Biofeedback, a therapeutic technique that trains the patient to control normally involuntary physiological processes, is used in the treatment of many common stress-related conditions. Biofeedback teaches the patient to apply conscious control to breathing, blood pressure, heart rate in an effort to promote deep relaxation and improve health.
Benefits of Biofeedback
Biofeedback has several advantages over other medical treatments. It is non-invasive and has no side effects. Also, it is frequently effective for patients who have not had success with prescription medication. In many cases, biofeedback therapy reduces, or even eliminates, the need for medication. By learning biofeedback techniques, patients assume some real control over their own bodily processes and their health.
Rectoceles occur when part of the wall of the rectum bulges into the vagina. Rectoceles commonly cause obstructive defecation and incontinence, the condition may be a result of multiple or difficult childbirths, chronic cough or excessive straining and weakened muscles. Rectoceles are more common in women who have already been through menopause. Obesity and smoking also increase a woman's risk of developing this condition. Rectoceles may cause pain or pressure in the vagina or rectum, pain during sex and bladder problems.
To repair a rectocele, we choose to use a trans anal approach. A sutured repair is performed on the front wall of the rectum and the approach is through the anal opening. This surgical procedure is used to correct the weakness of the wall between the rectum and vagina. A speculum is inserted into the anal canal and rectum to hold it open. Redundant rectal lining is removed and the underlying rectal wall is strengthened with surgical sutures. We do not use any prosthetic mesh for our rectocele repairs and perform the surgery as an outpatient.
Sacral Nerve Stimulation
Sacral nerve stimulation is an advanced electrical stimulation procedure performed to treat urinary incontinence and other bladder control problems in patients who have not responded to more conservative treatment options. A neurotransmitter device placed under the skin of the upper buttocks will send electrical impulses to the sacral nerve, which controls the bladder, sphincter and pelvic floor muscles.
Benefits of Sacral Nerve Stimulation
The sacral nerve stimulation procedure is effective in treating the following symptoms of bladder and urinary difficulties:
While sacral nerve stimulation cannot cure these conditions, they can help to treat embarrassing and uncomfortable symptoms, which can help to improve the patient's quality of life.
Sacral Nerve Stimulation Procedure
The neurotransmitter used for sacral nerve stimulation is implanted during an outpatient procedure that takes about 45 minutes to perform. There is usually a trial period of one to two weeks before implantation of the actual device to determine the effectiveness of stimulation. Patients may experience pain at the incision site for a few weeks, and may need to limit activity as the area heals. Follow-up appointments may be required throughout the first six months to fine-tune stimulation settings. The battery of the neurotransmitter will need to be replaced every three to five years.
An anal fissure is a tear in the tissue that lines the anus or the anal canal. This condition often leads to pain, burning and bleeding during bowel movements, as well as itching as well as a visible crack in the skin around the anus. While an anal fissure can usually heal on its own with little or no complications, it is important to seek medical attention for an anal fissure in order to obtain relief of symptoms and a healthy return to regular bowel movements.
For anal fissures that are chronic and not responsive to treatment, surgery may be performed. Surgery will involve severing a part of the sphincter muscle to reduce the spasms that are causing pain. This procedure is performed on an outpatient basis and is considered safe and highly effective in most cases.
The Sphincterotomy Procedure
During the sphincterotomy procedure, a small incision is made in the internal anal sphincter muscle to relax the muscle and allowing it to stretch, relieving the strain on the anal fissure and reducing related symptoms. Any skin tags or scar tissue associated with the fissure are also removed during the sphincterotomy procedure.
This procedure may be performed either with general or local anesthesia, depending on each patient's individual condition and overall health.
SolestaÂ® injections are an effective method of treatment for fecal incontinence. Fecal incontinence is a common condition involving a loss of bowel control, resulting in a leaking of stool from the rectum, which often occurs during the passage of gas. Solesta may be recommended when a patient has not found significant symptom relief from lifestyle changes or medications that treat chronic diarrhea or constipation.
Solesta is a gel made up of hyaluronic acid and dextranomer to add bulk to the tissue in the anal canal. Treatment with Solesta involves four injections placed in the wall of the anal canal. The Solesta injections are given in the doctor's office and are completed in approximately 10 minutes. Pain is not typically associated with this procedure, so anesthesia is not required. There is little downtime needed after this treatment, and the results are often long lasting.