Types of Pelvic Floor Disorders
Urinary incontinence, or lack of bladder control, is the most common pelvic floor disorder. It can be caused by a number of conditions, including a weakening of the muscles that control the bladder valve. A major symptom is the frequent urge to urinate; other symptoms include pressure on the bladder and a feeling that the bladder has not completely emptied. There are several different types of urinary incontinence and the severity can vary from person to person.
- Stress incontinence is the leakage of urine when you cough, laugh or sneeze, or when exercising, lifting or performing other activities that put pressure on the bladder. Stress incontinence is caused by a weakness in the muscles and ligaments that support the bladder and urethra.
- Overactive bladder and urge incontinence refers to having to urinate frequently, feeling a strong urge to urinate, and even involuntarily losing urine when you have a strong need to urinate. These sudden, uncontrollable bladder contractions are caused by damaged nerves along the pathway from the bladder to the brain.
- Mixed incontinence is very common and refers to experiencing symptoms of both stress and urge incontinence, such as having urine leakage during exercise as well as when you feel a strong urge.
- Voiding dysfunction refer to the inability to empty the bladder completely.
Fecal incontinence is characterized by a loss of bowel control, which leads to the involuntary passing of stools. It is the second most common pelvic floor disorder, affecting men and women of all ages, although more commonly found in older adults. However, fecal incontinence is not normal at any age and can be successfully treated, leading to a significant improvement in quality of life. There are two main classifications of fecal incontinence.
- Passive incontinence refers to the passing of stools without being aware of it.
- Urge fecal incontinence is being aware of the need to pass stools but being unable to control their passage.
Pelvic organ prolapse is the third most common pelvic floor disorder and occurs when the pelvic muscles and other supporting tissues become weak, causing the pelvic organs to fall out of place. The uterus, bladder or bowel may “fall” onto the vagina and cause a bulge in the vaginal canal. While these conditions are usually not associated with serious health risks, they can cause major discomfort with symptoms that include a heavy feeling or like something is “falling out” of the vagina, a pulling or pressure in the lower abdomen or pelvis, pain during intercourse, and frequent urinary infections due to a reduced ability to release urine from the urethra. There are several types of pelvic organ prolapse, depending on the organ involved.
- Uterine prolapse occurs when the muscles and ligaments supporting the uterus weaken, and the uterus descends into the vaginal canal.
- A cystocele is the result of a bulge formed from a defect in the wall between the bladder and vagina, and part of the bladder wall bulges into the vagina.
- A rectocele is when part of the wall of the rectum bulges into the vagina because of a defect in the wall between the rectum and vagina.
