold-standard anorectal manometry testing to evaluate the strength, coordination, and reflexes of the rectum and anus. This quick, non-painful test requires no special preparation and provides essential information for diagnosing pelvic floor dysfunction and creating an individualized treatment plan.
Our assessment may include:
Balloon Expulsion Tests
During this test, a thin, lubricated catheter with a small balloon is comfortably inserted into the rectum while you lie on your side. You’ll be asked to perform a series of simple tasks, such as:
- Resting quietly to measure baseline anal pressure
- Squeezing and lifting as if stopping gas to assess external sphincter strength and endurance
- Attempting to expel the catheter, both with and without the balloon inflated, to measure defecation biomechanics
- Responding to gradual balloon inflation, which tests rectal sensation, reservoir function, and reflexes that help maintain continence
This test also evaluates the Rectoanal Inhibitory Reflex (critical for bowel function) and the Cough Reflex (which protects against leakage during sudden pressure increases). Afterward, the catheter is removed, and you can return to your daily routine immediately.
Anal Sphincter Electromyography (EMG)
Electromyography (EMG) uses a small lubricated anal probe to record the electrical activity of pelvic floor muscles. While viewing results on a computer screen, you’ll be guided through maneuvers such as resting, squeezing, lifting, pushing, and coughing. These actions are displayed as line graphs, showing how your muscles contract, relax, and coordinate.
EMG is both diagnostic and therapeutic. It identifies muscle weakness, asymmetry, or hypertonicity, and it can also be used for biofeedback therapy. In biofeedback sessions, patients gain real-time awareness of their pelvic floor activity, helping to:
- Strengthen muscles in cases of laxity or incontinence
- Relax overactive muscles contributing to anal spasm, pelvic floor tightness, or painful sex
- Retrain coordination to reduce injury risk and improve function
Together, these tests provide a comprehensive view of pelvic floor health and guide tailored treatment designed to restore strength, control, and comfort.
From Our Clients
Bespoke Location, Hours, & Contact
Bespoke Surgical is located in Manhattan, in the Greenwich Village neighborhood, and easily accessible by car or public transportation.
