Diagnostic Procedures

Woman by lake


  • Pelvic ultrasound evaluates the pelvic organs / structures including the uterus, ovaries, and bladder
  • Fistulogram evaluates the tissue between pelvic organs, looking for abnormal connections called fistula.
  • Voiding cystogram evaluates the function of the bladder and urethra
  • Anal ultrasound evaluates the structure of the sphincter and surrounding tissue. This is useful to produce images of the internal and external anatomy of the anal sphincter.
  • MRI Defecography evaluates how well stool is evacuated from the rectum.
  • Proctoscopy another technique used to produce a useful picture of the rectum.
  • Flexible sigmoidoscopy a useful test to view the rectum and lower colon for polyps, tumors and other abnormalities.
  • CT Urogram evaluates the upper urinary tract including the ureters and kidneys

Functional Testing

  • Pudendal nerve testing measures the delay between an electrical impulse and the muscle and the contraction, allowing the provider to assess if there is a nerve deficit. This is an important measurement since these nerves extend to the pelvic floor muscles and the anal sphincter muscles.
  • Anorectal manometry measures the resting and squeeze pressures in the anal canal in regards to fecal incontinence and constipation determining the sensitivity and function of the rectum.
  • Urodynamics are bladder studies that measure bladder pressures during bladder filling and emptying to aid in determining the cause of urinary symptoms.
  • Cystoscopy is a test which allows the inside of the bladder and urethra to be visualized.