Functional Disorders

Functional disorders of the colon and rectum are conditions that affect the normal functioning of the bowel without visible structural abnormalities. These disorders can significantly impact a patient's quality of life and require specialized care. The Apollo Institute of Colorectal Surgery offers comprehensive evaluation and treatment for these conditions, utilizing advanced diagnostic tools and innovative therapeutic approaches.

• Chronic Constipation: Chronic constipation is characterized by infrequent bowel movements, difficulty passing stools, or a sensation of incomplete evacuation. At Apollo, the treatment approach includes:
• Detailed evaluation using anorectal manometry and defecography
• Lifestyle modifications and dietary changes
• Biofeedback therapy for pelvic floor dyssynergia
• Pharmacological interventions including laxatives and prokinetics
• Minimally invasive procedures like sacral nerve stimulation for refractory cases
• Surgical options such as subtotal colectomy for severe cases of colonic inertia resistant to other treatments .
• Faecal Incontinence: Faecal incontinence is the inability to control bowel movements, leading to involuntary leakage of stool. Apollo's approach to treating this condition includes:
• Comprehensive assessment using endoanal ultrasound and anorectal physiology studies
• Conservative management with dietary modifications and pelvic floor exercises
• Biofeedback therapy to improve sphincter control
• Minimally invasive treatments like sacral nerve stimulation or injectable bulking agents
• Surgical interventions such as sphincteroplasty or artificial bowel sphincter implantation
• Advanced procedures like dynamic graciloplasty where an  inner thigh muscle is used to create a functional sphincter  for severe cases
  
   
• Rectal Prolapse: Rectal prolapse occurs when the rectum protrudes through the anus. The Apollo Institute's treatment strategy includes:
• Thorough evaluation using defecography and colonoscopy
• Conservative management for mild cases or high-risk patients
• Minimally invasive surgical approaches like laparoscopic or robotic rectopexy
• Perineal procedures such as Delorme's operation or Altemeier's procedure for elderly or high-risk patients
• STARR (Stapled Transanal Rectal Resection) for internal rectal prolapse
• Comprehensive post-operative care and pelvic floor rehabilitation