During the first proctological examination for minor pathologies, for example the haemorrhoids, there could be a critical point if the anamnesis is nagative for other anorectal disfunctions. Normally, after proctoscopy or colonscopy, the patient is undergone to a surgical treatment.
In the first proctological visit we can only detect the morphological aspects of the anus and the rectum but not their functionality.
At present, no device allows us to suspect attendant diseases and also predict postoperative complications. Nowadays, with minor pathologies where manometry is not foreseen, no instrument is able to predict attendant diseases and postoperative complications.
The MFA is made up of a graduated anoscope and a catheter with latex balloon (Fig. 1). It is basic underlining that the MFA doesn’t replace manometry, but it takes its place between nothing and manometry. It can test anorectal functionality and it’s an easy and fast device for the early patient’s selection.
The MFA is multifunctional: in addition to the anoscopy, it can perform: Rectal Sensation Test (RST), Balloon Expulsion Test (BET), the Extent of Prolapse Assessment (EPA) and finally the Length Measurement of the Anal Canal (LMAC). 1) RST. The Sims’ position will be preferred. The balloon is inserted into the rectum under vision 8 cm above the anal ring (fig. 2,3). The anoscope is removed (fig. 4). The Rectal Sensation Test (RST) will be started by insufflating air into the balloon by a 100 cc syringe (Fig. 5).
The MFA is a particular type of proctoscope with an integrated balloon invented by Dr. Meinero and patented with the Firm Sapi-Med of Alexandria. It is used at the time of the first proctological examination and, given its multifunctional characteristics, it allows to detect not only morphological data but also some parameters of anorectal functionality. During a normal proctological examination, only the morphological data of the ano-rerectal tract can be detected. If we want to obtain functional data, we must perform anorectal manometry which, in addition to not being available in all specialist centers, is not included in the guidelines for minor pathologies (for example, in mucohemorrhoidal prolapse). Manometry also requires a commitment both in terms of time and expense and, above all, is not expected when the history does not emerge reasons for its execution, especially if the patient is young. In addition to performing anoscopy, the MFA is able to test rectal sensitivity, perform balloon ejection test, pre-assess the extent of a prolapse and obtain anal canal measurements. It’s so useful both for preoperative patient selection and for predicting possible postoperative complications. It certainly does not want to replace the manometry but it is an additional instrument that the specialist has at his disposal that is placed between the current nothing and the manometry. If the parameters detected with the MFA were to be altered, the specialist must suspect the presence of concomitant pathologies already during the first visit for which he must request further examinations and not select too quickly for the surgery the patient he is visiting. For learning how to use the MFA, specific courses are held. To learn more see the MFA usage video. For further information on the subject, consult the scientific work.
At present, no device allows us to suspect attendant diseases and also predict postoperative complications. Nowadays, with minor pathologies where manometry is not foreseen, no instrument is able to predict attendant diseases and postoperative complications.
The MFA is made up of a graduated anoscope and a catheter with latex balloon (Fig. 1). It is basic underlining that the MFA doesn’t replace manometry, but it takes its place between nothing and manometry. It can test anorectal functionality and it’s an easy and fast device for the early patient’s selection.
The MFA is multifunctional: in addition to the anoscopy, it can perform: Rectal Sensation Test (RST), Balloon Expulsion Test (BET), the Extent of Prolapse Assessment (EPA) and finally the Length Measurement of the Anal Canal (LMAC). 1) RST. The Sims’ position will be preferred. The balloon is inserted into the rectum under vision 8 cm above the anal ring (fig. 2,3). The anoscope is removed (fig. 4). The Rectal Sensation Test (RST) will be started by insufflating air into the balloon by a 100 cc syringe (Fig. 5).
The MFA is a particular type of proctoscope with an integrated balloon invented by Dr. Meinero and patented with the Firm Sapi-Med of Alexandria. It is used at the time of the first proctological examination and, given its multifunctional characteristics, it allows to detect not only morphological data but also some parameters of anorectal functionality. During a normal proctological examination, only the morphological data of the ano-rerectal tract can be detected. If we want to obtain functional data, we must perform anorectal manometry which, in addition to not being available in all specialist centers, is not included in the guidelines for minor pathologies (for example, in mucohemorrhoidal prolapse). Manometry also requires a commitment both in terms of time and expense and, above all, is not expected when the history does not emerge reasons for its execution, especially if the patient is young. In addition to performing anoscopy, the MFA is able to test rectal sensitivity, perform balloon ejection test, pre-assess the extent of a prolapse and obtain anal canal measurements. It’s so useful both for preoperative patient selection and for predicting possible postoperative complications. It certainly does not want to replace the manometry but it is an additional instrument that the specialist has at his disposal that is placed between the current nothing and the manometry. If the parameters detected with the MFA were to be altered, the specialist must suspect the presence of concomitant pathologies already during the first visit for which he must request further examinations and not select too quickly for the surgery the patient he is visiting. For learning how to use the MFA, specific courses are held. To learn more see the MFA usage video. For further information on the subject, consult the scientific work.
