PELVIC CARE CENTRE

We provide initial consultation assessment diagnosis and innovative care option for :

• ​Chronic Pelvic Pain
• Pelvic Organs Prolapse
• Chronic constipation
• Complex colonic and rectal polyps
• Common anorectal conditions
• Anal & Fecal incontinence
• Outlet type constipation and obstructed defecation syndromes
• Urinary incontinence
• Urinary retention and other voiding dysfunctions
• Sexual dysfunction age and non-age related in both sexes
• Advances Gynecologic screening modalities and disease prevention
• Obstetric services and delivery assistance

• Dynamic MRI proctogram to identify defecation disorders and pelvic organs prolapse
• Endoanal Ultrasound to assess anal sphincters and perianal tissues by consultant Gastroenterologyst
• Lactulose breath test to identify various conditions such as slow transit constipation and bloating by Consultant Gastroenterologist
• Abdominal, Pelvic, Duplex US scan by Consultant Gastroenterologist
• Obstetric and Gynecology US scan by Consultant Obstetric and Gynecologist
• Pelvic US scan by consultant Urologyst
• Anal manometry and balloon expulsion test to assess anal sphincter function by Consultant Colorectal surgeon
• Advanced Urodynamic assessment for chronic urinary dysfunction and impaired voiding conditions
• Endoanal and superficial non-needle electromyography recruitment to assess electrical activity of anal sphincter, coordination of muscle of the pelvic floor and recruitment of antagonist muscles by Consultant Colorectal surgeon
• Endovaginal and superficial non-needle electromyography recruitment to assess electrical activity of vaginal muscle, coordination of muscle of the pelvic floor and recruitment of antagonist muscles by Consultant Urologyst
• Pelvic Neurophysiology electromyography end evoked potentials tests to assess electrical conductivity of Pudendal nerve by Consultant Urologist
• Complete Urodynamic tests to assess urinary conditions including incontinence urgency and voiding problems
• Peripheral Nerve Evaluation (PNE) to assess whether sacral nerve neuromodulation is effective and appropriate for certain condition such as anal incontinence and other lower urinary tract dysfunctions
• Sexual enhancement treatments for chronic age and non-age related sexual dysfunctions both in female and male
• Vaginal Surgery for acute and chronic vaginal condition requiring surgical correction

• Minimally invasive and advanced procedures for colo-proctology conditions such as hemorrhoids, anal fistula and non-surgical treatment for anal spasm and anal pain
• Routine and advanced endoscopy services including polypectomies, endoscopic mucosal resection and trans-anal resection
• Routine advanced laparoscopy for pelvic organ prolapse and other benign gynecologic and urologic conditions
• Routine and advanced endoscopic-urologic procedure for diagnosis and treatment con urinary tract and bladder diseases including stone disease
• Non-scalpel minimally invasive vasectomy
• Advanced treatments of chronic constipation and irritable bowel syndrome
• Peripheral nerve stimulation for chronic pelvic pain, functional anal and urinary conditions and some forms of anal and urinary incontinences
• Biofeedback and pelvic muscle retraining with and without electrical stimulation for various pelvic conditions such as incontinences, obstructed defecation, pelvic dyssynergia, chronic pelvic pain, voiding dysfunctions, etc.
• Peripheral nerve anesthetic blocks under EMG guidance for chronic pelvic pain or anal spasm
• Peripheral nerve denervation for chronic pelvic pain with Pulsed Radiofrequency for chronic pelvic pain and other conditions
• Sacral Nerve Neuromodulation permanent implants for chronic pelvic conditions such as fecal and urinary incontinences
• Sexual enhancement treatments for chronic age and non-age related sexual dysfunctions both in female and male.

How can you be referred or seen by a physician at the Harley Pelvic Care Center?

• If you have seen a physician elsewhere, he or she may refer you to a specific physician at the Pelvic Care Center according to your most prevalent symptom
• If you want to see a specific physician for what is your most prevalent symptoms you may do so
• If you are uncertain which physician is best for your initial consultation, our receptionist will book you to one physician initially according to your most prevalent symptoms
• Internal referrals and multidisciplinary care is activated whenever a case requires more than one specialist’s expertise; you don’t have to worry about that as it is an automatic and internal process.