Video proctogram

A video proctogram is a specialised X-ray test used to assess how well your bowel empties. It is commonly recommended for patients having trouble passing stools, incomplete evacuation, or symptoms of obstructed defecation.

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This test helps identify structural abnormalities such as:

• Rectoceles – a bulge in the rectum that pushes into the vaginal wall

• Enteroceles / sigmoidoceles – when the small intestine or sigmoid colon descends into the pelvic area

• Internal rectal prolapse (intussusception) – where the rectum folds in on itself, causing an obstruction

By visualising how your rectum and pelvic floor function during bowel movements, a video proctogram provides valuable insight into the cause of your symptoms, helping guide the most effective treatment plan.

Do you need any preparation beforehand?

• You will receive written instructions before your appointment

• No special preparation or bowel cleansing is usually required

• You may be advised to adjust your diet or fluid intake prior to the test

What does the test involve?

When you arrive at the X-ray department, you will:

• Be given a drinkable solution to fill the upper part of your bowel

• Have a small tube inserted into your rectum, through which a soft barium paste is introduced

• Be asked to sit on a specially designed toilet behind a privacy screen

• Follow instructions to strain and empty your bowel naturally while X-ray images are recorded

This dynamic imaging test simulates the natural process of defecation, allowing the consultant to observe how your bowel and pelvic floor muscles function in real-time.

What happens after the test?

• The procedure takes only a few minutes

• You can resume normal activities immediately

• You do not need any recovery time

• The radiologist will analyse your results and send a detailed report to your consultant