We provide a multidisciplinary comprehensive pelvic floor service for the following
- Difficulty emptying bowels / Obstructive defaecation syndrome
- Bowel Incontinence / Faecal Incontinence
- Rectal prolapse
- Obstetric sphincter injuries
Following a detailed history and evaluation, diagnostic work-up could include Ano-rectal physiology, Endo-anal ultrasound and defaecating / MR Proctograms. This is followed by a multi-disciplinary meeting and treatment. Treatment is predominantly aimed at managing with conservative multi-modal and surgical approaches. The medical management include dietary changes, toileting habits, positioning, drugs, Pelvic floor exercises and Bio-feedback.
Some of the procedures undertaken include Suture rectopexy, Delorme’s procedure, Altemeier perineal rectosigmoidectomy, sphincter repairs and recto-vaginal fistula service.