Pelvic Floor

Disorders
Introduction

Pelvic floor dysfunction is one of the most frequent female-specific disorders. According to statistics, at least one-third of all women experience pelvic floor dysfunction at some point in their lives. Pelvic floor muscle dysfunction develops as women age.

What is a pelvic floor problem, and what causes it?

The uterus, cervix, vagina, bladder, bowel, urethra, small intestine, and rectum are all held in place by the pelvic floor, which is a network of muscles and tissues that works like a hammock. The disease arises when these pelvic muscles are strained as a result of a tear or loosening.

Pelvic floor disorders are more common in older persons, particularly women, whose bodies have degenerated and have given birth naturally.

Symptoms of Pelvic Floor Disorder
  • Using the restroom regularly. You may also feel compelled to 'force it out,' or you may find yourself stopping and starting repeatedly.
  • Constipation, or a straining ache during bowel motions. Up to half of the patients with long-term constipation are also considered to have pelvic floor dysfunction.
  • Straining or pushing extremely hard to pass a bowel movement, changing positions on the toilet, or using your hand to help remove feces.
  • Stool or urine leakage (incontinence).
  • Painful urination.
  • Experiencing unexplainable discomfort in lower back.
  • Experiencing persistent discomfort in pelvic area, genitals, or rectum, with or without a bowel movement.
How can 7DMC help you to detect pelvic floor dysfunction?

Typically, our team of expert doctors will begin by inquiring about your symptoms and collecting a thorough medical history. The following are some of the questions we may ask you:

  • Have you ever had a urinary tract infection before?
  • Have you given birth if you're a woman?
  • Do you experience pain during sex if you're a woman?
  • Do you suffer from interstitial cystitis (a long-term bladder wall inflammation) or irritable bowel syndrome (a condition affecting the lower intestine)?
  • Do you have to struggle to defecate?

We may perform a physical exam to assess your ability to regulate your pelvic floor muscles. Our doctors will examine these muscles for spasms, knots, or weakness with their hands. They may also need to do an intrarectal (rectum) or vaginal exam on you.

Other tests may be administered to you, such as:
  • Surface electrodes (skin-adhesive pads) can be used to assess your pelvic muscle control. If you don't want to take an internal exam, this could be an alternative.
  • Anorectal manometry (a test that determines how effectively the anal sphincters function) can assess pressure, muscular strength, and coordination. This is a painless test.
  • A defecating proctogram is an X-ray test in which you are given an enema containing a viscous liquid that may be seen. This is a painless test.
Who in 7DMC responsible for the treatment of pelvic floor dysfunction?

The severity of your symptoms will be determined by the 7DMC medical team's expert panel. Our regular provider, a physical therapist, a gynecologist, a gastroenterologist, a pelvic pain anesthesiologist, or a pelvic floor surgeon may treat you, depending on your symptoms and the severity of your pain.