Email: enquiries@pelvichealthandwellbeing.co.uk
Obstructive Defacation
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. We assess the bowel function with transit studies which tend to show markers to be in and around the rectal area suggesting an inability to empty the rectum properly. This could occur because of rectoceles or recto-anal intussusception as the cause.
Patients are treated with physiotherapy, irrigation which is a good option and surgical interventions including rectocele repair or pelvic floor repair with or without laparoscopic ventral mesh rectopexy. This particular group of patients will need interventions from a colorectal surgeon, urogynaecologist and also pelvic floor physiotherapy and pelvic floor specialist nurse.
The patients will need to be assessed very carefully as the obstructive defecation can also cause issues with bladder problems and the bladder might need investigation also prior to any surgical intervention.
We have a dedicated team of professionals who will be able to assess you in detail and provide you with the latest and best evidence based treatment advice for the best outcomes.
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