What is female pelvic floor dysfunction

    Pelvic floor disorders, represented by pelvic organ prolapse and urinary incontinence, plague the physical and mental health of about 30% of adult women. In China, the conventional treatment of uterine prolapse, such as hysterectomy with anterior and posterior vaginal wall repair and perineal repair, has a high recurrence rate. In recent years, the “holistic theory” has emerged in foreign gynecological circles, and the goal of treatment for such diseases has begun to shift. In developed countries, the repair and reconstruction of pelvic organ prolapse has accounted for 40%-60% of general gynecological surgery, and this has led to the birth of sub-disciplines such as gynecological urology and pelvic floor reconstruction surgery. With the in-depth study of pelvic floor anatomy and the improvement of surgical instruments and the invention and application of repair materials, the treatment of female pelvic floor disorders has undergone revolutionary changes: from the simple “all over” of diseased organs to the repair and reconstruction of organ functions, and the standard of cure for pelvic floor disorders has also changed from the traditional “objective cure rate” based on a series of objective examinations. The criteria for the cure of pelvic floor disorders have also changed from the traditional “objective cure rate” based on a series of objective examinations to the “subjective cure rate” that takes into account the improvement of the patient’s postoperative symptoms and quality of life. Patients with pelvic floor dysfunction are treated in a comprehensive manner, with dedicated medical and nursing staff guiding conservative treatments such as pelvic floor muscle rehabilitation, biofeedback, and electrical stimulation, while new pelvic floor reconstruction surgeries such as TVT, TVTO, and paravaginal repair with sacrospinous ligament fixation, modified total pelvic floor reconstruction, and Prolift total pelvic floor reconstruction are routinely performed. These new surgeries are minimally invasive, with small incisions, less bleeding, good postoperative urinary control, and less recurrence, and can preserve disease-free tissues such as the uterus. For elderly patients, we can also use vaginal closure surgery to reduce the risk of surgery.