ANAL INCONTINENCE TREATMENT NYC

What Is Anal Incontinence?

While some may think this is something to laugh at, we can assure you that anal incontinence is a medical condition and it does happen to the best of us. No matter how scientifically we define anal incontinence, the fact still remains that in layman’s terms, it’s you losing control of your bowels.

However, within the gay community, specifically, anal incontinence (fecal incontinence or bowel incontinence) is often confused with looseness. One may experience looseness without experiencing anal or fecal incontinence; however, the other is not true. Are you simply unable to keep in a fart or do you have fecal matter running down your leg? Or maybe it’s a combo of both? How about just diminished sexual pleasures to both you and your partner(s)? It all stems from the loss of some or all muscular function that maintains normal coaptation and bowel function.

Does Bottoming Cause Incontinence?

One common question that we hear is does bottoming cause incontinence? This is a complicated answer. If one regularly engages with large penises, large toys, and/or fists, these can either cause tearing with trauma or gradually stretch the muscles beyond their capacity, leading to some elements of what has been mentioned so far. However, little is known about how anal intercourse may affect bowel function – so bowel incontinence may be a myth despite the risk factors.

That said, it’s key to help make sure people are experienced when engaging and educated to not only know their limits, but also to offset those dilation days with contraction days. It’s about building and rebuilding that muscle! If we approach this early on, we can minimize any potential complications for anal sex incontinence, specifically if we go past that normal capacity.

ANAL INCONTINENCE AFTERCARE AND RECOVERY

• Surgical anal reconstruction recovery consists of three to five days of initial acute pain, followed by one to two weeks of more isolated pain during bowel movements. On and off bleeding, accompanied with some mucus discharge, is of course normal and improves with time. Most are back at the gym within three to five days and about a week for topping. Clients see us at one and two month intervals.
• During that time, in-office tweaking is done with the scarring to allow for full and complete healing. On the second postoperative visit, a full internal examination is done to confirm improvement, which allows one to start using anal dilators and seeing a pelvic floor physical therapist to maximize our healing. Toy and dilator work begins at two months and full bottoming around three months.

Inclusive Care for LGBTQ+ Patients

We offer sex-positive, identity-affirming care that honors both who you are and how you live. For those who engage in receptive anal sex, protecting function remains a key focus during recovery. Our team supports your healing journey with compassion—never judgment or compromise.