Pelvic floor disorders: care and treatments

Pelvic floor dysfunction occurs most frequently in women between the ages of 30 and 60, although it also affects men and children.

At Sanatorio Allende we created a Pelvic floor unit Having understood the need to respond to the high demand for pelvic floor diseases that mainly affect women.

What is the pelvic floor?

The pelvic floor is a group of muscles and ligaments that close the pelvic cavity and provide support for organs such as the urethra, uterus, bladder, vagina, small intestine, and rectum.

What is the function of these muscles?

• They control the passage of urine and gases.
• They hold the pelvic organs in a suitable position.
• prevent Involuntary enuresis.
• They protect the pelvic organs in the area.

When these muscles and ligaments are weakened – due to age, pregnancy, normal childbirth, menopause, high-impact sports, among other factors – Brlapsus Affecting the sphincter muscle, which can cause incontinence Urine and feces also affect a patient’s sexual activity.

What symptoms should you pay attention to when having a medical consultation?

Among the most common symptoms for which a patient is consulted are loss of involuntary urine, need to go to the bathroom, increased frequency of urination, leakage of gas or stool, sensation of a vaginal mass, lower back pain, pain in the lower abdomen, etc.

The most common pelvic floor dysfunctions:

• Urinary and / or faecal incontinence
• Overactive bladder (urgency and sometimes incontinence)
• Pelvic organ prolapse
• Chronic constipation
• Sexual dysfunctions
• Chronic pelvic pain

The aim of the Pelvic Floor Unit is to provide patients with a comprehensive, multidisciplinary and holistic approach to treating and improving these diseases.

Diagnostic tests and treatments

• Pelvic floor reconstructive surgery
• Minimally invasive surgery
• Gastrointestinal endoscopy
• Uroscopy
• Anorectal physiology studies
• Perineal rehabilitation using electrical stimulation and / or biofeedback
• Rectal rehabilitation
• Pelvic floor magnetic resonance imaging
• Multichannel urodynamics
• Computerized urine flow measurement
• 3D ultrasound

The Pelvic Floor Unit brings together different specialties such as gynecology, urology, gastroenterology, colon and rectal diseases, specialists in pain therapy, imaging, physiotherapists, nutritionists, and others.

Treatment or treatment

he is Treatment or treatment It could be the pelvic floor defect A reservation a surgicalDepending on the type of restoration of the basin structures to be performed.

Not all women with pelvic floor disorders need treatment. When symptoms are bothersome or begin to affect daily activities, a solution must be sought to reduce or alleviate these symptoms.

Non-surgical treatments

Medicines and / or electrical stimulation of the posterior tibial nerve (To treat an overactive bladder)

Conical exercises (Training the pelvic floor muscles to improve urinary incontinence)

Tests: They are silicone devices that are placed inside the vagina to help hold the pelvic organs in place. They are usually for temporary use.

Surgical treatments

Surgery may be the best treatment when other nonsurgical options have failed. Not all women are suitable for pelvic floor procedures. For example, a woman wanting to have children would not be a good candidate.

There are minimally invasive procedures that can be performed on an outpatient basis. It includes interventions through various methods (laparoscopy, open, vaginal, and others).

Recommendations for protecting the health of the pelvic organs

• Try to urinate every 2-3 hours.
• Drink fluids throughout the day (about 2 liters).
• When urinating or defecating, allow the bladder or rectum to empty itself, while taking the time to empty without effort.
• Eat a balanced diet rich in fiber to avoid constipation or constipation.
• Pelvic floor strengthening with Kegel exercises to prevent damage during pregnancy, after childbirth, menopause, or after pelvic surgery.

Prevention is key because damage to the pelvic floor usually begins during pregnancy and childbirth.

To achieve this, we must explain the importance of pelvic floor care and training like any other part of the body, thus helping to prevent its changes.

Pelvic floor unit