Asked for Male | 60 Years
Can pelvic floor rehab help my post-surgery GI issues?
Patient's Query
I hope this message finds you well. I am writing to discuss my ongoing gastrointestinal issues that have persisted despite my recent surgery for chronic constipation and rectal prolapse. I underwent a laparoscopic ventral mesh rectopexy, but I am still experiencing significant problems related to anal hypotension and hypocontractility, as well as prolonged Balloon Expulsion Test (BET) results indicative of Type 1 Dyssynergia. Despite the surgical intervention, I continue to struggle with inadequate anal sphincter tone and a reduced ability to contract effectively. These issues have led to ongoing difficulties with bowel control and frequent episodes of constipation. The prolonged BET results suggest that my pelvic floor muscles are still not coordinating properly during bowel movements. Given my history and the current symptoms, I would greatly appreciate your expertise in identifying the next steps for management. Specifically, I am interested in exploring options such as pelvic floor rehabilitation, biofeedback therapy, or any further diagnostic evaluations that may be necessary to address these issues effectively. Thank you for your attention to this matter. I look forward to your guidance on how we can best proceed to improve my condition.
Answered by Dr. Samrat Jankar
These issues might be due to problems with the pelvic floor muscles not functioning properly during bowel movements. Pelvic floor rehabilitation could help by improving muscle coordination and strength in the pelvic area, potentially aiding in better bowel control. Another option is biofeedback therapy, which uses sensors to teach you how to coordinate your muscles during bowel movements. Discuss these options with your medical team to find the best approach for you. Additional diagnostic tests might be needed to understand the situation better.

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