Expulsion Testing with RED
Expulsion Testing with RED
RED was designed to provide a simple screening tool that broadly detects evacuation disorders which can aid in assessing which patients may benefit from pelvic floor therapy.
To give hope to every patient with chronic constipation.
To give hope to every patient with chronic constipation.
We want every Gastroenterologist practice to be able to safely and confidently perform meaningful anorectal testing without it impacting clinical workflow or requiring a large capital expense.
Currently, only about 2% of all patients with constipation are referred for anal-rectal testing and thus, a large number with pelvic floor dysfunction and rectal hypersensitivity are missed and/or fail to get proper treatment.
Anorectal testing
No anorectal testing
Clin Gastroenterol Hepatol. 2023;21(4):1082-1090.
Assessing Pelvic Floor Dysfunction with RED
Assessing Pelvic Floor Dysfunction with RED
We developed this device with the physician and patient in mind. RED was designed to self-inflate to a set volume with a special foam that mimics the “feel” of stool in the rectum.
Our aim was to provide an efficient, accurate, and cost-effective point of care tool to assess pelvic floor dysfunction and rectal hypersensitivity in patients with chronic constipation.
RED does not require a large capital purchase or ongoing expensive disposables.
Clin Gastroenterol Hepatol. 2023;21(4):1082-1090.
Hypersensitivity Testing with RED
Hypersensitivity Testing with RED
Rectal hypersensitivity is addressed by pelvic floor physical therapists who deliver education and sensory re-training.
RED Identifies Patients with Rectal Hypersensitivity
Rectal hypersensitivity
No hypersensitivity
N=58
Clin Gastroenterol Hepatol. 2023;21(4):1082-1090.
RED Publications
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Frequently Asked Questions
Many patients with pelvic floor problems do not respond well to increasing laxatives. These patients often have excessive or ineffective straining as a cause. RED helps identify those patients who need to be referred for proper treatment. RED also identifies patients with rectal hypersensitivity, which can often be the cause of urgency or feeling of incomplete evacuation.
No, hemorrhoids are not a contraindication. They are usually caused by excessive or ineffective straining. Thus, it is important to test for pelvic floor dysfunction. However, it is not recommended to do RED testing on the same day after hemorrhoid banding.
By asking the patient 1-3 questions regarding the need or urge to defecate (measure of hypersensitivity) once the balloon is inserted and inflated.
RED is a qualitative test to assess rectal hypersensitivity. RED, utilized as an expulsion device, can help screen for pelvic floor dysfunction in patients with chronic constipation.
ARM includes pressure measurements while connected to electronic equipment. RED does not connect to any other equipment.
There is no controller or box for the RED to connect to. Once inserted in the rectum, the stopcock is opened to ambient air, allowing the balloon to self-inflate with a proprietary foam that mimics the feel of stool. Thus, there is no need to connect to a box or controller.
If you cannot perform a rectal exam, the patient refuses a rectal exam, there is a mass, stricture, stenosis, or if there is pain during the digital rectal exam – DO NOT INSERT THIS DEVICE.
It is made from high-grade medical silicone and does not contain latex.
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