Pelvic Floor Dysfunction

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What is pelvic floor dysfunction?

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• Overactive Bladder          

• Urgency / stress / mixed urinary

• Bowel Incontinence            

• Chronic constipation

• Pelvic organ prolapse - bladder / rectum / uterus

• Sexual Dysfunction

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Some causes of pelvic floor dysfunction (PFD)

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- pregnancy

- childbirth

- recurrent urinary tract infections

- constipation

- 3rd and 4th degree tears during childbirth

- menopause

- some gynae surgery

- occupations that require heavy lifting

 

 

Some symptoms of pelvic floor dysfunction (but not limited to):

 

• leaking urine when on the way to the toilet (urgency urinary incontinence) or leaking when coughing / laughing / sneezing / jumping (stress urinary incontinence)

• leaking liquid / solid stool or not being able to control winds when you want to

• a feeling of heaviness or dragging in the vagina

• painful intercourse or urine leakage during intercourse

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What can be done?

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• Thorough assessment of bladder / bowel / pelvic floor complaints

• Physical examination (may include an internal examination once discussed with you)

• Advice, exercises, change in habits, biofeedback and electrical stimulation – all according to the above findings.

 

An evidence-based treatment programme with emphasis on lifestyle changes, pelvic floor strengthening and a holistic approach to avoid surgery if possible is then formed – in consultation with you.