Clinical approach and office evaluation of the patient with pelvic floor dysfunction.
Pelvic floor disorders are common health issues for women and have a great impact on quality of life. These disorders can present with a wide spectrum of symptoms and anatomic defects. This article reviews the clinical approach and office evaluation of patients with pelvic floor disorders, including pelvic organ prolapse, urinary dysfunction, anal incontinence, sexual dysfunction, and pelvic pain. The goal of treatment is to provide as much symptom relief as possible. After education and counseling, patients may be candidates for non-surgical or surgical treatment, and expectant management.
Wieslander
Cecilia K
CK
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, 27-139 Center for Health Sciences, Los Angeles, CA 90095-1740, USA. cwieslander@dhs.lacounty.gov
D005242:Fecal Incontinence / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D009819:Office Visits; D017773:Pelvic Floor; D056887:Pelvic Organ Prolapse / Q000175:diagnosis* / Q000503:physiopathology; D017699:Pelvic Pain / Q000175:diagnosis / Q000209:etiology; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis / Q000209:etiology; D014555:Urination Disorders / Q000175:diagnosis / Q000209:etiology