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Muscles of the Pelvic Floor and Perineum01:26

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Updated: Mar 23, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Pelvic floor dysfunction and sensory impairment: Current evidence.

Charlotte Mahoney1,2, Anthony Smith1,2, Andy Marshall1,3

  • 1Institute of Human Development, Faculty of Medical and Human Sciences, University of Manchester, United Kingdom.

Neurourology and Urodynamics
|April 3, 2016
PubMed
Summary

Sensory nerve impairment is common in women with pelvic floor dysfunction, including pelvic organ prolapse and sexual dysfunction. Further research is needed to understand the causes and development of this impairment.

Keywords:
current perception thresholdsfemale pelvic neuroanatomyfemale sexual dysfunctionpelvic floor dysfunctionprolapsequantitative sensory testingurinary incontinence

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Area of Science:

  • Urology
  • Neuroscience
  • Women's Health

Background:

  • Pelvic floor dysfunction encompasses various conditions affecting women, including pelvic organ prolapse, painful bladder syndrome, incontinence, and sexual dysfunction.
  • Sensory nerve function plays a crucial role in the normal functioning of the pelvic floor and related organs.

Purpose of the Study:

  • To explore the role and prevalence of sensory nerve impairment in women diagnosed with pelvic organ prolapse, painful bladder syndrome, urinary and fecal incontinence, and sexual dysfunction.

Main Methods:

  • A systematic literature search was conducted using Medline and Embase databases.
  • Studies evaluating women with pelvic organ prolapse, stress/urge urinary incontinence, fecal incontinence, or female sexual dysfunction using quantitative sensory testing or current perception thresholds were included.

Main Results:

  • Evidence suggests sensory dysfunction in women with pelvic organ prolapse and sexual dysfunction.
  • The role of sensory impairment in stress urinary incontinence is inconclusive; however, urge urinary incontinence may be urethrally mediated.
  • Women with painful bladder syndrome may exhibit heightened sensitivity to stimuli, and sensory impairment is common in female sexual dysfunction.

Conclusions:

  • Women with pelvic floor dysfunction frequently demonstrate sensory impairment, although the underlying causes are not fully understood.
  • Standardized sensory testing techniques are required for future research to investigate various pelvic floor conditions and the development of sensory impairment.