Weakened Pelvic Floor

The muscles of the pelvic floor support the uterus, vagina, bowel and bladder.  They are tightly slung between the pubic bone and the coccyx (tailbone). As the urethra, vagina and rectum pass through the pelvic floor, they are encircled by muscular bands called sphincters. Normally, relaxation of these sphincters in the pelvic floor allows passage of urine and feces. However, if the muscles in the pelvis area have become weakened, they can no longer fully support the internal organs and control may be compromised.

The most common causes of a weakened pelvic floor include childbirth, obesity and the straining associated with chronic constipation. 

Common symptoms include:

• Leaking small amounts of urine when sneezing, laughing, coughing or running.
• Failure to reach the bathroom in time
• Reduced sensation in the vagina
• Backache
• A distinct swelling at the vaginal opening
• A sensation of heaviness in the vagina

Patients need to be examined in order to determine where the defects are located. If urinary incontinence is present, a cystometrogram may be needed to to tell if the leakage is from a pelvic floor defect or from a nerve defect, such as an irritable bladder. 

For patients who need it, we offer the whole gamut of pelvic floor repair operations, including laparoscopic vault suspensions, repair of prolapse, as well as TVT urethral slings.

The health-related information on this website is provided as a courtesy to our patients and visitors.  This information is not intended as a substitute for medical advice of physicians. A patient or visitor to this website should regularly consult a physician in matters relating to his or her health and particularly with respect to any symptoms that may require diagnosis or medical attention.