Email: enquiries@pelvichealthandwellbeing.co.uk
CONSTIPATION
Constipation is one of the more common diagnosis with up to 20% of the population suffering.
You are diagnosed with constipation if you do not open your bowels more than 3 times a week. This can be related to medical problems primary or secondary to other medical conditions which can be managed successfully by treating the other medical problems.
Generally, the management strategy or management plan includes ruling out any other pathology followed by treatment of the patient’s symptoms to try and help them open their bowels. This actually falls into a multi-modal treatment format – Physiotherapy and Specialist Nurses are involved and we have a dedicated pelvic floor MDT where were are able to discuss each patient’s case with regards to further management and treatment. We are able to provide a comprehensive treatment plan for the patient.
The treatment options include laxatives, second line treatment including Linaclotide or Prucalopride medications, irrigation, ACE procedures (antegrade continence enemas to try and help with constipation), stoma formation and also bowel resection and anastomosis which can be necessary in a group of patients.
I undertake all these procedures. I would be delighted to see you to discuss what the best option would be for you and if any surgical intervention would be necessary. I would be able to undertake these procedures for you.
OUR OTHER SERVICES
Rectal Prolapse
This can be a debilitating condition. I currently undertake Laparoscopic ventral mesh rectopexy (Lap VMR),
Delormes procedure, Altemeier’s procedure Unfortunately can affect elderly patients who can be frail.
Faecal
Incontinence
Faecal Incontinence affects a significant number of patients with almost 20% of patients thought to be affected. Until recently treatment options were limited. Most patients present following obstetric injury.
Constipation
One of the commonest diagnoses with up to 20% of the population suffering. Primary or secondary to other medical conditions which can include neurological and metabolic conditions.
Obstructive Defecation
Obstructive defection affects a group of patients who normally present with symptoms similar to constipation. We do assess this as a separate group of as the issues tend to be related with opening their bowels.
Haemorrhoidal Treatment
Although haemorrhoids are responsible for considerable economic cost and personal suffering. These account for one of the commonest anorectal diagnoses in outpatients and emergency depts.
Anal Fissures
One of the common conditions that we see but the one that affects patients quite significantly where they are unable to open their bowels and when they do, the muscle spasm causes them significant pain and discomfort.
Anal Fistulas
Anal fistulas can be quite a difficult problem to treat and this generally follows patients who have perianal abscesses which are either drained or sometimes discharge spontaneously or are treated successfully with antibiotics.
Pilonidal Sinus Disease
Pilonidal sinus disease (PD) is most commonly seen in and around the natal cleft. The reported incidence is around 25 per 100,000 with a male to female ratio between 3:1 and 4:1.
Get in touch
Please get in touch, we are looking forward to seeing how we can help you