Pelvic Floor Disorder Symptoms and Diagnosis

Symptoms of pelvic floor problems

Women who experience one or more of these symptoms may benefit from an evaluation by a pelvic medicine specialist:

  • Frequent urination or constant urge to urinate
  • Urine leakage more often or in greater amounts
  • Urine stream that is weak or starts-stops-starts
  • Feeling the need to urinate after urination (bladder may not empty completely)
  • Urinary tract infections that are recurrent or ongoing
  • Constant feeling of bladder fullness that cannot be relieved
  • Blood in the urine that is not associated with a urinary tract infection
  • Involuntary loss of stool
  • Pain with full bladder
  • Pelvic pressure and vaginal fullness
  • Constipation, straining to have a bowel movement
  • Bladder or bowel fistula

Diagnosing pelvic floor problems

Women with symptoms of pelvic floor problems undergo a pelvic examination as well as different tests, depending on the findings of the exam. The range of tests may include:

  • Urine sample for urinalysis
  • Physical urine stress test (such as coughing or walking) to see if urine leaks
  • Urine measurement test or ultrasound of the bladder to determine if the bladder empties completely
  • Cystoscopy to visually examine the inside of the bladder
  • Urodynamic testing to determine whether the function, capacity, and sensation of the bladder and urethral sphincter muscle are causing problems

Treatment for pelvic floor problems

Treatment varies depending on the cause of the problem. Treatment may include pelvic muscle exercises (Kegel maneuvers), medications, or special interventional therapies including minimally invasive surgery, robotic surgery, nerve stimulation and Botox.

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