Pelvic floor weakness: what is it and how to prevent it?

The pelvic floor is a myofascial structure that closes the pelvis on its lower part. It plays a fundamental role in such important functions for the quality of life of patients as urinary, stool and gas continence. Also the sexual function in men and women and the stability of the viscera of the lower pelvis and the lumbopelvic spine.

What are the symptoms of pelvic floor weakness?

The symptoms can be very varied:

  • Urinary incontinence.
  • Stool incontinence.
  • Gas incontinence.
  • Pain.
  • Erectile dysfunction.
  • Pelvic prolapse.
  • Anorgasmia.
  • Urinary infections, etc.

What are the causes of pelvic floor weakening?

There are several causes of pelvic floor weakening. They are:

  • Age.
  • Vaginal childbirth.
  • Menopause.
  • High intensity and high frequency impact sports.
  • Obesity.
  • Systemic and neurological diseases.
  • Lumbopelvic area surgeries.
  • Radical prostatectomy, etc.

Can pelvic floor weakening be prevented?

Yes, there are undoubtedly diagnostic and therapeutic tools to prevent some pelvic floor dysfunctions. A personalized evaluation by a specialist in Physiotherapy, including functional ultrasound as the main axis, through which an assessment is extracted that can detect signs and symptoms that can identify dysfunctions that can become future health problems and significantly affect the quality of patients.

Some pelvic floor physiotherapy treatments have a highly contrasted scientific evidence with success rates above 70%.

What is the treatment of pelvic floor weakness?

There is no standard protocolized treatment for pelvic floor dysfunction, each person needs a specific treatment. It is a serious mistake to apply general guidelines to different people, with different characteristics, who need a personalized functional evaluation and individualized treatment in each case. Without personalized attention, lack of effectiveness, loss of time, and useless economic cost are guaranteed.