Problems we treat
- Accidental leakage of stool or wind
- Urgency, or not reaching the toilet in time
- Chronic constipation and straining
- Feeling of incomplete emptying (obstructed defecation)
- Needing to press on the vagina or perineum to pass stool, often from a rectocele (back wall prolapse)
Treatment options
First steps: diet and fibre changes, medicines to regulate the bowel, and pelvic floor exercises or physiotherapy.
Further treatment, when needed: repair of the back wall of the vagina (rectocele), repair of an anal sphincter injury, and referral for specialist bowel tests where needed.
Your visit includes a private examination and, where helpful, a 3D/4D pelvic floor ultrasound to look at the muscles that control the bowel.
Common questions
Is bowel leakage common?
Yes, especially after childbirth and with age. Many women never mention it, but it can be treated.
Why do I need to press on my vagina to open my bowels?
This often means the bowel is bulging into the vagina (a rectocele). It can be treated with exercises, a pessary or surgery.
Will I need surgery?
Not usually at first. Most women start with simple treatments.
General information only. It does not replace a medical consultation.