Developing a new electromyography-based algorithm to diagnose the etiology of fecal incontinence

• DOI: 10.1007/s00384-014-1859-1
• Publication Date: 2014-04-17T05:45:09Z
• Authors: Michał Nowakowski; Krzysztof A. Toma...; Roman M. Herman; Jerzy Sałówka; Michał Romaniszyn; Mateusz Rubinkiewicz; Jerzy A. Walocha
• Keywords: Etiology; Fecal Incontinence; Anorectal manometry

For surface electromyography (sEMG) to become widely used in fecal incontinence (FI) etiology assessment, one would have create a simple, step-by-step, computer-aided, electromyography-based algorithm that the basis for computer-aided diagnosis (CAD) system. Thus, aim of this work was develop such an algorithm. Each patient included study underwent structured medical interview, general physical examination, and proctological examination. Patients scored more than 10 points on severity index (FISI) further tests rectoscopy, anorectal manometry, transanal ultrasonography, multichannel sEMG, assessment anal reflexes. with fully diagnosed FI were into group. The control group consisted healthy volunteers five or less FISI had no known sphincters dysfunction. Forty-nine patients qualified (age ± SD 58.9 13.8). number- gender-matched 45.4 15.1). sensitivity specificity classification tree number I, diagnose neurogenic FI, 89.5 86 %, respectively. idiopathic these values 82 91 III, 84 78 87 relative simplicity low costs allow assume algorithms based trees I III will serve be CAD