Anorectal Physiology
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ASCRS Question Bank- Pelvic Floor
- A 46-year-old woman presents with rectal pain of 6 months’ duration. Findings of direct and digital examination followed by anoscopy are negative except for severe pain on palpation over the left puborectalis sling. What is the best next step in management?
- A 45-year-old woman with a history of chronic constipation is evaluated in the office. Recent transit study demonstrated retention of 16 Sitz markers scattered throughout the colon 5 days after ingesting the Sitzmark capsule. Colonoscopy findings are unremarkable. She has failed multiple medication trials. She is compliant with her dietary modifications such as fiber and fluid intake. She takes a commercial polyethylene glycol 3350 formulation as needed. What is the most appropriate next step in management?