What should women do if their pelvic floor is loose?

Pelvic floor relaxation is the most common problem in postpartum women. It can cause many problems. First of all, it will affect normal defecation and urination. Severe pelvic floor relaxation can even lead to uncontrolled defecation. This problem is prone to occur in the elderly. In addition, if a woman's pelvic floor is relaxed, it will also be accompanied by vaginal relaxation, a feeling of falling in the perineum, etc., so the impact is very large. So how to solve the problem of pelvic floor relaxation?

What should women do if their pelvic floor is loose?

Intrinsic treatment is more complex and involves correction of certain obvious anatomical changes caused by degeneration. For example, tightening surgery is performed on pelvic or abdominal visceral relaxation lesions, including pelvic floor reconstruction, uterine fixation, rectal fixation and redundant sigmoid colon resection, and rectal prolapse repair when necessary.

1. Rectocele surgery

In mild cases, sclerosing agent injection, adhesion fixation, or rectocele repair are performed.

2. Rectal prolapse surgery

In mild cases, the rectum is injected with a columnar sclerosing agent outside the anus. In severe cases, the rectum is suspended and fixed to the sacral promontory, and both sides of the rectum are fixed to the lateral peritoneum.

3. Lengthy sigmoid colectomy

After resection, the mesentery is fixed to the rectum, but the fixation should not be too tight.

4. Retroverted uterus surgery

The retroverted uterine fundus is suspended behind the pubic bone.

5. Pelvic hernia surgery

Close the excessively deep Douglas fossa and elevate the pelvic floor.

examine

1. Digital rectal examination

(1) The anorectal sphincter is relaxed, without tension, with poor contraction function and even incontinence.

(2) The perineum descends, the entire pelvic cavity and pelvic floor relax and sag, and the gluteal groove becomes shallow and bulges outward.

(3) The rectum protrudes from the posterior wall of the vagina and appears like a pouch.

2. Defecation radiography

Defecography showing rectocele, intussusception and internal hernia

3. Ultrasound examination

The degree and nature of organ prolapse can be determined.

4. CT or MRI

Determine the nature, lesions, location, degree, and relationship of the pelvic organs.

diagnosis

The main clinical manifestations are difficulty in defecation, incomplete emptying, rectal obstruction or perineal distension, outlet obstruction symptoms, as well as perineal convexity, retroverted uterus and rectal relaxation during defecation. Defecography showed rectocele, intussusception, and internal hernia.

Congenital and acquired injuries such as natural childbirth, constipation and cough, and the decline in sex hormone levels in the human body after middle age, which leads to the degeneration and relaxation of connective tissue, are the basis for a variety of relaxation diseases throughout the body. Relaxed pelvic floor syndrome (RPFS) causes perineal distension, which may be related to internal hernia (colon, small intestine), tortuous middle and upper rectum, and retroverted uterus compressing the pelvic floor. In addition, the excessive stretching of the nerves that control the pelvic floor, such as the pudendal nerve, due to the relaxation of the pelvic floor may also be related to this.