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Fecal Incontinence | Comprehensive Diagnosis and Treatment in Madrid

No, it’s not normal for it to escape. And yes, there is a solution.

Fecal incontinence is one of the most taboo symptoms that exist.

But that doesn’t make it any less real.

Nor less limiting.

If you accidentally pass gas, if you sometimes don’t make it to the bathroom in time, or if you’ve put off doing things for fear of staining yourself… you’re not alone.

And you’re not exaggerating.

 

Symptoms of fecal incontinence

  • Involuntary escape of gas, liquids or feces.
  • Defecatory urgency (not being able to hold back the urge to defecate).
  • Soiling of underwear after using the toilet.
  • Impact on social life: avoiding travel, meetings, and even leaving home.

It’s not just a digestive symptom, but a problem that affects quality of life, self-esteem, and social relationships.

Causes of fecal incontinence

Loss of anal control can be due to multiple factors, and there is often more than one cause:

  • A weakened pelvic floor.
  • A birth that left after-effects.
  • Poorly treated chronic constipation.
  • A sphincter damaged by previous surgeries.
  • An anatomical problem such as rectal prolapse.
  • Or even life-changing rectal surgery… and no one told you about the consequences.

And yes: chronic constipation is one of the major risk factors for incontinence.

And they’re often more closely related than you might think.

Long-term anterior resection syndrome (LARS): When rectal surgery changes the way you have a bowel movement

After a previous resection of the rectum (for example, for cancer), many people begin to have new symptoms:

  • Urgency to defecate
  • Frequent and fragmented desires
  • Gases that are difficult to control
  • Or a constant feeling of not being quite finished

This is called long-term anterior resection syndrome (LARS), and although it’s very common, almost no one explains it to you before surgery.

At ProctoPelvis, we help you diagnose and treat it with a specific plan for you.

Because yes: not only should we live longer, but we should live them with quality.

Diagnosis of fecal incontinence in Madrid

First things first: a good diagnosis.

At ProctoPelvis, we don’t just rely on what’s seen or what’s told.

We analyze your case thoroughly with tools such as:

  • Endoanal and pelvic floor ultrasound, to assess the condition of the sphincter and muscles.
  • High-resolution anorectal manometry, which allows us to understand how your pelvic floor works and your ability to control it.

Because if you don’t know what’s wrong, it’s impossible to know how to improve it.

Treatment of fecal incontinence in Madrid

Second: a treatment tailored to you.

The goal isn’t just to reduce leaks, but to help you regain confidence in your body.

Depending on your case, we can work with:

  • Specialized pelvic floor physiotherapy to strengthen, retrain, and improve muscle response.
  • Biofeedback and stimulation techniques to improve body control and awareness.
  • Dietary education and adaptation, with the help of our dietitians and nutritionists, especially if there are consistency issues or urgent needs.
  • Specific care and techniques such as transanal irrigation, guided by our specialized colorectal nurse, are especially useful if you have difficulty emptying your rectum properly or have unpredictable frequency.
  • And if you have had rectal surgery, we assess whether you have long-term anterior resection syndrome (LARS) and we support you with a specific plan to regain control and quality of life.

And if necessary, we also explore individualized medical or surgical options, always as a last resort and with all the information available.

ProctoPelvis Approach: Beyond Surgery

  • We evaluate your case comprehensively, taking into account symptoms, history, and tests.
  • We have a multidisciplinary team: proctologist, pelvic floor physiotherapist, colorectal nurse, and dietitian-nutritionist.
  • We design a customized plan, which can range from lifestyle changes and physical therapy to advanced surgical treatments.

Why is this important?

Because not all leaks are the same or have the same cause.

At ProctoPelvis, we seek not only to improve your symptoms, but also to restore the security and quality of life that incontinence has taken away from you.

Is this treatment for you?

You should consider a consultation if:

  • Tienes escapes de gases, heces o manchados frecuentes que afectan tu día a día.
  • You've been told "it's your age," "it's because of childbirth," or "you'll get used to it."
  • You're worried about leaving home or making plans for fear of a leak.
  • You want a serious approach, with evidence and without taboos.

What if you've already been told there's nothing you can do?

Let us assess your case.

Many patients come to ProctoPelvis after years without a clear diagnosis, or after undergoing unsuccessful treatments.

We don’t make miracle promises here.

But we do listen to you, thoroughly examine you, and offer you real options.

Book your proctology and pelvic floor consultation in Madrid

Proctology



You can find us here

Address: Vía de las Dos Castillas 9A, Pozuelo de Alarcón, Madrid 28224

Email: info@proctopelvis.com

WhatsApp: +34623781848

Hours:

Monday – Friday 10am to 2pm

Tuesday – 10am to 7pm

Saturday and Sunday – Closed