Functional disorders of anorectal region

Sa？etak Functional disorders of anorectal region are characterized by different symptoms that vary from patient to patient and are determined by different localization of disorders related to anatomical structure and characteristics of disorder. Diagnosis can be difficult in some patients, because the causual connection between structural disorder and anorectal dysfunction or unclear bowels symptoms isn’t clearly expressed and noticealbe, because every disorder can be found even in asymptomatic patients. Structural and functional disorders can be detected by clinical analysis of the patients which does not necessary explain the presence of the symptoms. Although there are significant difference in localization and symptoms disorders have meny common elements, as for example regarding motoric and sensory function, attitude towards CNS and in the treatment approach. Functional disorder of anorectal region according to Rome III criteria can be caused by dysfunction of normaly inervated and structurally undamaged muscle, psychological disorder or by some unexplained cause such as minimal disorders of muscle innervation with the presence of minimal structural damage or with their complete absence. Other causes are: innervation disorder caused by central brain damage, spinal cord or nerve damage or mixed damage of autonomic peripheral nervous system, or damage of anal sphincter connected with mult-systemic diseases and structural damage which are believed to be major causes of fecal incontinence. Diagnostic and treatment, as individual functional disorders of anorectal region, depends on symptomatology, longlasting and recurring symptoms which indicate the functional disorders