Rectal Prolapse
This can be quite a debilitating condition and can generally be managed conservatively where we reduce the prolapse as it happens, which can be quite difficult as it does cause a lot of discomfort for patients
This can be quite a debilitating condition and can generally be managed conservatively where we reduce the prolapse as it happens, which can be quite difficult as it does cause a lot of discomfort for patients, especially if they are elderly and have dementia.
There are several treatment options available including the Delorme’s Procedure, Altemeier’s procedure and also laparoscopic procedure in the form of a laparoscopic ventral mesh rectopexy (Lap VMR).
I also undertake the Thiersch wire in frail patients who might not be suitable for an anaesthetic and can be carried out under local anesthesia. If you have any problems with rectal prolapse, I would be happy to see you and advise you with regards to further management.
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.