Trattamento di fisioterapia per la riabilitazione del pavimento pelvico in Brianza, presso il Centro Kinesis Sport.

Pelvic Floor Dysfunction: Risk Factors

By Cristiano Antonino On Nov 18, 2022

The risk factors most commonly considered in favouring pelvic floor dysfunctions are of a general acquired type such as age, sex, internist pathologies of a chronic nature, conditions accompanied by repeated increases in abdominal pressure such as chronic bronchitis, obesity

In postmenopausal women, the oestrogen deficit leads to a significant loss of collagen and elastic fibres; this results in deficits in connective tissue support and thus insufficient suspension systems of the pelvic viscera, facilitating prolapse and incontinence.

Then there are general congenital factors related to biochemical alterations of the collagen fibres.

Pelvic floor, far more important are local acquired factors

Among these, factors related to obstetrical history play a significant role in the onset of urogynecological problems, both early and late.

In fact, it has been hypothesised that vaginal delivery directly damages the fascial support and may cause partial denervation of the pelvic floor.

In addition, the suspension system tends to fail with time as it is subjected to a continuous restraining effort to counteract the intra-abdominal pressure during delivery.

The end result is stretching of the ligaments, gradual loss of elasticity and the descent of the uterine viscera outside the vulvar rim.

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