Damage to the pelvic floor is frequently initiated by pregnancy and
childbirth. Women that undergo cesarean delivery may have a slightly
lower risk of pelvic floor dysfunction. Repetitive straining, such as
heavy lifting and constipation as well as prior pelvic surgery including
hysterectomy can also damage pelvic floor support and function. Some
problems that can occur due to pelvic floor dysfunction are:
Loss of bladder or bowel control
Displacement of the pelvic organs (uterus, bladder and
rectum) beyond the normal position of the vaginal walls.
Symptoms include a visible bulge and pelvic pressure.
Overactive bladder symptoms
Frequent and/or desire to void, urgency incontinence
Difficulty urinating or moving bowels
Pelvic (or bladder) pain
Discomfort, burning or spasm within the bladder, urethra
or vagina. May also manifest as pain during sexual
When should I see a urogynecologist?
Pelvic floor problems may first be suspected by yourself, your primary
care doctor, gynecologist or urologist. Consulting with a
urogynecologist may be helpful in getting an accurate diagnosis or
understanding the full spectrum of treatment options. A urogynecologist
can recommend a variety of therapies to cure or relieve your symptoms.
These options may include conservative (non-surgical) or surgical
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