Pelvic functional surgery addresses disorders related to pelvic organs and pelvic floor dysfunction.
These conditions can significantly affect quality of life, and specialised evaluation is required to determine the most appropriate treatment.
Our department provides comprehensive management of bowel function disorders and pelvic organ prolapse, including surgical options when indicated.
Overview
Functional disorders affecting bowel control are increasingly recognised.
Fecal incontinence is relatively common and can have a substantial impact on daily life.
These conditions are more common in older adults but may also occur after colorectal or pelvic surgery.
When bowel function is impaired, quality of life may be significantly affected.
Conditions we treat
We provide specialised evaluation and treatment for disorders involving the
rectum, pelvic floor muscles, and related structures.
- Fecal incontinence
- Chronic constipation
- Rectal prolapse and other pelvic organ prolapse
When symptoms do not improve with medical or conservative treatment,
surgical options are considered based on individual assessment.
Sacral nerve stimulation (SNM)
Sacral nerve stimulation (SNM) is an established treatment option for fecal incontinence.
It involves electrical stimulation of the sacral nerves to improve bowel control.
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Trial phase:
Temporary stimulation is performed to evaluate treatment response. -
Permanent implantation:
A small device is implanted subcutaneously if clinical benefit is confirmed. -
Clinical outcome:
Symptom improvement is reported in a substantial proportion of patients.
Suitability for SNM is determined individually based on symptom severity,
prior treatment response, and overall clinical condition.
Surgery for rectal prolapse
Surgical management of rectal prolapse includes both transanal
and transabdominal approaches.
The procedure is selected based on prolapse severity and patient condition.
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Transanal procedures:
Considered for selected patients depending on clinical factors. -
Transabdominal procedures:
Minimally invasive approaches such as laparoscopic rectopexy
are used to reposition and secure the rectum.
The surgical approach is determined after comprehensive evaluation,
with emphasis on safety, durability, and functional outcomes.
Appointment
Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.
For appointment requests and language support, please see the
Lower GI Surgery page.