Gynecology Book

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Pelvic Floor Dysfunction

Aka: Pelvic Floor Dysfunction, Pelvic Floor Muscle Dysfunction, Pelvic Floor Disorder, Pelvic Floor Muscle Weakness, Pelvic Floor Insufficiency, Pelvic Floor Dyssynergia
  1. Definitions
    1. Pelvic Floor Disorder
      1. Injury, weakness or prolapse of the pelvic muscles and surrounding ligaments and connective tissue
    2. Pelvic Floor Dyssynergia
      1. Pelvic muscles paradoxically contract and rectal sphincter tightens during Defecation (instead of normal relaxation)
      2. Results in pain and Constipation
  2. Complications
    1. Dyspareunia
    2. Chronic Pelvic Pain
    3. Urinary Incontinence
    4. Defecatory Dysfunction (Constipation)
  3. Exam
    1. See Chronic Pelvic Pain Exam
    2. Patient contracts pelvic floor muscles which should raise the perineum
    3. Assess for tenderness while palpating pelvic floor muscles via the vaginal introitus
  4. Management
    1. See Pelvic Floor Exercise
    2. Consider physical therapy (Pelvic Floor specific programs)
    3. Other interventions
      1. Gabapentin (Neurontin)
      2. Trigger Point Injection (local Anesthetic or Botulinum Toxin A)
      3. Neuromodulation with nerve stimulator (posterior tibial, pudendal, sacral nerve)
  5. References
    1. Hill (2021) Am Fam Physician 103(10):597-604 [PubMed]

pelvic floor; insufficiency (C1389519)

Concepts Acquired Abnormality (T020)
English insufficiency; pelvic floor, pelvic floor; insufficiency
Dutch bekkenbodem; insufficiëntie, insufficiëntie; bekkenbodem
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Pelvic floor muscle weakness (C1535916)

Definition (NCI) A reduction in the strength of the muscles of the pelvic floor.
Definition (NCI_CTCAE) A disorder characterized by a reduction in the strength of the muscles of the pelvic floor.
Concepts Disease or Syndrome (T047)
Dutch bekkenbodemspierzakheid
French Faiblesse musculaire du plancher pelvien
Italian Debolezza del muscolo del pavimento pelvico
Portuguese Fraqueza muscular do pavimento pélvico
Spanish Debilidad muscular del suelo pélvico
Japanese 骨盤底筋力低下, コツバンテイキンリョクテイカ
Czech Svalová slabost pánevního dna
English Pelvic Floor Muscle Weakness, Pelvic floor muscle weakness
Hungarian Kismedencei alap izomgyengesége
German Beckenbodenschwaeche
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Pelvic floor dyssynergia (C1535943)

Concepts Disease or Syndrome (T047)
Dutch bekkenbodem dyssynergie
Italian Dissinergia del pavimento pelvico
Portuguese Dissinergia do pavimento pélvico
Spanish Disinergia del suelo pélvico
Japanese 骨盤底協調不全, コツバンテイキョウチョウフゼン
Czech Dyssynergie pánevního dna
French Dyssynergie du plancher pelvien
Hungarian Pelvikus alap dyssynergia
English Pelvic floor dyssynergia
German Beckenbodendyssynergie
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Pelvic Floor Disorders (C3178892)

Definition (MSH) Injury, weakening, or PROLAPSE of the pelvic muscles, surrounding connective tissues or ligaments (PELVIC FLOOR).
Definition (MSHCZE) Zranění, oslabení nebo PROLAPS pánevních svalů, okolní pojivové tkáně nebo vazů (PÁNEVNÍho DNA). R
Concepts Acquired Abnormality (T020)
MSH D059952
English Disorder, Pelvic Floor, Pelvic Floor Disorder, Disease, Pelvic Floor, Diseases, Pelvic Floor, Pelvic Floor Disorders, Disorders, Pelvic Floor, Pelvic Floor Diseases, Pelvic Floor Disease, Pelvic Floor Disorders [Disease/Finding]
French Maladies du plancher pelvien, Troubles du plancher pelvien
Portuguese Distúrbios do Assoalho Pélvico
Russian ТАЗОВОГО ДНА РАССТРОЙСТВА, TAZOVOGO DNA RASSTROISTVA
Spanish Trastornos del Suelo Pélvico
Czech onemocnění dna pánevního, dno pánevní - nemoci
Polish Choroby struktur dna miednicy
Italian Malattie del pavimento pelvico, Disturbi del pavimento pelvico, Disfunzioni del pavimento pelvico
German Beckenbodenstoerungen, Beckenbodenerkrankungen, Beckenbodenstörungen
Norwegian Dysfunksjon i bekkenbunn, Bekkenbunnsforstyrrelser
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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