Recognition and management of nonrelaxing pelvic floor dysfunction

Stephanie S. Faubion, Lynne T. Shuster, Adil E. Bharucha

Research output: Contribution to journalReview article

66 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)187-193
Number of pages7
JournalMayo Clinic proceedings
Volume87
Issue number2
DOIs
StatePublished - Feb 2012

ASJC Scopus subject areas

  • Medicine(all)

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