The pelvic floor function: Why is it so important?

Written by: Dr. Álvaro Gorostiaga Ruiz-Garma
Edited by: Top Doctors®

The pelvic floor is formed by a set of ligaments and muscles that cover the pelvis at the bottom, closing the abdominal cavity. They are arranged in different planes, some more superficial and deeper ones, the latter are known as levator ani. In order to properly perform its function of closing the abdominal cavity, these muscles must have a special provision and correct inserts in the bones of the pelvis. This allows fulfill one of its main functions: keep in a position organs located in the pelvis (in the case of women, bladder, vagina, uterus and rectum). In addition, they ensure other important functions such as urinary continence, stability and lumbar support in the third stage of labor.Many women do not have information and are unaware that pelvic floor dysfunction affects their quality of life and that there are certain activities that can damage it.


Symptoms of pelvic floor impairment


When the tone or the anatomy of the pelvic floor are damaged, different problems may occur: decrease of the above through the vagina organs, which is known as prolapse (bladder, uterus and / or rectum), urinary or fecal incontinence, dysfunctions sex, backaches ... the main affected by these problems are women who have had children and are more common after menopause.The most common is that women aware of the importance of pelvic floor when they begin to suffer the first symptoms resulting from its failure, the most common of them urinary incontinence.


The pelvic floor has a close relationship with the abdomen, diaphragm and column r lumba. Take care of your muscles is essential to avoid future failures. Know and locate the pelvic floor muscles helps us to exercise them and is useful physiotherapies facing possible recovery in the future.Advice or most important preventive measures include:

  • Hiperpresiva avoid physical activity (abdominal exercises, running, jumping ...)
  • Control bowel movements and urination (not take much desire to go to the bathroom, miccionar not interrupted and effortlessly ...)
  • Successful completion of abdominal straining, and not only during delivery, but also to the bowel if constipation ...
  • Exercising the pelvic floor muscles (Kegel exercises, gymnastics Hipopresiva ..) and make well - directed physical therapy when indicated.
  • Avoid obesity.

Pelvic Floor Surgery


Problems such as urinary incontinence, pain or discomfort during sexual intercourse, have heavy feeling in the vagina are some of the problems that may indicate a surgical therapy, especially when it affected the quality of life of the person.Pelvic floor surgery in gynecology is very effective thanks to technological advances and can solve these problems with minimally invasive interventions. simple operations can surprisingly improve the quality of life of women. And what are they? The most common surgery is vaginally, although in some cases, as in the uterine prolapse (falling of the uterus) may be indicated laparoscopic surgery, it performed abdominally, through endoscopy. In some cases, such as urinary incontinence, containment mesh can be used with spectacular results.

What is intended is to set the bodies have fallen, editing, thus the problems arising prolapse, and urinary or anal incontinence, pain during sex, etc.With increasing life expectancy, this type of surgery is increasingly common. Up to 25-30% of surgical activity performed today in gynecology is linked to urinary incontinence and pelvic organ prolapse. An intervention of this kind requires minimal hospitalization times, about 12-24 hours for urinary incontinence, for example, and after one or two weeks, the patient can lead a normal life.

*Translated with Google translator. We apologize for any imperfection

By Dr. Álvaro Gorostiaga Ruiz-Garma
Obstetrics & Gynecology

Doctor Gorostiaga is a reputed specialist in Gynecology. He is currently the Head of the Ultrasound Unit and prenatal diagnosis of the Basurto University Hospital. He teaches as Associate Professor of Gynecology and Obstetrics at the University of the Basque Country and Professor of the School of Endoscopy of the Basque Country

*Translated with Google translator. We apologize for any imperfection

View Profile

Overall assessment of their patients