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pelvic floor disorders

What are Pelvic Floor Disorders?

Pelvic floor disorders are those which involve prolapse (dropping down) of pelvic floor organ which are uterus, vagina, small intestine, urinary bladder, rectum or urethra. It happens due to an injury or weakening of muscles or ligaments or connective tissues holding these organs in place within the pelvis (pelvic cavity).

Signs and Symptoms of Pelvic Floor Disorders in Women:

There are some common symptoms that are associated with pelvic floor disorders, which are as follows:

  • Accidental leakage of urine when a small pressure is built on it while laughing, exercising, sneezing or coughing.
  • Unable to hold the urine even until the time you reach the toilet.
  • Difficulty in holding urine once you start emptying the bladder.
  • Finding it difficult or painful while passing the urine or during the bowel movement.
  • Painful intercourse.
  • Some women may feel that something is bulging out of pelvis or as if dropping or dragging down.

Causes and factors resulting in pelvic floor prolapse or disorder:

Pelvic floor disorders may result from a single factor or combination of factors listed as follows:

  • Delivering the baby vaginally may result in damage to some muscles, which may lead to pelvic organ prolapse. The risk of prolapse increases with every child delivery.
  • Being obese and not keeping pelvic muscles active weaken them and lead to pelvic floor disorder.
  • Heavy lifting continuously for a long time.
  • Continuous or recurring constipation may develop strain on bowel muscles or rectum and may lead to pelvic organ prolapse.
  • A chronic cough which leads to continuous coughing or sneezing will bring strain on pelvic floor muscles.
  • Ageing will lead to the weakening of pelvic floor muscles and ligaments.

Types of Prolapse

In women, there are various types of prolapse that may happen. It is associated with the type of organ that is prolapsing. It could be the prolapse of vagina, uterus, urethra, urinary bladder, rectum or small intestine. In our next posts, we will discuss these types in more detail.

Treatment for Pelvic Floor Disorders:

Kegel Exercises:

Kegel exercises are pelvic floor exercises that can be done to strengthen pelvic floor muscles for primary level of pelvic floor disorders. These are exercises with rhythmic tightening and releasing of pelvic muscles. Doing these exercises regularly will help in strengthening of these pelvic muscles.

Surgery:

If the symptoms of pelvic floor disorders persists, the problem can be treated with surgery. The prolapse can be corrected by undergoing abdominal surgery or vaginal surgery. It is performed in case of severe prolapse cases of prolapse of vagina or uterus. The abdominal surgery can be performed using laparoscopy. Your uro-gynaecologist will suggest the suitable surgery, if required for your pelvic floor disorder.

When to visit uro-gynaecologist?

Uro-gynaecologist is the one who can provide the consultation and treatment for pelvic floor disorders. If you are having symptoms similar to described above visit the London gynaecologist Dr. Sarah Hussain, to get the pelvic floor disorder fixed.