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Published on: April 17, 2019
Functional anatomy of pelvic floor
1Professor of Urology, University of Torino, Torino. salvatore.roccarossetti@unito.it.
The pelvic floor is a complex muscle-fascial unit with multiple functions beyond urogenital and intestinal support. Understanding its unitary nature is crucial for comprehending its role in overall body mechanics and health.
Area of Science:
- Anatomy and Physiology
- Biomechanics
Background:
- Pelvic floor descriptions are often fragmented, focusing on individual components like muscles and ligaments.
- Pathological disorders of the pelvic floor are complex and poorly understood due to a lack of holistic study.
Purpose of the Study:
- To present a unitary and global view of the pelvic floor, integrating embryology, phylogeny, and anthropology.
- To explore the multifaceted functions of the pelvic floor beyond urological, gynecological, and intestinal roles.
- To highlight recent advancements in understanding pelvic floor activity.
Main Methods:
- Electromyography
- Sonography
- Magnetic Resonance Imaging
- Histology
- Histochemistry
- Molecular Research
Main Results:
- Recent research has clarified many aspects of pelvic floor activity.
- The pelvic floor musculature has been extensively investigated using various advanced techniques.
- It is now possible to view the pelvic floor as a unit within the broader context of the body's economy.
Conclusions:
- The pelvic floor is a muscle-fascial unit with complex synergistic and antagonistic activities.
- Its functions extend to maintaining upright posture, walking, and physical conduct, not solely pelvic floor closure.
- A holistic approach is necessary to fully understand the pelvic floor's nature and function.
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