Pelvic floor disorders include an array of complications related to the weakening of the pelvic floor. When you can’t properly tighten and relax the muscles of the pelvic floor, it interferes with your bathroom habits and personal life, can cause pain and bleeding, and reduces your quality of life. At the Colorectal Division of North Carolina Surgery at UNC REX in Raleigh, pelvic floor disorders are diagnosed and treated by our specialty-trained colorectal surgeons.
Types of Pelvic Floor Disorders
Major disorders related to the pelvic floor include:
Pelvic Floor Dysfunction
Pelvic floor dysfunction occurs when the muscles supporting your pelvic organs become too tight or weak or fail to coordinate properly during bowel movements. This condition commonly presents with symptoms including:
- Chronic constipation
- Straining during bowel movements
- Incomplete evacuation
- Pelvic pain
- Urinary difficulties
Patients may also experience a sensation of blockage or obstruction when attempting to have a bowel movement. Treatment approaches range from conservative pelvic floor physical therapy and biofeedback training to dietary modifications and bowel retraining programs.
Rectal Prolapse
Rectal prolapse is a condition where part or all of the rectum slides out of place and protrudes through the anal opening, creating a visible bulge outside the body. Many patients initially mistake this condition for severe hemorrhoids. Common symptoms of rectal prolapse include:
- Noticeable protrusion during bowel movements
- Mucus discharge
- Bleeding
- Difficulty controlling bowel movements
- Discomfort or pain in the rectal area
Treatment options depend on the severity and might include home symptom management for mild cases. Advanced prolapse typically requires surgical repair using techniques such as a rectopexy or Altmeier operation to restore normal anatomy.
Fecal Incontinence
Fecal incontinence is the inability to control bowel movements, resulting in unexpected leakage of stool or gas that can significantly impact daily activities and social interactions. This condition affects people of all ages, but becomes more common with advancing age. Symptoms range from occasional minor leakage of gas or liquid stool to complete loss of bowel control, often accompanied by:
- Urgency
- Frequent soiling of undergarments
- Skin irritation around the anal area
Treatment begins with conservative approaches, including dietary modifications, bowel training programs, medications to regulate stool consistency, and pelvic floor rehabilitation. When conservative measures prove insufficient, our Triangle area surgical team offers advanced options, including sphincter repair or replacement procedures or nerve stimulation therapy.
Why Choose UNC REX for Pelvic Floor Disorders?
Our multidisciplinary team approach sets us apart in treating complex pelvic floor conditions for Raleigh, NC, patients. Our commitment to using the latest diagnostic technologies, conservative therapies, and advanced surgical techniques ensures that patients receive comprehensive care from initial evaluation through complete recovery, all while maintaining the highest standards of compassion and respect that the UNC Health® family is known for.
Frequently Asked Questions
Do pelvic floor disorders affect men and women?
Yes, while pelvic floor disorders are more commonly diagnosed in women, men can also develop these conditions, particularly following prostate surgery, injury, or age-related muscle weakening. The symptoms and treatment approaches can vary slightly between males and females, but everyone can benefit from specialized care.
How long does recovery take after pelvic floor surgery?
Recovery time varies depending on the specific procedure and individual patient factors. Full recovery and optimal results can take several months, during which patients gradually return to normal activities under medical supervision.
Are there lifestyle changes that can help prevent pelvic floor disorders?
Maintaining a healthy weight, avoiding chronic constipation through proper diet and hydration, practicing good bathroom habits, and performing regular pelvic floor exercises can all help reduce your risk. Additionally, avoiding excessive straining during bowel movements and treating chronic cough promptly protect pelvic floor integrity.
Contact UNC REX Colorectal Surgery
If you or your primary care physician believe you are dealing with a pelvic floor disorder in Raleigh, contact the Colorectal Division of North Carolina Surgery at UNC REX today. We’ll gladly schedule your first appointment with one of our experienced colorectal providers.