Pelvic Floor Problems

Faecal Incontinence

Faecal incontinence (inadvertent passage of faecal material from the backpassage) is unfortunately a common problem. Although it may not be possible to completely cure someone with this problem it is possible to reduce the frequency and/or severity of it.

Difficulty with Evacuation

Some individuals have difficulty in emptying their bowel. This is sometimes mis-diagnosed as constipation but the problem is not stool getting to the rectum, it is just that it is not coming out.

There are several causes for this problem and there are treatments available which may be able to help.

Rectal Prolapse

Rectal prolapse is when the rectum hangs out of the back passage. It is associated with a weak pelvic floor and is common. It can be particularly debilitating.

The treatment is usually surgical. The surgery can be performed from the bottom through the back passage or through the tummy (abdomen) possibly by keyhole surgery. The exact intervention would very much depend on how fit the patient is in general terms and if there are any anaeasthetic concerns.

More information

Mr Trivedi is experienced in looking after patients with these problems. He spent two years doing original research at University College London investigating bowel dysfunction problems in persons with spinal injury.

Mr Trivedi is the lead for Anorectal Physiology at Ashford & St. Peter's NHS Foundation Trust.

Prateesh Trivedi