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Pelvic Floor Management Program

Pelvic floor dysfunction is a broad term and can be associated with difficulty controlling the muscles in your pelvic area. It may result in fecal or urinary incontinence, chronic pelvic pain, chronic constipation, and pelvic organ prolapse.

The specialists of the Pelvic Floor Management Program understand how significantly these conditions can affect your life. We provide expertise at diagnosing these conditions and use most advanced testing to diagnose your condition quickly and accurately. Our comprehensive team works together to develop a plan that is specifically geared toward you needs and situation. We offer innovative procedures and medications and extremely effective muscle rehabilitation to obtain the best possible result.

The AHN Center for Digestive Health works closely with the Allegheny Health Network Pelvic Health Program to meet all the needs of our female patients.

Pelvic Floor Management Program: 412.359.8900
Erie residents call: 814.452.7867

Tests & Diagnosis

For an accurate diagnosis and to identify the cause of pelvic floor disorders, our program provides you with comprehensive, state-of-the-art testing, including:

Endoanal ultrasound (with or without sedation) involves inserting an endoscope – a thin, flexible tube equipped with an optical system and a guiding light – into the anal canal so your physician can evaluate the anal muscles, sphincter muscles and rectum wall. The test can identify abnormalities, such as tears, fistulas, tumors and scar tissue.

High-resolution anorectal manometry is a novel approach of measuring anorectal pressures. Physicians can evaluate such conditions as constipation and fecal incontinence. It allows physicians to determine if the anus and rectal muscles are functioning properly. This device is a probe with an inflated balloon and sensors on the tip.

MR defecography utilizes magnetic resonance imaging to determine if your pelvic floor muscles are working properly. A gel substance is inserted into the rectum and then images are taken to view the process of expelling the gel.

Colonic transit study examines the rate that stool moves through your colon. To perform the test, you are given two capsules of tiny opaque markers. Over the course of the next of the next five days, physicians monitor the movement of the markets by taking X-rays of your colon on days two and five.

Treatments

Biofeedback is the most common treatment for pelvic floor dysfunction and is conducted with the help of a physical therapist. These specialists retrain your pelvic floor muscles and relax the anal sphincter through auditory and visual feedback. You can also learn to identify internal sensations association with relaxation, as well as long-term skills and exercise for use at home. Studies show that biofeedback provides improvement for more than 70 percent of patients with pelvic floor conditions.

Medication, such as a low-dose muscle relaxant, can be helpful in pelvic floor dysfunction.

Relaxation techniques, such as warm baths, yoga, and exercises are often recommended as added supportive therapy.

Surgery may be required if your pelvic floor dysfunction is the result of an organ prolapse. These may include rectal or uterine an rectocele.