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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
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Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
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Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
Urinary Tract Calculi V: Nursing Management01:28

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Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Irritable Bowel Syndrome III: Medical and Nursing Management

Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.

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Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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Recognizing and treating pelvic pain and pelvic floor dysfunction.

Heidi Prather1, Theresa Monaco Spitznagle, Sheila A Dugan

  • 1Section, Physical Medicine and Rehabilitation, Washington University Orthopedics, One Barnes Jewish Hospital Plaza, Suite 11300, Saint Louis, MO 63110, USA. pratherh@wudosis.wustl.edu

Physical Medicine and Rehabilitation Clinics of North America
|August 7, 2007
PubMed
Summary

Pelvic floor pain affects many women but is often missed. Physiatrists can help diagnose and treat this condition, improving function and quality of life.

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Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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Area of Science:

  • Physical Medicine and Rehabilitation
  • Women's Health
  • Pain Management

Background:

  • Pelvic pain affects 3.8%–24% of women aged 15–73.
  • Pelvic floor pain and dysfunction are frequently overlooked in clinical practice.
  • Physiatrists possess unique expertise in musculoskeletal and nervous system disorders relevant to pelvic pain.

Purpose of the Study:

  • To highlight the prevalence and impact of pelvic floor pain and dysfunction in women.
  • To emphasize the crucial role of physiatrists in managing these conditions.
  • To provide an overview of pelvic floor anatomy, neurophysiology, function, and related pain syndromes.

Main Methods:

  • Review of current literature on pelvic pain and dysfunction.
  • Discussion of diagnostic considerations, including key patient history questions.
  • Outline of treatment strategies for pelvic floor dysfunction.

Main Results:

  • Pelvic floor dysfunction can significantly impair bowel and bladder function, intimacy, and social engagement.
  • Specific questioning regarding urinary/fecal incontinence, dyspareunia, and pain with activities is essential for diagnosis.
  • Early identification and management are critical to prevent long-term functional deficits.

Conclusions:

  • Physiatrists are well-positioned to manage women with pelvic pain due to their comprehensive understanding of pain, physiology, and function.
  • Effective management requires a thorough understanding of pelvic floor anatomy and neurophysiology.
  • Addressing pelvic floor dysfunction can restore function and improve patients' overall quality of life.