Pelvic Floor Diseases Treatment in Mumbai: Expert Care by Dr. Chintamani Godbole
Pelvic floor diseases treatment mumbai is an important consideration for people experiencing persistent constipation, difficulty passing stools, rectal prolapse, or problems controlling bowel movements. These symptoms may be linked to dysfunction or weakness of the pelvic floor muscles and supporting tissues, which play an essential role in normal bowel function. Although these conditions can affect daily comfort and quality of life, appropriate assessment can help identify the cause and guide suitable treatment.
Dr. Chintamani Godbole, a specialist in gastrointestinal and colorectal surgery, evaluates conditions involving the colon, rectum, and anus. At Gadre Hospital in Dadar East, Mumbai, patients can seek consultation for pelvic floor and functional bowel problems and receive guidance on available treatment approaches.
What Are Pelvic Floor Disorders?
The pelvic floor is a group of muscles, connective tissues, and supporting structures located at the base of the pelvis. These structures help support pelvic organs and coordinate bowel and bladder function. When they become weakened, damaged, or fail to work together properly, pelvic floor disorders may develop.
Some conditions primarily affect muscle coordination, while others involve changes in the position or support of the rectum and surrounding tissues. Symptoms can develop gradually and may become more troublesome over time.
Common pelvic floor and functional bowel conditions include:
Rectal prolapse: A condition in which the rectum descends or protrudes through the anus.
Obstructed defecation syndrome: Difficulty emptying the bowel despite the urge to pass stools.
Chronic severe constipation: Persistent difficulty passing stools that may sometimes be associated with pelvic floor dysfunction.
Rectocele: A bulging of the rectal wall into the vaginal wall, which can interfere with bowel emptying in some patients.
Faecal incontinence: Difficulty controlling bowel movements or preventing involuntary leakage.
These conditions can have overlapping symptoms, so an accurate diagnosis is essential before selecting a treatment plan.
Symptoms That Should Not Be Ignored
Pelvic floor disorders may cause symptoms that patients feel uncomfortable discussing. However, seeking medical advice is important when symptoms persist, worsen, or interfere with everyday activities.
Possible warning signs include:
Frequent or long-lasting constipation
Straining excessively while passing stools
A sensation that the bowel has not emptied completely
A feeling of blockage during bowel movements
Tissue protruding from the anus
Difficulty controlling gas or stools
Repeatedly needing to change position or use manual assistance to empty the bowel
Not every symptom indicates a pelvic floor disorder. Similar problems may occur due to medication effects, dietary factors, neurological conditions, or other intestinal disorders. A colorectal specialist can help distinguish between these causes.
How Are Pelvic Floor Diseases Diagnosed?
Diagnosis begins with a detailed discussion of symptoms, their duration, bowel habits, medical history, previous surgeries, and any medication being taken. A physical examination may help identify rectal prolapse or other structural problems.
Depending on the symptoms, the specialist may recommend additional investigations, such as:
Anorectal manometry: Measures pressure and coordination of muscles involved in bowel emptying.
Defecography: Uses imaging to assess how the rectum and pelvic floor function during attempted defecation.
Colonoscopy: May be recommended when there is a need to investigate bleeding, changes in bowel habits, or other suspected intestinal conditions.
Other specialised tests: Selected according to the patient’s symptoms and initial findings.
Not everyone needs every investigation. Testing is chosen according to the suspected condition and whether the results will help guide treatment.
Treatment Options for Pelvic Floor Diseases
The appropriate treatment depends on the diagnosis, severity of symptoms, underlying cause, and effect on quality of life. Many patients can begin with non-surgical measures, while selected cases may benefit from an operation.
1. Lifestyle Changes and Bowel Management
For some patients, improving hydration, adjusting dietary fibre intake when appropriate, maintaining physical activity, and establishing regular toilet habits can help manage constipation. A clinician may also review medicines that contribute to bowel problems and recommend suitable alternatives when possible.
These measures may relieve symptoms, but they are not sufficient for every pelvic floor condition.
2. Pelvic Floor Physiotherapy and Biofeedback
Pelvic floor physiotherapy can help patients learn how to coordinate the muscles involved in bowel emptying. Biofeedback may be recommended for certain coordination disorders, helping patients understand and improve their muscle activity.
