How to treat pelvic floor dysfunction

Pelvic floor dysfunction is a disease that is more common among women. If a woman has such a problem, she needs to receive timely treatment, because the pelvic floor is an important part of the uterus. If there is a problem with this part, it will also have a certain impact on the health of the woman's uterus and even the entire reproductive system. Next, I will introduce to you the treatment methods for pelvic floor dysfunction!

1. Pelvic floor muscle exercises

Through exercise, the pelvic floor tissue can be restored to its supporting function and the urethral closure mechanism can be strengthened. After delivery, a personalized postpartum pelvic floor muscle function rehabilitation training plan is developed for the mother based on her physical condition. The nursing staff guides the mother with pelvic floor dysfunction to tighten the anus for at least 4 seconds each time, and practice continuously for 15-30 minutes, 2-3 times a day, and a course of treatment is 6-8 weeks.

2. Physical therapy

In recent years, it is a technology that is generally believed in clinic to be able to effectively improve patients' pelvic floor function and urethral muscles. In this therapy, electrical stimulation can increase the patient's neuromuscular excitability, thereby activating some nerve cells whose functions have been suspended. Electrical stimulation therapy is to place electrodes in the vagina to increase the contraction strength and elasticity of the pelvic floor muscles, thereby improving the control and coordination of the pelvic floor muscles, restoring the tension of damaged muscle fascia, and strengthening the supporting role of the pelvic floor structure, while reflexively inhibiting bladder excitement and strengthening urinary control. Biofeedback therapy directly obtains the patient's muscle contraction status through signal instruments and continuously provides feedback to the patient, thereby helping the patient to carry out correct and independent pelvic floor muscle training and improve urethral muscle function.

3. Estrogen therapy

It can directly excite the smooth muscle, thereby changing the influence of nerves on the smooth muscle and the density and sensitivity of adrenaline receptors. It can increase the urethral pressure by contracting the smooth muscle in the urethral wall behind the bladder neck, thereby alleviating the symptoms of urinary incontinence. Giving patients a small amount of estradiol can significantly increase the blood flow into the urethra. The application of sex hormone replacement therapy in perimenopausal women has significant clinical effects. However, since long-term use of estrogen may cause endometrial cancer, breast cancer, and ovarian cancer, regular comprehensive health examinations should be performed during clinical treatment.

4. Health guidance

Among the majority of female patients in my country who have symptoms such as urinary incontinence and uterine prolapse, less than one-third are aware of seeking medical treatment. Patients have poor understanding of the disease and believe that it is an inevitable manifestation, or they do not take the initiative to seek medical treatment due to shyness and other reasons. The rate of seeking medical treatment is low, so health education by doctors and nurses is also very important.

5. Surgery

For severe vaginal anterior and posterior wall bulging and uterine prolapse, laparoscopic vaginal anterior and posterior wall mesh sacral fixation and transvaginal obturator mid-urethral tension-free suspension are effective and safe minimally invasive surgeries for the treatment of urinary incontinence.