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Pelvic floor disorders

T L Hull1, J W Milsom

  • 1Department of Colorectal Surgery, Cleveland Clinic Foundation, Ohio.

The Surgical Clinics of North America
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

Pelvic floor disorders, though not life-threatening, can be debilitating. Most patients benefit from medical and dietary management, with surgery reserved for severe, intractable symptoms or demonstrable defects.

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Area of Science:

  • Medicine
  • Gastroenterology
  • Urology

Background:

  • Pelvic floor conditions represent a range of functional disorders.
  • These conditions are typically not life-threatening but can significantly impact quality of life.

Purpose of the Study:

  • To outline the management strategies for diverse pelvic floor conditions.
  • To delineate the role of surgical intervention in pelvic floor dysfunction.

Main Methods:

  • Review of current medical and surgical approaches.
  • Analysis of treatment outcomes based on condition severity and type.

Main Results:

  • Non-surgical management (reassurance, medical, dietary) is effective for many patients.
  • Surgical intervention yields the best results for specific defects like sphincter disruption or rectal prolapse.

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Conclusions:

  • Conservative management should be the first line of treatment for most pelvic floor disorders.
  • Surgery is indicated for functional pelvic floor disorders only when symptoms are intractable or structural defects are present.