Pelvic Floor Disorders

Hills Colorectal Surgery deals with pelvic floor disorder such as faecal incontinence and obstructed defaecation. We can perform anorectal physiology tests on patients with faecal incontinence using anal manometry, pudendal nerve study and endoanal ultrasound. We are also able to provide a range of treatment modalities ranging from medical to surgical treatment using the most modern technology including sacral nerve stimulation and anal sphincter repair to treat faecal incontinence.

In patients with obstructed defaecation, they usually present with significant straining at stools, sensation of incomplete evacuation, the use of suppositories/enema and/or digitation of vagina or manipulation of perianal area. This is a condition that is poorly understood by many and commonly under-reported. They can be assessed clinically and also using defecating proctogram. Nowadays, we usually treat this condition with pelvic floor biofeedback physiotherapy. Some patients are referred to urogynaecologists for treatment of their symptomatic rectocoele or cystocoele. In selective cases with significant internal rectal prolapse and large rectocoele, they may be considered for laparoscopic ventral mesh rectopexy.

 


Rectocoele

Internal Intussusception