35 to 55 million American female experience symptoms of vaginal relaxation, urinary incontinence or change in bowel habits. Many women have a problem controlling their urine in certain circumstances or notice changes in their bowel habits. These signs or symptoms may be related to a common set of issues that may occur as a result of giving birth, getting old, or a combination of both. Grouped together these troubles are referred to as pelvic relaxation.
Many females suffer needlessly from conditions involving pelvic relaxation. If you have any of these conditions described in this section. Proper diagnosis and therapy will most likely restore patients to a daily life free of the aggravations and discomforts associated with pelvic relaxation.
The objective is to acquaint you with the many different forms of pelvic relaxation together with their causes, symptoms, and treatment. The pelvic organs include the vagina, uterus, bladder, and rectum. These organs are held in position by 3 types of supports: 1) muscles, 2) fascia 3) and ligaments. When these supports become weakened for a variety of factors, one or more of the pelvic organs may drop and, occasionally, even protrude outside the vagina. These are known as pelvic support defects.
At the time of childbirth, as the baby passes through the birth canal, the muscular tissues, fascia, and ligaments separate and may be weakened. This weakening gradually worsens and, later in life, could possibly result in the pelvic organs to drop from their normal positions.
In some instances, this weakening of the muscles and tissue may occur in women who have never had children. In these women, the underlying cause could possibly be:
-Inherited weakness of the supporting tissues. – Unusual strain placed on the supporting tissues by a chronic cough. – Unusual raises in abdominal pressure. – Obesity.
The typical signs and symptoms associated with pelvic relaxation, depend on which organs are impacted. There may be a sensation of heaviness or fullness. Small or moderate volumes of urine may be lost with normal physical activities such as laughing, coughing, walking, or running. In more advanced cases a mass or a bulg may actually come out from the vagina. Based on the organ or organs involved, pelvic support defects can be defined more specifically as:
– Cystocele. – Urethrocele (a lot of the time the cystocele & urethrocele may occur in combination as cystourethrocele). – Rectocele. – Enterocele. – Uterine prolapse (fallen uterus).
Urinary incontinence (leakage of urine) is a very common condition affecting at least 10-20% of women under age 65, and up to 56% of women over the age of 65. While incontinence also affects men, it occurs much more commonly in females.
Prolapse & incontinence may occur with each other. Both conditions are believed to result from damage to the pelvic floor during delivering a baby. Other possible factors in the development of prolapse and incontinence are daily very heavy lifting, chronic cough, constipation and overweight.
Prolapse simply means displacement of the organs from its normal position. When this word is used to describe the female organs, usually it means bulging, sagging or falling. It can occur quickly, but usually happens over the course of many years. On average, 11% of females will undergo surgical procedure for this problem, and can be categorized as follow:
Cystocele occurs when the bladder falls or descends from its normal place. The most frequent symptom associated with cystocele is difficulty in completely emptying the bladder. This can be associated with increase bladder infections. Large cystoceles can cause the bladder to overfill and allow small volumes of urine to leak. Leakage is most commonly encountered during activity such as walking,or coughing.
Urethrocele usually occurs in combination with a cystocele. Both of these conditions result in, among other things, in involuntary loss of urine, especially when there is elevated pressure in the abdomen, generated by walking, jumping, coughing, sneezing, laughing, or sudden movements.
Rectoceles happen when the rectum bulges into or out of the vagina. Rectoceles usually occur as a result of injuries during childbirth. With a weakness and or bulging rectum, bowel movements become more difficult.
Enterocele is the bulging of small intestines into the back wall of the vagina.
Uterine prolapse is that when the uterus falls or is displaced from its ordinary place. There are varying degrees of severity depending on the descent. This produces a general felling of heaviness and fullness, or a sense that the uterus is falling out.
Diagnosis of these problems includes a through history and physical examination. Other test according to the circumstances include a “Q-tip” test, a multi channel urodynamic studies (a painless fifteen to twenty minute computerized bladder and urethra functional studies), urethrocystoscopy (instrument used to evaluate the inside of the bladder and urethra), X-rays of the urinary system.
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