Hi @gbear1953, I am reading through your comments and must say I really do relate to your wife’s all-things-constipation. This is an absolutely exhausting process for both of you!

I understand you are at a place that surgery is your only option. I also see your comment that her issue is pelvic floor dysfunction. In another comment you described her muscles not working the correct way. I struggled addressing my constipation (and much broader) issues for some time. Once I landed with my current providers they did an anorectal manometry test with the exact results, I had coordination problems where my muscles worked backwards. I didn’t understand any of it at the time but they were adamant that nothing else would work without addressing this problem first. That set the stage for progress, slow but steady. I am doing better.

I apologize if I am asking your to repeat but I am not seeing, and certainly not wanting to minimize the severity of the challenge your wife is facing.

Have you addressed the pelvic floor dysfunction?