Pelvic Floor Specialist in Mumbai– Dr. Husain Gheewala

About Dr. Husain Gheewala

Dr. Husain Gheewala is a specialist colorectal surgeon and pelvic floor specialist in Mumbai with dedicated training in the assessment and treatment of pelvic floor disorders. His 2-year fellowship at York NHS Hospital, Yorkshire (UK) included focused training in pelvic floor surgery — including laparoscopic and robotic rectopexy, sphincter repair, and management of fecal incontinence and obstructed defecation syndrome.

Pelvic floor disorders encompass a group of conditions caused by weakening, damage, or dysfunction of the muscles and connective tissues that support the rectum, bladder, and reproductive organs within the pelvis. These conditions are common but often underdiagnosed because patients feel too embarrassed to seek help. Dr. Gheewala provides a comprehensive, compassionate approach to pelvic floor care — from initial assessment through to conservative management or surgical correction.

Our Diagnostic Approach

Accurate diagnosis is the foundation of effective pelvic floor treatment. Dr. Gheewala offers comprehensive pelvic floor assessment:

Detailed history and symptom scoring (Wexner score, ODS score, quality of life assessment)
Clinical examination including digital rectal examination
Endoanal ultrasound — to visualize sphincter anatomy and detect muscle defects
Anorectal manometry — to measure sphincter pressures and rectal sensation
Defecating proctography (defecography) — dynamic imaging to assess rectal emptying and prolapse
MRI pelvis — for complex cases requiring detailed anatomical assessment
Colonoscopy — to rule out mucosal pathology

Treatment Philosophy

Dr. Gheewala follows a conservative-first approach to pelvic floor disorders:

Step 1 — Conservative Management: Dietary modification, pelvic floor physiotherapy, biofeedback, and medication are tried first for most conditions. Many patients achieve significant improvement without surgery.

Step 2 — Minimally Invasive Intervention: When conservative measures are insufficient, minimally invasive procedures such as Botox injection for sphincter spasm, or transanal procedures for mucosal prolapse are considered.

Step 3 — Surgical Correction: For established structural conditions (full-thickness prolapse, sphincter tears, complex pilonidal sinus), definitive surgical repair is recommended. Dr. Gheewala offers laparoscopic, robotic, and open surgical options depending on the condition.

Why Choose Dr. Gheewala as Your Pelvic Floor Specialist?

Dr. Gheewala follows a systematic, evidence-based approach to diagnosing the cause and severity of fecal incontinence:

1 . Dedicated Pelvic Floor Fellowship Training (UK): Unlike general surgeons who encounter pelvic floor cases occasionally, Dr. Gheewala trained specifically in this subspecialty at a leading UK centre.

2 . Full Diagnostic Capability: Access to endoanal ultrasound, anorectal manometry, and defecography at affiliated hospitals — all essential for accurate pelvic floor assessment.

3 . Laparoscopic AND Robotic Expertise: Certified in robotic surgery (Severance Hospital, Seoul) and experienced in laparoscopic pelvic surgery — offering the most advanced minimally invasive options.

4 . Multidisciplinary Collaboration: Works with physiotherapists, gastroenterologists, and urogynaecologists when needed for complex cases requiring a team approach.

5 . 8 Hospital Affiliations: Saifee Hospital, Wockhardt Hospital, Apollo Spectra (Tardeo), Masina Hospital, Noor Hospital, Cumballa Hill Hospital, Elizabeth Hospital, and Conwest Manjula Badani Jain Hospital.

Pelvic Floor Specialist in Mumbai

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Conditions We Treat

Rectal Prolapse

Full-thickness or internal rectal prolapse causing a visible lump, mucus discharge, and incontinence. Treated with laparoscopic or robotic ventral mesh rectopexy — Dr. Gheewala’s area of particular expertise from his UK fellowship.

Fecal Incontinence

Loss of bowel control ranging from minor soiling to complete incontinence. Comprehensive treatment including biofeedback, sphincter repair, and sacral nerve stimulation.

Pilonidal Sinus

Infected cyst or tunnel at the top of the buttock crease. Multiple surgical options including laser pilonidoplasty, excision with primary closure, and flap procedures.

Obstructed Defecation Syndrome (ODS)

Difficulty emptying the bowel despite the urge, often caused by internal prolapse (intussusception), rectocele, or pelvic floor dyssynergia. Assessed with specialized investigations and treated with biofeedback or surgery.

Anal Sphincter Injuries

Sphincter damage from childbirth, previous surgery, or trauma causing incontinence. Diagnosed with endoanal ultrasound and treated with overlapping sphincteroplasty.

Rectocele

A bulging of the rectum into the back wall of the vagina, causing difficulty with bowel emptying and a sensation of vaginal bulge. Treated with transanal or transvaginal repair.

Anal Stenosis

Narrowing of the anal canal causing painful, difficult bowel movements. May result from previous surgery, radiation, or chronic fissure. Treated with anoplasty techniques.

FAQs

A pelvic floor specialist is a surgeon with additional training in the assessment and treatment of conditions affecting the pelvic floor muscles and the organs they support — particularly the rectum, anus, and lower bowel. Colorectal surgeons with pelvic floor fellowship training, like Dr. Gheewala, are the primary specialists for these conditions.

You should consult a pelvic floor specialist if you experience rectal prolapse, bowel incontinence, chronic constipation with straining, difficulty emptying your bowels, pilonidal sinus, or any condition causing pain or dysfunction in the anal or rectal area.

Yes, most pelvic floor surgeries are covered by health insurance when medically indicated. This includes rectopexy for prolapse, sphincter repair, sacral nerve stimulation, and pilonidal sinus surgery.

Not always. Many pelvic floor conditions respond well to conservative treatment including dietary changes, pelvic floor exercises, and biofeedback. Dr. Gheewala will exhaust conservative options before recommending surgery.

A urogynaecologist focuses on the bladder and female reproductive organ prolapse. A colorectal pelvic floor specialist focuses on the rectum, anus, and bowel-related pelvic floor disorders. For complex cases, both may be involved.

Book Your Pelvic Floor Consultation

Pelvic floor disorders are treatable. Take the first step towards better quality of life by consulting Dr. Husain Gheewala — a specialist with dedicated UK fellowship training in pelvic floor surgery.