Pelvic Floor Dysfunction Treatment in Bangalore

Pelvic floor dysfunction is the inability to correctly tighten and relax the pelvic floor muscles to have a bowel movement. Symptoms include constipation, urine or stool leakage and a frequent need to urinate. Treatments include biofeedback, medication or surgery.

What is the pelvic floor?

Both men and women have a pelvic floor. In women, the pelvic floor is the muscles, ligaments, connective tissues and nerves that support the bladder, uterus, vagina and rectum and help these pelvic organs function. In men, the pelvic floor includes the muscles, tissues and nerves that support the bladder, rectum and other pelvic organs.

The pelvic floor muscles stretch like a muscular trampoline from the tailbone (coccyx) to the pubic bone (front to back) and from one sitting bone to the other sitting bone (side to side). These muscles are normally firm and thick.


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Just like a trampoline, the pelvic floor is able to move down and up. The bowel, bladder and uterus (for women) lie on the pelvic floor muscle layer.

The pelvic floor muscle layer has hole for passages to pass through. There are two passages in men (the anus and urethra) and three passages in women (the anus, urethra, and vagina). The pelvic floor muscles normally wrap quite firmly around these holes to help keep the passages shut. There is also an extra circular muscle around the anus (the anal sphincter) and around the urethra (the urethral sphincter).

Although the pelvic floor is hidden from view, it can be consciously controlled and therefore trained, much like our arm, leg or abdominal muscles.

Pelvic floor dysfunction symptoms

There are a number of symptoms associated with pelvic floor dysfunction. If you are diagnosed with pelvic floor dysfunction, you may experience symptoms including:
  • urinary issues, such as the urge to urinate or painful urination
  • constipation or bowel strains
  • lower back pain
  • pain in the pelvic region, genitals, or rectum
  • discomfort during sexual intercourse for women
  • pressure in the pelvic region or rectum
  • muscle spasms in the pelvis

What causes pelvic floor dysfunction?

While exact causes are still being researched, doctors can link pelvic floor dysfunction to conditions or events that weaken the pelvic muscles or tear connective tissue:
  • childbirth
  • traumatic injury to the pelvic region
  • obesity
  • pelvic surgery
  • nerve damage

How is pelvic floor dysfunction treated?


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Pelvic floor dysfunction can often be successfully treated without surgery. Treatments for pelvic floor dysfunction include the following:
  1. Biofeedback: The most common treatment for pelvic floor dysfunction is biofeedback, done with the help of a physical therapist. This non-painful, non-surgical technique provides improvement for more than 75% of people with pelvic floor dysfunction. Physical therapists may take several approaches to biofeedback to retrain the muscles. These include using special sensors and video to monitor the pelvic floor muscles as the patient attempts to relax or contract them. The therapist then provides feedback and works with the patient on improving his or her muscle coordination.
  2. Medication: In some cases, your physician may prescribe a low-dose muscle relaxant to deal with pelvic floor dysfunction.
  3. Relaxation techniques: Your physician or physical therapist may recommend relaxation techniques such as meditation, warm baths, yoga and exercises.
  4. Surgery: If your physician determines your pelvic floor dysfunction is the result of a rectal prolapse (the tissue that lines the rectum falls down into the anal opening) or rectocele (the end of the rectum pushes through the wall of the vagina), surgery may be necessary. By using the defecating proctogram test, your physician should be able to determine if these conditions are causing your pelvic floor dysfunction. Occasionally, your surgeon may decide to inject Botox to relax the pelvic floor muscle.
Location: Bengaluru, Karnataka, India

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