Acıbadem University Atakent Hospital Gastroenterology Specialist Dr. Lecturer Özdal Ersoy talked about 5 important points to know about pelvic floor disease. Ersoy said, “Because Pelvic Floor disease, which occurs as a result of deterioration in the pelvic floor muscles covering the inner part of the pelvis and the nerve network that feeds these muscles, manifests itself with very different complaints, many years may pass before the diagnosis is made and the treatment begins!” said.
This manifests itself in complaints!
Stating that pelvic floor diseases can manifest as difficulty in defecation or holding (constipation or incontinence of stool / gas), Dr. For this reason, Faculty Member Özdal Ersoy said that it is also referred to as 'embarrassing disease'. Stating that Pelvic Floor disease, which can cause complaints such as burning during urination, urinary incontinence, deterioration in sexual activities (painful sexual intercourse, vaginismus, orgasm problems, etc.), can give some signals before it appears, Dr. Özdal Ersoy explained these symptoms as 'unexplained abdominal, groin, waist, back and neck pains, indigestion, increased intestinal gas, reflux complaints and even problems such as teeth clenching and grinding'.
It can be confused with other diseases!
Stating that the pain caused by Pelvic Floor disease, which affects the comfort of daily life extremely negatively and causes the person to withdraw from social life and withdraw into himself, can be confused with many diseases of the digestive system or urogynecological system. Lecturer Özdal Ersoy said, “As irritable bowel syndrome can be similar to the complaints of diseases such as endometriosis, chronic prostatitis, chronic cystitis and back, neck and waist hernias, which are known as chocolate cysts among the people, it can lead to a significant loss of time in diagnosis and treatment.” he said.
Pay attention to the factors that cause the pelvic floor!
Dr. Özdal Ersoy, The structure and functions of the pelvic floor muscles; advancing age, pregnancy and birth, previous pelvic and abdominal surgeries (intestinal-bladder-uterus and ovary, tummy tuck and inguinal hernia surgeries), obesity, chronic cough (especially COPD, asthma), delaying the toilet for a long time, just in case He said that even when there is no urine, he is negatively affected by situations such as trying to urinate, being subjected to mobbing and stress, and this can lead to Pelvic Floor disease.
It negatively affects daily life!
Stating that the complaints caused by Pelvic Floor disease can be confused with other diseases, it can take many years to be diagnosed. Özdal Ersoy emphasized that patients can reach the point of exhaustion during this period and continued as follows:
“Pelvic Floor disease, which can cause burnout, depression and a decrease in the quality of life of the patient and their relatives, affects the daily activities of the person very negatively and hits his individual and social life. Because the person cannot go to the toilet, they can postpone their daytime work, be exposed to the loss of work and school, need to use diapers constantly due to the bad smell caused by urine or incontinence, while loss of self-confidence, anxiety and depression can lead to loss of family and social life.
It requires multidisciplinary treatment!
Gastroenterology Specialist Dr. Professor Özdal Ersoy stated that a multidisciplinary approach is essential in the diagnosis and treatment of Pelvic Floor disease and emphasized that gastroenterology, general surgery, urogynecology, urology, physical therapy and rehabilitation and psychiatry are indispensable branches.
"Although the patient is sometimes tired of being seen among many branches, the best treatment success can only be achieved in this way," said Dr. Özdal Ersoy stated that this situation should be explained to the patient in detail. Özdal Ersoy stated that although the treatment approach to each of the Pelvic Floor diseases is similar, the real treatment success can be achieved with individually structured treatment methods.