Pelvic floor descent or descending perineal syndrome occurs when pelvic muscles lose tone resulting in excessive descent of the entire pelvis floor at rest or during evacuation.
Pelvic floor descent.
Mechanistically the causes of pelvic floor dysfunction are two fold.
Weakening of the female pelvic floor is a prevalent and debilitating disorder.
Pelvic floor dysfunction is the inability to correctly relax and coordinate your pelvic floor muscles to have a bowel movement.
However if the descent is more pronounced or if there is even genital prolapse due to the protrusion of organs such as the bladder uterus or bowels the symptoms are very distinct and can have a great negative impact on the affected person s quality of life.
Pain female patients that visit our medical practice frequently complain about strong spasmodic pain in the intestine either during defecation or right before or in the course of the day.
This is what physicians refer to as a weakness of the pelvic floor or pelvic floor insufficiency frequently accompanied by a general weakness of the connective tissue.
A mild descent is usually hardly noticeable.
Associations include obesity menopause pregnancy and childbirth.
On dynamic imaging pelvic floor descent is defined as anorectal junction descent of more than 2 5 cm below the pcl.
Many women are affected by this kind of pelvic organ descent at some point in their lives.
Widening of the pelvic floor hiatus and descent of pelvic floor below the pubococcygeal line with specific organ prolapse graded relative to the hiatus.
Symptoms include constipation straining to defecate having urine or stool leakage and experiencing a frequent need to pee.
In pelvic floor relaxation active and passive supporting structures within the pelvic floor become weakened and ineffective with resultant excessive descent and widening of the entire pelvic floor during rest and or evacuation regardless of whether prolapse is present.
Pelvic floor dysfunction is the inability to control the muscles of your pelvic floor.