[Treatment of the dysfunction of the pelvic floor].
The perineum is formed by muscle-aponeurotic elements that are integrated under the control of the nervous system. Their alterations are responsible for urogynecological, coloproctologic and sexual pathologies. In order to obtain a successful treatment, it is obliged not to forget the role that plays the perineum in those pathologies. The treatment of the dysfunction of the pelvic floor groups conservative techniques and procedures like changes in life habits, behavioural therapy, biofeedback, electroestimulation (neuromodulation and peripheral electrical stimulation) and training with muscular exercises of the pelvic floor (perineal rehabilitation). The objective of all of them is to improve or to obtain the urinary continence, the strengthening of its musculature to be able to balance pelvic static, to improve the local vascularization and the anorrectal function besides securing a satisfactory sexuality.
Pena Outeiriño
J M
JM
Servicio de Urologia, Unidad de Neurourologia y Uroginecología, Hospital Universitario Virgen del Rocío, Sevilla. penaespina@yahoo.es
Rodríguez Pérez
A J
AJ
Villodres Duarte
A
A
Mármol Navarro
S
S
Lozano Blasco
J M
JM
D001676:Biofeedback, Psychology; D004599:Electric Stimulation Therapy / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D005260:Female; D006801:Humans; D008019:Life Style; D017773:Pelvic Floor / Q000503:physiopathology*; D014549:Urinary Incontinence / Q000534:rehabilitation / Q000628:therapy*