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What is the Proctology & Pelvic Floor Center

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The VM Med Proctology & Pelvic Floor Center provides private assessment and treatment for conditions of the anus, rectum and pelvic floor. These are common problems that many people find difficult to talk about. For our team they are routine, and every visit starts with a private, unhurried consultation.

Our team assesses and treats hemorrhoids, anal fissures, perianal abscesses and anal fistulas, pilonidal cysts and bowel control problems, including fecal incontinence. Many treatments can be done in the clinic during a short visit. Others are performed in state-of-the-art operating rooms located near the Center, with our coordinators organising every step.

Our clinical services:

Anal pain or bleeding? Our doctors will look for the cause and explain your treatment options. We assess and treat:

• Hemorrhoids (internal, external and thrombosed) – rubber band ligation and hemorrhoidectomy
• Anal fissure – botulinum toxin injection, sphincterotomy and fissurectomy
• Perianal abscess and anal fistula – drainage and fistulectomy
• Fecal incontinence (bowel leakage) – assessment and treatment
• Difficulty emptying the bowel (anismus or dyssynergia)
• Pilonidal cyst (pilonidal disease)
• Colonoscopy – screening, follow-up and investigation of symptoms

We also assess:

• Anal itching (pruritus ani)
• Anal warts (condylomas)
• Narrowing of the anal canal (anal stenosis)
• Perianal Crohn’s disease, assessed here and referred to gastroenterology when needed

What can a patient expect?

You do not need a referral. Book by phone or complete our online inquiry form, and a coordinator will contact you to schedule your consultation.

Before your appointment, you will receive a digital intake form to complete. When you arrive, you will be greeted at reception, and your doctor will take the time to listen to your concerns, review your history and, if needed, examine you. The examination is short and explained to you beforehand. An anuscopy, a quick look inside the anal canal with a small instrument, can be done during the same visit.

You do not need to know the right medical words. Describing what you notice is enough. Many people wait years before mentioning bowel or anal symptoms to anyone, and most of these conditions can be treated.

If you need a procedure, your doctor will explain the options and what recovery involves. Some treatments, such as hemorrhoid banding, are done in the clinic. Procedures that need an operating room are performed in state-of-the-art operating rooms located near the Center, and our coordinator handles scheduling and preparation instructions. On the day of your procedure, you will check in at the operating facility. If follow-up care is needed, our team will reach out by email to schedule your next visit.

FAQs

A referral is not required. You can book an appointment by calling the clinic or completing an online inquiry at vmmed.com/contact-us/. Physicians who wish to refer a patient can use our colorectal referral form, available on the Referral Forms page.

Your appointment is a private consultation with the doctor, who reviews your symptoms and medical history and, if needed, performs a short examination. An anuscopy, a quick look inside the anal canal with a small instrument, can be done during the same visit. Your doctor will explain what may be causing your symptoms and the next steps, which may be a treatment plan or further tests. Some treatments, such as hemorrhoid banding, can be done in the clinic.

Our private Proctology & Pelvic Floor Center offers various appointment types. Our team will be happy to share pricing with you once the required appointment type is known. If a procedure is recommended, you will receive its price before anything is scheduled.

No. The Proctology & Pelvic Floor Center is a private service and is not covered by RAMQ.

Please call the clinic or fill out our online inquiry form, and our team will offer you the next available appointment.

Consultations for anorectal and pelvic floor conditions are with a general surgeon whose practice focuses on proctology and colorectal surgery. Colonoscopy is performed by another VM Med general surgeon. You can learn more about our doctors on our Meet Our Doctors page.

Your doctor explains each step before starting, the examination usually takes only a few minutes, and you can ask to pause at any time. Our team is used to discussing these conditions, and you do not need to know the medical terms. Describing what you notice is enough.

Consultations and several treatments, such as hemorrhoid banding and botulinum toxin injection for anal fissures, are done at VM Med. Procedures that need an operating room are performed in state-of-the-art operating rooms located near the Center, and our coordinator organises scheduling and preparation.

Your doctor will usually explain the findings during your consultation. If tissue is sent to the laboratory, our team will contact you when the results are available and arrange a follow-up if needed.

Most people feel pressure or a sense of fullness rather than sharp pain. Banding is done in the clinic and takes a few minutes, and most people return to normal activities the same day. Your doctor will give you written aftercare instructions.

No. Hemorrhoids are a common cause of bright red bleeding, but there are several other possible causes, including anal fissures. That is why rectal bleeding should always be assessed by a doctor.

Yes. Accidental leakage of stool or gas is common and often improves with treatment, such as changes to diet, medication, bowel retraining or pelvic floor physiotherapy. Many people never mention it to a doctor. A confidential consultation is the first step.

You will receive written instructions in advance, including a special diet and a bowel preparation drink to take before the procedure. Because sedation is usually given, you will need someone to accompany you home after the procedure.

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In case of an emergency, please dial 911.