General Management

Management of Pelvic Floor Disorders includes:

  • A thorough assessment of the condition, medical history and current health, including diet and fluid intake, exercise levels and mobility, all the medicines currently taken.
  • Physical assessment of the pelvic floor function, strength and endurance.
  • Rehabilitation which may include pelvic floor muscle exercises, known as Kegel exercises, bladder retraining and changes to lifestyle and bladder habits and pain management.
  • Exercising in a way that does not worsen the problem is very important.
  • For those women undergoing surgery for the management of their pelvic organ prolapse it is of helpful to be seen by a Health Care Professional both before and after treatment as the pelvic floor muscles.
  • Assistance with continence aids such as pads and pants.

Many women and men do not need treatment for their PFD. However, treatment can often help when symptoms are bothersome or restrict activities.

Nonsurgical Treatment commonly used for PFDs include:

  • Pelvic floor muscle training (PFMT). Biofeedback is sometimes used to help patients which muscle group to squeeze.
  • Behavioral Therapy he spectrum of behavioral treatments includes those that target voiding habits and life style, as well as those that train pelvic floor muscles to improve strength and control.
  • Medicine. Medicine is sometimes prescribed to treat certain bladder control problems2 or to prevent loose stools or frequent bowel movements.
  • Incontinence Products. Incontinence pads and other products and devices can make life easier. The most popular incontinence products are pads that are worn inside underwear to mop up urine leaks. There's a wide choice of absorbent pads and pull-ups for men and women with all incontinence. Many women use sanitary pads instead of incontinence pads because they're cheaper, but they don't have the same technology. Women with mild to moderate incontinence want the thin, discrete pads to attach to the underwear. Some women with stress incontinence use super-sized tampons to prevent sudden leaks. According to the National Institute for health and Care Excellence (NICE) guidelines on urinary incontinence in women, tampons aren't recommended for the routine management of urinary incontinence in women. However, tampons can be used occasionally when necessary to prevent leakage, for example, during exercise.

Surgical Treatment, in some cases, can be performed as outpatient procedures:

  • For prolapse. Surgery involves repairing the prolapse and building back pelvic floor support. Women with uterine prolapse may also have the uterus removed (hysterectomy).
  • For bladder control problems. Surgery works well to treat problems holding in urine that occur because of pressure on the bladder (stress incontinence).
  • For bowel control problems. Surgery may be needed to repair a damaged anal sphincter muscle or repair certain types of prolapse.

Combination Treatment

"Combination" can mean a woman is getting treated for more than one type of PFD, such as a treatment for both uterine prolapse and urinary incontinence. It can also mean using different treatments together to address PFDs, such as using PFMT and a surgical treatment.