ophthalmology
Surgery

Pelvic Function Surgery (Fecal Incontinence & Pelvic Organ Prolapse) 【Kishiwada Tokushukai Hospital】

implementation facility

Kishiwada Tokushukai Hospital

Facility Details

program name: Pelvic Function Surgery (Fecal Incontinence & Pelvic Organ Prolapse) 【Kishiwada Tokushukai Hospital】

genre

Surgery：Surgery

program details: To address fecal incontinence and pelvic organ prolapse, sacral nerve stimulation therapy and laparoscopic surgery are utilized to improve quality of life (QOL). Approximately 70% of patients can expect effective results for fecal incontinence.

requirement, condition for apply: Eligibility Criteria

1. Medical Information:
- Diagnosis (e.g., fecal incontinence, chronic constipation, rectal prolapse, or other pelvic functional disorders)
- Detailed symptoms (e.g., frequency of fecal incontinence, defecation/urination disorders, severity of pelvic organ prolapse)
- Examination results from other institutions (e.g., abdominal CT, MRI, endoscopy, anorectal function tests)
- Presence of comorbidities (e.g., diabetes, neurological disorders, heart disease)

2. History of Treatment:
- Previous treatments or surgeries related to gastrointestinal or pelvic functional disorders (particularly rectal or prostate surgeries)
- Current medications (e.g., anticoagulants, laxatives, antispasmodics)
- Presence of allergies or adverse drug reactions

3. Age and Physical Fitness:
- Assessment of physical fitness and ability to tolerate surgery or anesthesia, particularly for elderly or comorbid patients
- Evaluation of suitability for sacral nerve stimulation therapy or laparoscopic surgery

4. Preoperative Testing and Preparation:
- Ability to undergo necessary preoperative tests (e.g., blood tests, ECG, anorectal and pelvic function tests)
- Capacity to manage lifestyle adjustments before surgery

5. Postoperative Follow-Up and Lifestyle Guidance:
- Willingness to participate in regular postoperative follow-ups and rehabilitation
- Compliance with postoperative lifestyle guidance, including dietary adjustments and defecation care

precaution, contraindication: Precautions and Contraindications

1. Cases Outside the Indications for Treatment:
- Patients with severe neurological disorders (e.g., fecal incontinence caused by spinal cord injury or neurological diseases) may not benefit from sacral nerve stimulation therapy.
- Patients with a high risk of general anesthesia or severe heart disease may face surgical limitations.
- Patients with active infections or skin inflammation may not be eligible for implant surgery.

2. Risks Related to Sacral Nerve Stimulation Therapy:
- Potential risks such as infection, displacement of electrodes or stimulation devices, and device malfunction, and device malfunction during the therapy process.
- Some patients may not experience effective results, making trial stimulation devices essential for pre-assessment.

3. Risks Related to Laparoscopic Surgery:
- Risks include bleeding, infection, and bowel injury during surgery, requiring careful postoperative management.
- There may be temporary constipation or difficulty with defecation following surgery after surgery, necessitating close monitoring.

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# Important Pre-Treatment Information

1. Preoperative Preparation:
- Patients taking antiplatelet or anticoagulant medications should follow the doctor’s instructions to discontinue or manage them before surgery.
- Necessary preoperative tests (e.g., anorectal function tests, ECG) must be completed to confirm surgical eligibility.

2. Postoperative Care and Follow-Up:
- After sacral nerve stimulation therapy, contact a medical institution immediately if experiencing abnormal pain, signs of infection, or discomfort with the battery.
- Temporary constipation or difficulty in defecation may occur, requiring dietary management and defecation support.

3. Lifestyle and Daily Precautions:
- Pay attention to possible interference from mobile phones or electronic devices when using the stimulation device and follow usage instructions.
- Regular outpatient visits are necessary to ensure the proper functioning and maintenance of the stimulation device.

4. Regular Follow-Up:
- Regular check-ups after stimulation device implantation or laparoscopic surgery are recommended to monitor progress.
- If symptoms recur or health conditions change, consult a physician promptly.

5. Emergency Response:
- If you experience infection, unusual pain, or device malfunction related to the stimulation device, contact a medical institution immediately related to the stimulation device.
- Ensure emergency contact details for medical institutions and attending physicians are readily available.