Evaluation and treatment for pelvic floor dysfunction, in Seattle, Washington

Pelvic Floor
Recovery

The pelvic floor muscles support bowel function. When they don't work the way they should, symptoms like straining, incomplete emptying, or pain can follow.
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Signs of pelvic floor dysfunction

  • Straining or a sense of incomplete emptying
  • A sense of pressure, bulging, or heaviness
  • Constipation that doesn't respond to typical treatment, including constipation that started or worsened after delivery
  • Pain or pressure in the pelvic area
  • A feeling that bowel movements require unusual effort or positioning

Pregnancy and vaginal delivery can stretch and weaken the muscles, nerves, and connective tissue that support the pelvic floor, and for some patients this affects bowel function directly. Pelvic floor dysfunction can also develop from chronic straining, prior surgery, or muscle coordination problems unrelated to childbirth, and it often overlaps with conditions like rectal prolapse or hemorrhoids.

What it actually feels like

  • The area is numbed with topical and local anesthesia before 
anything begins.
  • Nitrous oxide is available if you want additional comfort during the procedure itself.
  • Most patients describe pressure rather than pain, with manageable soreness for a day or two afterward.
  • No sedation is used, so you will never need a driver.

How pelvic floor dysfunction is treated

  • Pelvic floor physical therapy and biofeedback training
  • Dietary and bowel habit changes
  • Treatment for related conditions, such as rectal prolapse, when present

Your plan depends on what your evaluation finds and is mapped out at your consultation.

Your visit

  • A private conversation about your symptoms
  • An exam to assess pelvic floor function and rule out related conditions
  • A plan that may include physical therapy, dietary changes, or treatment of an underlying condition

You'll leave understanding what's driving your symptoms and what to do next.

What it costs

Evaluation and treatment for pelvic floor dysfunction coverage varies. Our billing team confirms your benefits before your visit.

Performed by Dr. Kratz, in our Seattle office

Every exam and treatment plan is with Dr. Kratz directly.
Man wearing black clothes entering an office with the door number 212 labeled 'Rodney Kratz MD FASCRS Precision Proctology,' viewed from behind through glass panels.

Common questions

Is this related to childbirth?
Is this the same as rectal prolapse?
Does this require surgery?
How soon after delivery should I be evaluated?

Connected to your care

Pelvic floor dysfunction often overlaps with rectal prolapse and bowel control problems, whether or not childbirth was the original cause.

You don't have to keep living with this.

Call or text for a private consultation and a clear plan.