Scientific solution to a complex problem: physiology and multidisciplinary team improve understanding and outcome in chronic constipation and faecal incontinence

Multidisciplinary Children's Anorectal Physiology Service used high-resolution manometry, ultrasound, and transit studies to evaluate 112 pediatric patients with chronic constipation and faecal incontinence. Physiologic testing identified specific dysfunction patterns in 84% of cases, enabling targeted management that significantly improved patient satisfaction and reduced illness severity scores.