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Abstract
The pelvic floor muscles attach from the pubic bone anteriorly, to the coccyx posteriorly and form a bowl-like structure, along with the ligaments and fascial tissue. It is classically divided into three compartments: anterior, middle, and posterior. This segregation reflects boundaries between the various professional groups involved.
This thesis was carried out to assess pelvic floor muscle function/dysfunction in order to evaluate its role in anal, urinary and sexual function as a one functional unit in an attempt to throw light on pelvic floor muscle function.
We conducted our study on 30 apparently healthy randomly selected and sexually active females.
In our study we have used Colo-Rectal Distress Inventory -8 questionnaire to assess bowel system, Urinary Incontinence Diagnosis Questionnaire to assess urinary system and Female Sexual Function Index to assess sexual function, we have evaluated pelvic floor muscle by use of: manual muscle testing by anal palpation and vaginal manometry.
Our study revealed a highly significant correlation between urinary, anal and sexual function and dysfunction on one side and the assessment of PFM by vaginal manometry and pelvic floor muscle strength by P/R on the other side. This can be explained by role of PFM in urinary, anal and sexual functions.
We can conclude from this study that the pelvic floor muscle (PFM) is a muscular functional unit .The functions of the PFM are to provide support of the pelvic organs and promote voluntary closure of the urethral and anal sphincters for maintenance of continence and also it participates in female sexual function and responsiveness. As pelvic floor structures are closely interrelated so patients with abnormalities in one compartment often have disorders in others.
from this point of view it’s important to increase awareness of PFM function and its role in urinary, anal and sexual function and establish pelvic units which deal with PFM as a one functional unit and evaluate its all aspects. In order to detect PFM dysfunction in early stages which can be managed more effectively with no or minimum residual defect.