{"id":441,"date":"2026-01-09T07:06:09","date_gmt":"2026-01-09T07:06:09","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=441"},"modified":"2026-04-11T03:56:08","modified_gmt":"2026-04-11T03:56:08","slug":"pelvic-functional-surgery","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/departments\/lower-gi-surgery\/pelvic-functional-surgery\/","title":{"rendered":"Pelvic Functional Surgery"},"content":{"rendered":"<p><!-- Service: Pelvic functional surgery (fecal incontinence \/ constipation \/ rectal prolapse) \/ \u9aa8\u76e4\u6a5f\u80fd\u5916\u79d1 --><\/p>\n<section class=\"op-section disease\">\n<p>  <!-- Key takeaways --><\/p>\n<section class=\"op-section disease\">\n<div class=\"disease-kpi\">\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Clinical focus<\/div>\n<div class=\"disease-kpi__value\">Specialist care for pelvic floor and colorectal functional disorders<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Target conditions<\/div>\n<div class=\"disease-kpi__value\">Fecal incontinence, chronic constipation, and rectal prolapse<\/div>\n<\/p><\/div>\n<div class=\"disease-kpi__item\">\n<div class=\"disease-kpi__label\">Key treatments<\/div>\n<div class=\"disease-kpi__value\">Sacral nerve stimulation (SNM) and minimally invasive surgery for rectal prolapse<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"disease-lead\">\n    Pelvic functional surgery addresses disorders related to pelvic organs and pelvic floor dysfunction.<br \/>\n    These conditions can significantly affect quality of life, and specialised evaluation is required to determine the most appropriate treatment.<br \/>\n    Our department provides comprehensive management of bowel function disorders and pelvic organ prolapse, including surgical options when indicated.\n  <\/p>\n<div class=\"disease-rows\">\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Overview<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Functional disorders affecting bowel control are increasingly recognised.<br \/>\n          Fecal incontinence is relatively common and can have a substantial impact on daily life.\n        <\/p>\n<p class=\"disease-muted\">\n          These conditions are more common in older adults but may also occur after colorectal or pelvic surgery.<br \/>\n          When bowel function is impaired, quality of life may be significantly affected.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Conditions we treat<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          We provide specialised evaluation and treatment for disorders involving the<br \/>\n          <strong>rectum<\/strong>, <strong>pelvic floor muscles<\/strong>, and related structures.\n        <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li><strong>Fecal incontinence<\/strong><\/li>\n<li><strong>Chronic constipation<\/strong><\/li>\n<li><strong>Rectal prolapse<\/strong> and other pelvic organ prolapse<\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n          When symptoms do not improve with medical or conservative treatment,<br \/>\n          surgical options are considered based on individual assessment.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Sacral nerve stimulation (SNM)<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Sacral nerve stimulation (<strong>SNM<\/strong>) is an established treatment option for fecal incontinence.<br \/>\n          It involves electrical stimulation of the sacral nerves to improve bowel control.\n        <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li>\n              <strong>Trial phase:<\/strong><br \/>\n              Temporary stimulation is performed to evaluate treatment response.\n            <\/li>\n<li>\n              <strong>Permanent implantation:<\/strong><br \/>\n              A small device is implanted subcutaneously if clinical benefit is confirmed.\n            <\/li>\n<li>\n              <strong>Clinical outcome:<\/strong><br \/>\n              Symptom improvement is reported in a substantial proportion of patients.\n            <\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n          Suitability for SNM is determined individually based on symptom severity,<br \/>\n          prior treatment response, and overall clinical condition.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Surgery for rectal prolapse<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n          Surgical management of rectal prolapse includes both <strong>transanal<\/strong><br \/>\n          and <strong>transabdominal<\/strong> approaches.<br \/>\n          The procedure is selected based on prolapse severity and patient condition.\n        <\/p>\n<div class=\"disease-callout\">\n<ul class=\"disease-bullets\">\n<li>\n              <strong>Transanal procedures:<\/strong><br \/>\n              Considered for selected patients depending on clinical factors.\n            <\/li>\n<li>\n              <strong>Transabdominal procedures:<\/strong><br \/>\n              Minimally invasive approaches such as <strong>laparoscopic rectopexy<\/strong><br \/>\n              are used to reposition and secure the rectum.\n            <\/li>\n<\/ul><\/div>\n<p class=\"disease-muted\">\n          The surgical approach is determined after comprehensive evaluation,<br \/>\n          with emphasis on safety, durability, and functional outcomes.\n        <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<div class=\"disease-row\">\n<div class=\"disease-row__h\">\n<h2>Appointment<\/h2>\n<\/p><\/div>\n<div class=\"disease-row__b\">\n<p>\n      Appointments are required in principle. A referral letter from another medical institution is recommended but not mandatory.\n    <\/p>\n<p class=\"disease-muted\">\n      For appointment requests and language support, please see the<br \/>\n      <a href=\"\/en\/departments\/lower-gi-surgery\/#contact\">Lower GI Surgery<\/a> page.\n    <\/p>\n<\/p><\/div>\n<\/div>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Clinical focus Specialist care for pelvic floor and colorectal functional disorders Target conditions Fecal incontinence, chronic constipation, and rectal prolapse Key treatments Sacral nerve stimulation (SNM) and minimally invasive surgery for rectal prolapse Pelvic functional surgery addresses disorders related to pelvic organs and pelvic floor dysfunction. These conditions can significantly affect quality of life, and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":417,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-441","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=441"}],"version-history":[{"count":5,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/441\/revisions"}],"predecessor-version":[{"id":1328,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/441\/revisions\/1328"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/417"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}