Pelvic floor dysfunction in women: current understanding of the problem

Here we review the recent literature on pelvic floor dysfunction, which is increasingly common in women of reproductive age and represents a significant medical problem occurring as a result of injured pelvic floor ligaments. Pelvic floor dysfunction is largely associated with vaginal delivery and m...

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Main Authors: O. V. Remneva, I. S. Ivanyuk, A. I. Gal'chenko
Format: Article
Language:Russian
Published: Kemerovo State Medical University 2022-03-01
Series:Фундаментальная и клиническая медицина
Subjects:
Online Access:https://fcm.kemsmu.ru/jour/article/view/520
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author O. V. Remneva
I. S. Ivanyuk
A. I. Gal'chenko
author_facet O. V. Remneva
I. S. Ivanyuk
A. I. Gal'chenko
author_sort O. V. Remneva
collection DOAJ
description Here we review the recent literature on pelvic floor dysfunction, which is increasingly common in women of reproductive age and represents a significant medical problem occurring as a result of injured pelvic floor ligaments. Pelvic floor dysfunction is largely associated with vaginal delivery and might lead to urinary and fecal incontinence as well as pelvic organ prolapse. Intraabdominal hypertension, nerve damage, obesity, and genetic predisposition are among the major contributors to pelvic floor dysfunction. Being asymptomatic at the early stage, pelvic floor dysfunction gradually leads to the irreversible alterations in pelvic floor anatomy, ultimately deteriorating quality of life. Surgery remains a gold standard in the treatment of pelvic organ prolapse, yet POP-Q stage I-II prolapse should be treated conservatively. Currently, there are no specific treatment regimens and no evidence-based opinion regarding Kegel exercises and laser therapy. Biofeedback pelvic floor muscle training is the treatment of choice for urinary incontinence. Use of pessaries represents another efficient approach to conservative treatment.
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publishDate 2022-03-01
publisher Kemerovo State Medical University
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series Фундаментальная и клиническая медицина
spelling doaj-art-41b889a0de784990a5a97d7e4a8d61212025-08-20T03:19:11ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412022-03-01719210110.23946/2500-0764-2022-7-1-92-101308Pelvic floor dysfunction in women: current understanding of the problemO. V. Remneva0I. S. Ivanyuk1A. I. Gal'chenko2Altai State Medical UniversityAltai State Medical UniversityAltai State Medical UniversityHere we review the recent literature on pelvic floor dysfunction, which is increasingly common in women of reproductive age and represents a significant medical problem occurring as a result of injured pelvic floor ligaments. Pelvic floor dysfunction is largely associated with vaginal delivery and might lead to urinary and fecal incontinence as well as pelvic organ prolapse. Intraabdominal hypertension, nerve damage, obesity, and genetic predisposition are among the major contributors to pelvic floor dysfunction. Being asymptomatic at the early stage, pelvic floor dysfunction gradually leads to the irreversible alterations in pelvic floor anatomy, ultimately deteriorating quality of life. Surgery remains a gold standard in the treatment of pelvic organ prolapse, yet POP-Q stage I-II prolapse should be treated conservatively. Currently, there are no specific treatment regimens and no evidence-based opinion regarding Kegel exercises and laser therapy. Biofeedback pelvic floor muscle training is the treatment of choice for urinary incontinence. Use of pessaries represents another efficient approach to conservative treatment.https://fcm.kemsmu.ru/jour/article/view/520pelvic floor dysfunctionpelvic organ prolapseurinary incontinencefecal incontinencesexual dysfunction
spellingShingle O. V. Remneva
I. S. Ivanyuk
A. I. Gal'chenko
Pelvic floor dysfunction in women: current understanding of the problem
Фундаментальная и клиническая медицина
pelvic floor dysfunction
pelvic organ prolapse
urinary incontinence
fecal incontinence
sexual dysfunction
title Pelvic floor dysfunction in women: current understanding of the problem
title_full Pelvic floor dysfunction in women: current understanding of the problem
title_fullStr Pelvic floor dysfunction in women: current understanding of the problem
title_full_unstemmed Pelvic floor dysfunction in women: current understanding of the problem
title_short Pelvic floor dysfunction in women: current understanding of the problem
title_sort pelvic floor dysfunction in women current understanding of the problem
topic pelvic floor dysfunction
pelvic organ prolapse
urinary incontinence
fecal incontinence
sexual dysfunction
url https://fcm.kemsmu.ru/jour/article/view/520
work_keys_str_mv AT ovremneva pelvicfloordysfunctioninwomencurrentunderstandingoftheproblem
AT isivanyuk pelvicfloordysfunctioninwomencurrentunderstandingoftheproblem
AT aigalchenko pelvicfloordysfunctioninwomencurrentunderstandingoftheproblem