A trained therapist can tailor exercises and techniques to the patient’s specific needs. Unsupervised strengthening exercises are not appropriate for every disorder, so professional assessment is valuable.
3. Medication and Specialist Management
Depending on the condition, treatment may include medicines to manage constipation or other bowel symptoms. The choice of medication should be guided by a clinician, especially when symptoms are persistent or accompanied by bleeding, pain, weight loss, or a significant change in bowel habits.
4. Surgery for Selected Conditions
Surgery may be considered when symptoms are severe, structural abnormalities are present, or non-surgical treatments have not provided adequate relief. Dr. Godbole’s pelvic floor disease service information discusses surgical options for carefully selected patients.
Depending on the diagnosis, procedures may include:
Rectopexy: An operation used in selected cases of rectal prolapse to reposition and support the rectum.
Rectocele repair: May be considered when a rectocele is contributing significantly to symptoms.
STARR procedure: A specialised operation that may be appropriate for selected patients with obstructed defecation caused by specific structural abnormalities.
Surgery for severe constipation: In a small, carefully assessed group of patients with severe, treatment-resistant constipation, surgery may be considered after detailed investigations.
Every operation has potential risks and limitations. Surgery is not necessary for most pelvic floor disorders, and the decision should follow a thorough evaluation and discussion of alternatives.
Why Consult Dr. Chintamani Godbole?
Dr. Chintamani Godbole is a gastrointestinal and colorectal surgeon with qualifications including MBBS and MS in General Surgery from Seth G. S. Medical College and KEM Hospital, Mumbai, DNB in Surgical Gastroenterology from Jaslok Hospital and Research Centre, and FRCS from Edinburgh.
He has undertaken further colorectal surgical training in the United Kingdom, including fellowships in robotic and minimally invasive colorectal surgery and colorectal and peritoneal oncology. His clinical experience includes work at University Hospitals Coventry and specialist training in the management of colorectal conditions.
As a Colorectal Surgeon in Mumbai, Dr. Godbole’s areas of expertise include colorectal surgery, minimally invasive colorectal procedures, rectal and colon cancer surgery, and selected complex bowel conditions. His experience can help patients understand the investigations and treatment options relevant to their diagnosis.
Pelvic floor disorders may require a multidisciplinary approach involving a colorectal surgeon, gastroenterologist, pelvic floor physiotherapist, and, where appropriate, a urogynaecologist. Dr. Godbole’s consultation can help determine whether conservative management, further testing, or a surgical opinion is appropriate. Patients seeking the Best Doctor for Gastroenterology in Mumbai should look for a clinician whose expertise matches their condition and who explains the available options clearly.
Get Pelvic Floor Care at Gadre Hospital, Mumbai
If bowel-emptying difficulties, persistent constipation, rectal prolapse, or bowel-control problems are affecting your quality of life, arrange a medical evaluation rather than relying on self-treatment. Pelvic floor diseases treatment mumbai begins with understanding the underlying cause and selecting an approach that fits your needs.
Call: 81087 91470
Contact the clinic to enquire about an appointment and discuss your symptoms, relevant investigations, and treatment options.
Frequently Asked Questions
1. What are the common symptoms of pelvic floor diseases?
Common symptoms include chronic constipation, difficulty emptying the bowel, excessive straining, a feeling of blockage, rectal prolapse, and difficulty controlling bowel movements. Symptoms vary depending on the underlying disorder.
2. Do all pelvic floor disorders require surgery?
No. Many conditions can be managed with bowel habit changes, medication, pelvic floor physiotherapy, or biofeedback. Surgery is generally reserved for selected patients with significant symptoms or structural problems that may benefit from an operation.
3. Which doctor should I consult for pelvic floor disorders?
A colorectal surgeon can evaluate bowel-related pelvic floor conditions, including rectal prolapse and obstructed defecation. Depending on the diagnosis, treatment may also involve a gastroenterologist, pelvic floor physiotherapist, or urogynaecologist.
4. How can I book an appointment with Dr. Chintamani Godbole?
You can contact Dr. Chintamani Godbole’s clinic at Gadre Hospital, near Hindmata Cinema, Dadar East, Mumbai, by calling 81087 91470 or emailing drchintamanigodbole@gmail.com.
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