Collaborative Specialists

Our surgical and nursing team may refer you to other specialists. This page gives information about how these other specialists may help to alleviate your symptoms. Please ask your surgeon or nurse if you want to know more.

Marion O'Connor


specialist dietitian

Your diet can make a major contribution to your overall comfort and bowel control. In some cases specialist advice over and above that given at your pelvic floor retraining session may be necessary.

We have a long-standing relationship with a specialist dietitian, Marion O’Connor.

Marion has worked with patients with acute and chronic gastrointestinal disorders for over ten years. She regularly deals with Crohn’s disease, ulcerative colitis, dysmotility, short bowel syndrome, IBS and (slow transit) constipation. She has a keen interest in the role of micro-biota in gut health and disease.

Her extensive knowledge and experience within intestinal failure and intravenous nutrition support (TPN) have led her into the highly specialist area of intestinal transplantation. She lectures on various aspects of nutrition support at local, national and international level.

Marion works closely with her patients to empower them and to help them cope with and improve their condition.

She holds an honours degree in Physiology and an MSc in Human Nutrition and Dietetics.

Marion is currently available to see privately. For more information please visit www.marionoconnornutrition.com


Sometimes people struggle with performing their pelvic floor exercises properly or find it impossible to relax their muscles (a condition known as anismus). Both problems can be due to a lack of co-ordination, which may require very specialist help. In this case your consultant might refer you for specialised biofeedback training with a pelvic floor physiotherapist.


We work closely with our gastroenterology colleagues to provide a holistic approach to your pelvic floor problems. Those with inflammatory bowel disease, irritable bowel syndrome or chronic diarrhoea seem to benefit particularly from this interdisciplinary approach.


We work closely with our urogynaecology colleagues to provide a complete approach to the pelvic floor. We hold a regular pelvic floor multidisciplinary team meeting to facilitate a joined-up approach to treating our complex patients. This enables us to undertake surgery together with another specialist when appropriate.


Our team works closely together with several radiologists who have a special interest in pelvic floor disorders. They review all requested radiologic images and provide essential diagnostic information at our multidisciplinary team meetings.


The bowel has more nerve endings then the brain. Stress can often be unconsciously translated into a wide variety of bowel problems.

Also, struggling with pelvic floor conditions can have a major impact on your general wellbeing, a problem that is not always fully recognised by health professionals.

Sometimes talking to someone who specialises in coping mechanisms can give you the tools you need to help you in the right direction.


Pain is often one of the dominant symptoms in patients with pelvic floor symptoms. It is an essential and important feeling, designed to warn your brain of possible danger and damage to your body. But pain can often linger while its underlying cause has disappeared. It is important to recognise and treat these ‘echoes’ or ‘memories of pain’.

Whenever surgical correction of underlying causes has not sufficiently eliminated your pain, referral to a Pain Specialist or Pain Team might be necessary and helpful.