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      Pathophysiology of Pelvic Floor Hypertonic Disorders

      Obstetrics and Gynecology Clinics of North America
      Elsevier BV

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          Abstract

          The pelvic floor represents the neuromuscular unit that provides support and functional control for the pelvic viscera. Its integrity, both anatomic and functional, is the key in some of the basic functions of life: storage of urine and feces, evacuation of urine and feces, support of pelvic organs, and sexual function. When this integrity is compromised, the results lead to many of the problems seen by clinicians. Pelvic floor dysfunction can involve weakness and result in stress incontinence, fecal incontinence, and pelvic organ prolapse. Pelvic floor dysfunction can also involve the development of hypertonic, dysfunctional muscles. This article discusses the pathophysiology of hypertonic disorders that often result in elimination problems, chronic pelvic pain, and bladder disorders that include bladder pain syndromes, retention, and incontinence. The hypertonic disorders are very common and are often not considered in the evaluation and management of patients with these problems.

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          Author and article information

          Journal
          Obstetrics and Gynecology Clinics of North America
          Obstetrics and Gynecology Clinics of North America
          Elsevier BV
          08898545
          September 2009
          September 2009
          : 36
          : 3
          : 699-705
          Article
          10.1016/j.ogc.2009.08.006
          19932422
          f7824436-efc9-4785-9b18-121135b7f083
          © 2009

          https://www.elsevier.com/tdm/userlicense/1.0/

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