**Abstract**

Various causes of neuromuscular disorders of the pelvic floor muscles may affect the functional integrity of the pelvic floor and anorectum leading to the different pathological conditions such as anorectal incontinence, urinary incontinence and constipation of obstructed defecation, sexual dysfunction, and perineal pain syndromes. Diagnosis of the dysfunctional anorectum and pelvic floor disorders is an integrated approach that includes a thorough history, a careful physical examination, and selected specialized tests as well as the exclusion of organic disease (anorectal or endopelvic) which complement the patient's evaluation contributing to objective and accurate diagnosis of their pathological cause leading to the optimal treatment.

**Keywords:** anorectal incontinence, constipation, dyssynergic pelvic floor, levator ani syndrome, myofascial syndrome, pelvic outlet obstruction, perineal pain
