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in this report the functional anorectal disorders, the etiology of which is currently unknown or related to the abnormal functioning of normally innervated and structurally intact muscles, are discussed. These disorders include functional fecal incontinence, functional anorectal pain, including levator ani syndrome and proctalgia fugax, and pelvic floor dyssynergia. Anorectal dysfunction this requires intact sensation as well as normal anatomy and coordination to work as it should. In certain situations, an inability to relax the pelvic floor muscles or certain anatomic changes can lead to difficulty getting stool out, which is called pelvic floor dysfunction (also known as pelvic floor dyssynergia, obstructive defecation, or anismus). disturbed colonic motility contributes to anorectal symptoms and dysfunction after radiotherapy for carcinoma of the prostate. Yeoh ek(1), bartholomeusz dl, holloway rh, fraser rj, botten r, di matteo a, moore jw, schoeman mn. Traditional measures of normal anal sphincter function using highresolution anorectal manometry (hram). Functional anal canal length measurement using highresolution anorectal manometry to investigate anal sphincter dysfunction in patients with fecal incontinence or constipation, neurogastroenterology & motility,. articleosti21438008, title disturbed colonic motility contributes to anorectal symptoms and dysfunction after radiotherapy for carcinoma of the prostate, author yeoh, eric k. Neurogenic bowel dysfunction (nbd) is the inability to control defecation due to a nervous system problem, resulting in faecal incontinence or constipation. It is common in people with spinal cord injury (sci), multiple sclerosis (ms) or spina bifida. The gastrointestinal tract has a complex control that relies on coordinated interaction between muscular contractions and neuronal impulses. Functional anal canal length measurement using highresolution anorectal manometry to investigate anal sphincter dysfunction in patients with fecal incontinence or constipation. background and aims although external anal sphincter dysfunction is the major cause of urge faecal incontinence, approximately 50 of such patients have evidence of rectal hypersensitivity and report exaggerated stool frequency and urgency. The contribution of rectosigmoid contractile activity to the pathophysiology of this condition is unclear, and thus the relations between symptoms, rectal.