Pelvic Floor Disorders Overview

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  • Colorectal Surgical Associates has opened a new office at 7900 Fannin on the campus of The Woman’s Hospital of Texas. This new office provides on-site services for men and women who can now receive evaluation and management of colorectal pelvic floor disorders in one location. In conjunction with the new office, Woman’s Hospital has partnered with CSA to open Houston’s only Center for Colorectal Pelvic Floor Disorders.

    “Now, women suffering from fecal incontinence, obstructive defecation or chronic pelvic floor pain can have a thorough evaluation in one location,” according to Dr. Eric Haas. “Prior to this Center, patients were sent all over the city to obtain the studies needed to establish the proper diagnosis and treatment plan. This was not only costly, inconvenient and confusing; it also resulted in a delay of treatment and overall poor patient compliance.”

    Bowel incontinence is a disabling condition thought to affect 2.2% of the population, most of Colorectal Surgical Associates has opened a new office at 7900 Fannin on the campus of The Woman’s Hospital of Texas. This new office provides on-site services for men and women who can now receive evaluation and management of colorectal pelvic floor disorders in one location. In conjunction with the new office, Woman’s Hospital has partnered with CSA to open Houston’s only Center for Colorectal Pelvic Floor Disorders. “Now, women suffering from fecal incontinence, obstructive defecation or chronic pelvic floor pain can have a thorough evaluation in one location, ”according to Dr. Eric Haas. “Prior to this Center, patients were sent all over the city to obtain the studies needed to establish the proper diagnosis and treatment plan. This was not only costly, inconvenient and confusing; it also resulted in a delay of treatment and overall poor patient compliance.” Bowel incontinence is a disabling condition thought to affect 2.2% of the population, most of them being women. But often, these patients are embarrassed about their condition or don’t know there are treatment options, so they suffer needlessly. The first step for the incontinent patient is an office visit where the physician obtains a medical history and determines the degree of incontinence and how it has affected the patient’s lifestyle. “As there are varying degrees of incontinence, treatment is highly individualized,” according to Dr. T. Bartley Pickron. “A thorough evaluation is necessary to formulate the right treatment plan for each patient.” Depending upon the findings, anal physiology studies may be needed and are performed at the Center for Colorectal Pelvic Floor Disorders. These studies are available for diagnosis all in one convenient location:

    • Anal sphincter ultrasound
    • Anorectal manometry
    • Pudendal nerve testing
    • Electromyography (EMG)

    Management of fecal incontinence usually begins with dietary modifications and a bowel management program. Many patients also benefit from the Center’s pelvic floor rehabilitation and biofeedback program which enhances muscle awareness, endurance and strength. Surgical options range from a reparative sphincteroplasty to placement of an artificial sphincter device for those with complete incontinence.

    In addition, a new minimally-invasive outpatient procedure, the Secca procedure, is now available. Secca is a new thermal modality device that delivers temperature-controlled radiofrequency energy directly to the anal sphincter muscle. Over time, the muscle contracts which improves the ability to close and tighten, restoring continence to most patients.

    The opening of the new office and the Center for Colorectal Pelvic Floor Disorders will offer help to many women who continue to suffer from loss of bowel control.

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    For more information on pelvic floor disorders, or to schedule a consultation, please contact Colorectal Surgical Associates today.