Pelvic Floor Disorder

Pelvic Floor Disorder Treatment


Pelvic floor disorder treatment can require many disciplines of medicine. Pelvic floor dysfunction can cause pelvic and abdominal pain, protrusion and pressure. We will use a comprehensive, interdisciplinary approach to your care.

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For most people, having a daily bowel movement is a normal part of their day. But for many, it's quite the opposite. Difficulty getting the stool out, pelvic and abdominal pain, protrusion, pressure are all symptoms of pelvic floor dysfunction. In women especially, this can be accompanied by urinary issues as well as bulging and protrusion in the vagina. The diagnosis starts with a careful history and physical examination. Here at CRSSNY, we have a comprehensible anorectal physiology lab where we perform endorectal ultrasound to look at, anatomically, the rectum and the lower part of the sphincter muscles. Anorectal manometry helps us evaluate the pelvic floor musculature. Electromyography and pudendal nerve studies help us evaluate the nerves of the pelvic floor. We have a special relationship with our radiology colleagues. Special MRI's and x-rays may be ordered to help diagnose your problem. Once the diagnosis is made, dietary and lifestyle changes are discussed. Frequently, special physical therapy, called biofeedback, may be required. For patients who have an anatomic problem as well as a functional problem, surgery will be required. As pelvic floor dysfunction is a complex issue, a multidisciplinary approach is critical. Frequently, other organs in addition to the colon or rectum, such as the bladder or vagina, are involved. We work closely with our colleagues in Urology, Gynecology, and Urogynecology to solve the problem. Due to the multidisciplinary approach, joint surgery can be undertaken, which leads to precise surgical procedures, shorter hospitalizations, less pain, less scarring, and quicker time to recovery.

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