Print This Page     Close Window Consult Request Guidelines for Anal Sphincter Spasm     Anal Sphincter Spasm Suggested Pre-Referral Evaluation and Management Guidelines Referral is indicated if the patient has been detected to have anal sphincter spasm which has not responded to pelvic floor physical therapy or topical treatments. Patients with anorectal disorders, such as fissure of fistula, who have significant anorectal pain often have anal sphincter spasm. Patients with constipation may have a component of anal sphincter spasm. Suggested Additional Test/Management Prior to Specialty Visit Patients who have bowel motility issues should be referred to the Michigan Bowel Control Program Patient Education/Information (includes preps)   Appointment Timeframe 2-4 weeks How to Get Results to Consultant UMHS Patients: See MiChart External Patients: Hand carry non-UM records to visit Clinic Contact Information Physicians: 800-962-3555 Patients: 734-615-7565 Clinic Location Sites Colorectal Surgery Clinic UM Consulting Physician Karin M Hardiman, MD Arden Marie Morris, MD Scott E Regenbogen, MD Deborah A Crider, NP Revised on: 09/19/2012