Pelvic Floor Sling Anatomy

Studies suggest that after a stress incontinence procedure about 1 in 100 women 1 will develop some pelvic vaginal or groin pain.

Pelvic floor sling anatomy.

It is a basin shaped muscular diaphragm that helps to support the visceral contents of the pelvis. It attaches to the walls of the lesser pelvis separating the pelvic cavity from the perineum inferiorly region which includes the genitalia and anus. Picture it like a sling or hammock that connects to each side of your pelvis and keeps your uterus bladder and bowel snugly in place. They don t work alone but in a team with your abdominal buttock and hip muscles ligaments and fascia which is a gristly web that wraps around all your organs and muscles.

The pelvic floor is primarily made up of thick skeletal muscles along with nearby ligaments and their investing fascia. In physiotherapist diane lee s book the pelvic girdle 2011 she discusses four important sling systems that work together for load transfer through the pelvic lumbar region. Uromedix doctors may recommend two to six weeks of healing before. The pelvic floor or pelvic diaphragm is composed of muscle fibers of the levator ani the coccygeus muscle and associated connective tissue which span the area underneath the pelvis the pelvic diaphragm is a muscular partition formed by the levatores ani and coccygei with which may be included the parietal pelvic fascia on their upper and lower aspects.

A hole or weakness of a component in any of these systems can create dysfunction and resulting in poor performance and or injury 4. 2015 it is generally accepted that most of the perineal skeletal muscles are attached to the. In order to allow for urination and defecation there are a few gaps in the pelvic floor. The normal complex anatomy of the pelvic floor in women has been discussed extensively especially with reference to the perineal body delancey 1999.

Your pelvic floor is a sling of muscles at the bottom of your pelvis which supports all the organs that sit above it your bladder vagina uterus and rectum. Stein and delancey 2008. Fascial slings are not meant to cure symptoms of urgency and urge incontinence and these symptoms may worsen in up to 10 of women following a fascial sling procedure. The pelvic floor is a funnel shaped structure.

Recovery time for tension free sling surgery varies. A pelvic floor therapist or physiotherapist can guide patients on how best to exercise and strengthen their pelvic floor muscles to help reduce their leakage a recent scientific study found the mid urethral sling to have a higher cure rate for stress urinary incontinence than pelvic floor physical therapy.