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Department of Internal Medicine

Department of Internal Medicine

Patient instructions for neuromuscular retraining

Neuromuscular retraining is used to teach patients correct use of muscles in the anorectum. It has no associated risk factors or medical complications, and has a high success rate for treating patients with elimination problems.

In neuromuscular retraining, a specialized anorectal probe is used. With the probe in place, the patient is instructed to perform specific relaxation and squeeze maneuvers while observing his or her own manometric tracings. The patient compares these tracings to those of a normal subject. During the training session, the patient practices performing the maneuver, with feedback from his or her own manometric tracings, until he or she is able to consistently elicit a normal tracing. The patient is also given exercises to perform at home.

Please arrive 30 minutes prior to your appointment. If you are unable to keep your appointment, you must cancel at least 48 hours in advance or you will be referred back to your primary care physician.

PLEASE FOLLOW THESE INSTRUCTIONS COMPLETELY AND CAREFULLY:

  • Purchase one Fleet enema.
  • Administer enema one hour prior to your appointment.

If you have any questions or concerns, please call the GI/Motility unit Monday through Friday, 7:30 a.m. - 4 p.m. at (916) 734-5561.

More information about this procedure is available here.