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Review
. 2012 Feb;87(2):187-93.
doi: 10.1016/j.mayocp.2011.09.004.

Recognition and management of nonrelaxing pelvic floor dysfunction

Stephanie S Faubion  1 , Lynne T Shuster, Adil E Bharucha
Affiliations
Review

Recognition and management of nonrelaxing pelvic floor dysfunction

Stephanie S Faubion et al. Mayo Clin Proc. 2012 Feb.

Abstract

Nonrelaxing pelvic floor dysfunction is not widely recognized. Unlike in pelvic floor disorders caused by relaxed muscles (eg, pelvic organ prolapse or urinary incontinence, both of which often are identified readily), women affected by nonrelaxing pelvic floor dysfunction may present with a broad range of nonspecific symptoms. These may include pain and problems with defecation, urination, and sexual function, which require relaxation and coordination of pelvic floor muscles and urinary and anal sphincters. These symptoms may adversely affect quality of life. Focus on the global symptom complex, rather than the individual symptoms, may help the clinician identify the condition. The primary care provider is in a position to intervene early, efficiently, and effectively by (1) recognizing the range of symptoms that might suggest nonrelaxing pelvic floor dysfunction, (2) educating patients, (3) performing selective tests when needed to confirm the diagnosis, and (4) providing early referral for physical therapy.

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Figures

FIGURE
FIGURE
A, Muscles of the pelvic floor. B, Digital palpation of deep pelvic floor muscles. m = muscle.
See this image and copyright information in PMC

References

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