Pelvic Floor Descent
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A mild descent is usually hardly noticeable.
Pelvic floor descent. Associations include obesity menopause pregnancy and childbirth. Pelvic floor descent or descending perineal syndrome occurs when pelvic muscles lose tone resulting in excessive descent of the entire pelvis floor at rest or during evacuation. In pelvic floor relaxation active and passive supporting structures within the pelvic floor become weakened and ineffective with resultant excessive descent and widening of the entire pelvic floor during rest and or evacuation regardless of whether prolapse is present. This is what physicians refer to as a weakness of the pelvic floor or pelvic floor insufficiency frequently accompanied by a general weakness of the connective tissue.
It results in abnormal descent of the urinary bladder the uterovaginal vault and the rectum resulting in urinary continence fecal incontinence and pelvic organ prolapse. Widening of the pelvic floor hiatus and descent of pelvic floor below the pubococcygeal line with specific organ prolapse graded relative to the hiatus. Weakening of the female pelvic floor is a prevalent and debilitating disorder. Pelvic floor dysfunction is the inability to correctly relax and coordinate your pelvic floor muscles to have a bowel movement.
Pelvic floor dysfunction is the inability to control the muscles of your pelvic floor. Pain female patients that visit our medical practice frequently complain about strong spasmodic pain in the intestine either during defecation or right before or in the course of the day. Some women may be more likely to developing pelvic floor dysfunction because of an inherited. Many women are affected by this kind of pelvic organ descent at some point in their lives.
On dynamic imaging pelvic floor descent is defined as anorectal junction descent of more than 2 5 cm below the pcl. Mechanistically the causes of pelvic floor dysfunction are two fold.