The QEII Colorectal Pelvic Floor Service was set up in 2014 and is designed to address the needs of patients with defecatory disorders, including faecal incontinence and obstructed defecation. There is a high prevalence of these problems in the community with a large unmet need. Significant suffering and social isolation occurs amongst these people but their problems are usually not prioritised by health systems where funding often favours cancer and luminal disorders.
The service is run by colorectal surgeons but is proudly a multidisciplinary service, with nurse specialists, pelvic floor physiotherapists, and dietitians at the forefront of the service. Patients often find their longstanding symptoms are validated on meeting the service and there is a very high level of patient satisfaction.
Our preliminary results show improvement in all patients managed by both surgical and nonoperative strategies.