Journal of Novel Physiotherapies
Open Access

Abstract

The common denominator in pelvic floor dysfunctions is now recognized as being neuro-muscular. Neurophysiology is assuming an ever increasing role in the diagnosis and management of pelvic floor disorders which may be caused by nerve dysfunction, non-relaxing pelvic floor muscles or both. Urologic disorders and pelvic pain present an obvious relationship. The majority of the urologic chronic pelvic pain syndromes arise from either a possible urinary bladder source known as interstitial cystitis or prostate source known as prostate pain syndrome. Patients’ evaluation should start with detailed history and examination. Neurophysiological studies as urodynamics, manometry studies and electrodiagnosis (as EMG, pudendal nerve conduction studies, sacral reflexes and evoked potentials) are helpful in assessing dysfunctions. Rehabilitation of pelvic floor dysfunctions is individualized, depending on the specific etiology. Conservative therapies include behavior modification, pelvic floor therapy, and biofeedback therapy, percutaneous stimulation of the posterior tibial nerve and myofascial release techniques of trigger points. Botulinum toxin injection is effective in reducing urethral sphincter resistance or detrusor overactivity and is used also in treating chronic obstructive constipation. Sacral neuromodulation can be used in the management of refractory voiding dysfunction or selected cases of fecal incontinence.

Biography

Email: naglagadallah1@hotmail.com