METHODS OF DIAGNOSTICS OF PELVIC FLOOR DYSFUNCTIONJournal: NAUKA MOLODYKH (Eruditio Juvenium) (Vol.8, No. 3)
Publication Date: 2020-09-30
Authors : V.V. Bychenko N.N. Rukhliada;
Page : 457-464
Keywords : pelvic floor dysfunction; diagnostic methods; pelvic floor muscles;
Dysfunction of the pelvic floor muscles is widely spread among females of all ages. Due to a wide variety of clinical symptoms, females turn not only to gynecologists for consultation, but also to specialists of related fields: proctologists, urologists, sexologists. In the early stages, patients with dysfunction of muscles of the pelvic floor do not present with complaints, or communicate them in case of being actively asked guiding questions. Most females regard these «mild symptoms» as a natural condition and visit a doctor when they start to feel a significant discomfort that impairs the quality of their life. Early diagnosis of dysfunction of the pelvic floor muscles y a doctor of an outpatient clinic is of high significance since it permits to start the timely treatment and to prevent development of the disease to an advanced stage that will obligatory require a surgical correction in future. At present, different diagnostic methods of examination are used starting from routine questioning with use of different questionnaires and finishing with different functional tests. In some cases the specialists resort to ultrasound and radiological methods of functional diagnosis. At present it is possible to consider one of Kegel's trainers as a diagnostic method. Its operating principle is based on the anatomical peculiarity of musculo-skeletal apparatus of female pelvis. It provides a rather simple and time-saving method of objective examination, which, upon finishing, may be used in routine diagnosis of pelvis floor dysfunction. However, despite a wide variety of methods of objective examination, none of them can be considered a routine method, so, there does not exist a unified standard method of examination of females with pelvic floor dysfunction. This leads to prolongation of the time of making final diagnosis and often prevents a possibility for correction of pathology using conservative methods.
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