At Texas Colon & Rectal Specialists, our physicians treat patients at our Pelvic Floor Center to improve pelvic-related health issues with pelvic floor therapies.
We offer an individualized, multi-disciplinary approach to overcome symptoms of pelvic floor disorders. Our pelvic floor therapy offers innovative solutions for the following:
- Accidental bowel leakage
- Chronic constipation
- Pelvic organ prolapse
- Rectal cancer
Understanding The Pelvic Floor
The pelvic floor consists of muscles, nerves and connective tissue that support the structures of the pelvis, including the rectum, bladder and female reproductive organs. Over time, or with acute injury, these supportive tissues may weaken, causing incontinence of urine and/or feces as well as vaginal prolapse.
Comprehensive Diagnostic Testing
- Anal manometry measures the strength of the internal and external sphincters, coordination of pelvic floor muscles and assesses sensations in the rectum.
- EMG recruitment assesses the patient’s ability to voluntarily contract and relax the pelvic floor muscles.
- Pudendal nerve EMG assesses conduction of the pudendal nerve and is primarily used in the diagnosis and cause of accidental bowel leakage, rectal prolapse and enterocele.
- Anal ultrasound creates images of sphincters and surrounding tissue, and is used to assess accidental bowel leakage, fistula, abscess, sphincter injury (post-delivery/surgery), and pain. This in-office procedure may cause slight discomfort, but it is largely pain-free and provides our surgeons with a clear understanding of each patient’s pelvic floor.
- Cine defecography is a test using fluoroscopy to evaluate rectal emptying and relaxation of the pelvic floor and identify rectocele, enterocele, and rectal prolapse.
- Peripheral nerve evaluation (PNE) determines whether sacral nerve stimulation, control of accidental bowel leakage or lower urinary tract dysfunction is appropriate for a given patient. A temporary device is used, and if successful, surgical implantation of the device follows.