Numerous pelvic floor disorders predominantly affect women and can result from inherent factors or external influences like pregnancy, childbirth, or surgery. Proper management is crucial to avoid complications.

We explore this topic with a specialist in general surgery.

Why Women Are Most Affected by Pelvic Floor Dysfunction

The female pelvic anatomy is distinct from that of men. Women are more prone to these issues due to the unique female pelvis, which houses three compartments (bladder, genital, and rectal), making it more susceptible to pelvic organ prolapse compared to the male pelvis, which is closed off by the prostate floor.

Elderly women, especially those who’ve had multiple pregnancies, are particularly vulnerable, as years of strain can impact pelvic organs.

Common Pelvic Floor Dysfunctions

Various pathologies can affect the pelvic floor, resulting in either impaired function or the presence of abnormal outflows. These pathologies can manifest as:

  • Urinary Sphere Disorders: A sense of incomplete bladder emptying or uncontrolled urine leakage.
  • Sexual Sphere Disorders: Discomfort or pain during intercourse, along with a sensation of bulk or weight.
  • Evacuation Disorders: Issues like irregular bowel movements, difficulty in evacuation, trouble holding stool, or the inability to delay the urge to evacuate.

Symptoms Not to Overlook

Symptoms that shouldn’t be underestimated include:

  • Pain during evacuation.
  • Constipation: Obstruction during evacuation or a feeling of incomplete emptying.
  • Pelvic or perineal pain.
  • Involuntary urine or gas leakage.

In these cases, seeking advice from a specialist is advisable.

Treating Pelvic Floor Disorders

In cases of pelvic floor dysfunction, the initial step involves identifying and modifying poor dietary and lifestyle habits while encouraging regular physical activity.

If these changes prove insufficient, prescribed medications can address evacuation and urinary issues, restoring lost functions after conducting appropriate diagnostic tests.

Rehabilitation treatments can also be considered to help recondition the body and regain lost functions and reflex activities.

When Surgery is Necessary for Pelvic Floor Dysfunction

Surgical intervention should be considered when conservative methods don’t yield the expected results. Modern procedures are increasingly minimally invasive and tailored to the patient’s needs. The specific options will be explained on a case-by-case basis, depending on the clinical circumstances.