L'endosonographie dans l'incontinence anale: à consommer sans modération...

Abstract

Originally intended for evaluating the prostate, endosonography was gradually modified for examination of the digestive tract. Its use, particularly for anorectal disorders, has expanded considerably. It is indeed the first technique to provide us with an interpretable anatomical image of the anal canal at satisfactory resolution and with good definition. In addition, it is a technique that is widely available, simple and quick to perform, inexpensive and results in no side effects. It has thus brought greater understanding of the pathophysiology of faecal incontinence and is now especially valuable in diagnosing this disorder; the ability to reveal sphincter defects has an unmistakable therapeutic impact. Moreover, the recent possibility of reconstructing three-dimensional images will doubtless open up other promising horizons.