Pelvic Dyssynergia is a condition that affects bowel movements and pelvic floor function. It occurs when the muscles in the pelvic floor do not coordinate properly during defecation, leading to chronic constipation and discomfort. This disorder can significantly impact a person’s quality of life, making daily activities more challenging. At Park Avenue Colon and Rectal Surgery, we specialize in diagnosing and treating pelvic floor dysfunction, including Pelvic Dyssynergia, to help patients regain comfort and improve their bowel health.
What Is Pelvic Dyssynergia?
Pelvic Dyssynergia is a type of pelvic floor dysfunction where the muscles responsible for bowel movements fail to relax properly, leading to difficulty in passing stool. Instead of relaxing when trying to defecate, the muscles contract or remain tense, making bowel movements painful and inefficient.
Causes of Pelvic Dyssynergia
The exact cause of Pelvic Dyssynergia is not fully understood, but several factors may contribute to its development:
- Neuromuscular Dysfunction – Improper coordination between the brain and pelvic floor muscles.
- Chronic Constipation – Long-term straining can alter muscle function.
- Pelvic Surgery or Injury – Damage to nerves or muscles in the pelvic region.
- Stress and Anxiety – Psychological factors that affect muscle coordination.
- Aging – Pelvic floor muscles can weaken over time.
Symptoms of Pelvic Dyssynergia
Patients with Pelvic Dyssynergia often experience:
- Chronic constipation
- Difficulty initiating or completing a bowel movement
- The sensation of incomplete evacuation
- The need for excessive straining
- Abdominal bloating or discomfort
- The use of manual maneuvers (such as pressing on the perineum) to aid in defecation
How Is Pelvic Dyssynergia Diagnosed?
At Park Avenue Colon and Rectal Surgery, we use advanced diagnostic tools to evaluate pelvic floor function and confirm the presence of Pelvic Dyssynergia. Common tests include:
- Anorectal Manometry – Measures muscle pressure and coordination in the rectum and anal canal.
- Balloon Expulsion Test – Assesses the ability to pass a small balloon from the rectum.
- Defecography – An imaging test that evaluates bowel movement mechanics.
- Electromyography (EMG) – Tests nerve and muscle activity in the pelvic floor.
Treatment Options for Pelvic Dyssynergia
Fortunately, Pelvic Dyssynergia is a treatable condition. Treatment typically involves a combination of therapies aimed at retraining the pelvic floor muscles and improving bowel function.
Biofeedback Therapy
Biofeedback is the gold standard for treating Pelvic Dyssynergia. This therapy helps patients learn how to properly coordinate their pelvic floor muscles using real-time visual or auditory feedback.
Dietary Changes and Fiber Intake
Increasing dietary fiber and fluid intake can help soften stool, making bowel movements easier. Our specialists can provide personalized dietary guidance to optimize bowel health.
Pelvic Floor Physical Therapy
Specialized physical therapy techniques can help strengthen and relax pelvic muscles, improving coordination during defecation.
Medications
- Stool Softeners – To ease bowel movements.
- Laxatives – Occasionally used to relieve severe constipation.
- Muscle Relaxants – To reduce excessive muscle contractions.
Surgical Options
Surgery is rarely required but may be considered in cases where conservative treatments fail. Procedures like botulinum toxin injections into the pelvic muscles may be an option for some patients.
Frequently Asked Questions (FAQs) About Pelvic Dyssynergia
Q: Is Pelvic Dyssynergia the same as constipation?
A: No. While chronic constipation is a common symptom, Pelvic Dyssynergia is caused by improper muscle coordination rather than just slow bowel movements.
Q: How long does it take to see improvement with treatment?
A: Most patients notice significant improvements within 6-8 weeks of starting biofeedback therapy and pelvic floor exercises.
Q: Can stress and anxiety worsen Pelvic Dyssynergia?
A: Yes. Emotional stress can contribute to muscle tension and worsen symptoms. Stress management techniques like meditation and therapy can be beneficial.
Q: Is biofeedback therapy painful?
A: No. Biofeedback is a non-invasive, painless technique that helps retrain muscle function through real-time feedback.
Q: Can Pelvic Dyssynergia be cured?
A: While there is no permanent “cure,” symptoms can be effectively managed with a combination of therapy, diet, and lifestyle changes.
Q: When should I see a doctor?
A: If you experience chronic constipation, straining, bloating, or the need to manually assist bowel movements, it’s essential to seek medical evaluation.
Contact Us for Expert Care
If you are experiencing symptoms of Pelvic Dyssynergia, the specialists at Park Avenue Colon and Rectal Surgery are here to help. Our team provides expert diagnosis and personalized treatment plans to restore your bowel health and improve your quality of life.
📍 Park Avenue Colon and Rectal Surgery
36 E 36th St, 1C
New York City, NY 10016
📞 Phone: (646) 822-0228
Schedule an appointment today and take the first step toward relief!