Pelvic Floor Dysfunction for women

Pelvic Floor Dysfunction for women

Introduction

The paper highlights the phenomenon of pelvic floor dysfunction and deals with the findings related to this phenomenon. However, the articles selected for the critique have great implications on the topic I have selected for the research. The articles highlight the symptoms and the treatment of this Pelvic Floor Dysfunction. Thus, the critiques are directly related to the topic of my interest and help me to gain insights about the Pelvic Floor Dysfunction (Morgan, & Larson, 2010). The two articles that have critiqued in this paper are “Pelvic floor dysfunction: a conceptual framework for collaborative patient-centred care by Davis, K., & Kumar, D. (2003)”, and “The strength duration test: a novel tool in the identification of occult neuropathy in women with pelvic floor dysfunction by Telford K, Faulkner G, Hosker G, Kiff E, Hill J. (2004)”.

However, Pelvic Floor Dysfunction describes a disorder in which the structures that form the pelvic floor (levator- ani muscle and connective tissue) weaken and no longer provide support to the pelvic organs. As a result, the uterus can collapse into the vagina, and the bladder and bowel can slip out of place and push into the walls of the vagina. POP is associated with pregnancy-related stretching and pressure at childbirth, low levels of estrogen, obesity, and connective tissue disorders (e.g., Ehlers-Danlos and Marfan syndromes). The pelvic floor dysfunction has many other names in the literature, such as shooting anal pain, coccydynia, Hinman syndrome, pelvic floor myalgia, and other (Abbasy, & Kenton, 2010).

However, depending on the pelvic organs involved, Pelvic Floor Dysfunction was traditionally classified as cystocele (bladder produces a bulge at the anterior vaginal wall), enterocele and rectocele (intestines prolapse and bulge at the posterior wall of the vagina), uterine prolapse, and vaginal vault prolapse (the top of the vagina prolapses after hysterectomy). Some clinicians and surgeons have proposed describing POP in reference to the anatomical compartments (i.e., anterior, central, and posterior compartment prolapse) and vaginal walls, because usually the prolapse involves more than one organ (Morgan, & Larson, 2010).

While Pelvic Floor Dysfunction is not life-threatening, it can have serious adverse effects on quality of life (QOL) secondary to incontinence, urinary outlet obstruction, discomfort, sexual dysfunction, and/or embarrassment. Diagnosis is based on patient history, pelvic examination, and imaging. Treatment, which is aimed at improving QOL, includes pelvic floor muscle training (e.g., Kegel exercises, which strengthen pelvic floor muscles by contracting them for 10 seconds and relaxing them for 20 seconds 30-50 times per day), lifestyle modifications (e.g., obesity control, smoking cessation, avoiding heavy lifting), and mechanical support (e.g., pessaries) (Abbasy, & Kenton, 2010).

Critique of Articles

Davis, K., & Kumar, D. (2003), Pelvic floor dysfunction: a conceptual framework for collaborative patient-centred care.

The perineum is made ??up of muscle-aponeurotic elements that are integrated under the control of nervous system. Their alterations are responsible for diseases urogynecological, coloproctology and sex. To achieve a successful treatment must not forget the role of the perineum ...