Female Pelvic Floor Dysfunction (
Female Pelvic Floor Dysfunction (FPFD), also known as pelvic floor deficiency or pelvic floor support tissue laxity, is a group of symptoms caused by weak pelvic floor support due to various etiologies, which leads to the displacement of pelvic organs and the abnormal position and function of other pelvic organs, and is a common disease among middle-aged and elderly women. Zhou Weiqiang, Department of Gynecology, Shanghai First Maternal and Child Health Hospital
Pelvic floor dysfunctional diseases, tension incontinence, pelvic organ prolapse, pelvic floor repair, pelvic floor reconstruction, uterine prolapse, vaginal wall bulge
The main categories of syndromes are
I. pelvic organ prolapse (POP)
Sexual
disfunction SD)
Urinary incontinence (urinary incontinence UI)
Fecal incontinence (fecal incontinence FI)
V. Partial chronic pelvic pain (chronic pelvic pain CPP)
pain CPP)
FPFD pathogenesis characteristics.
Clinical symptoms are often compounded, one report investigated a group of women aged 19-97 years and found that 46% suffered from FPFD, of which about 15%-55% had urinary incontinence, and more than 50% had varying degrees of POP, and stress urinary incontinence (SUI) and POP were often combined. Psychological tests have found that most of these patients are affected by psychological harm, which has become a prominent social health problem.
The incidence of FPFD in China is.
o 45% of married and fertile women suffer from varying degrees of FPDF
o About 1/5 of women with UI in the postpartum period
○ About 1/4-1/2 adult women experience UI
○ 1/4 of seniors and women over 65 years of age have varying degrees of UI
○ As the population ages, the incidence of POP
※ Incidence of vaginal vault bulge after hysterectomy 2 to 45%
※ The lifetime incidence of POP in normal women is 11%
※ There is a prediction that the incidence of POP will increase 1-fold in 30 years
FPFD ——- is called “social cancer”
The reason?
FPFD is not a life-threatening disease like cardiovascular, cerebrovascular and cancer, but it is potentially very harmful and affects women’s physical and mental health and quality of life, causing great inconvenience and mental burden to their daily life and work.
Â- Many UI patients are reluctant to participate in various social activities and travel because of the fear of not being able to find the toilet in time when laughing or sneezing.
Â- Many POP patients are afraid to interact with the opposite sex, which affects interpersonal and conjugal relationships, and over time may develop negative emotions such as shame, self-blame, low self-esteem, isolation, and even depression and anhedonia.
FPFD patients do not have a high rate of consultation?
Preliminary epidemiological studies in China have found that the consultation rate of such patients is only 0.38% to 2.7%.
The reason?
Besides embarrassment and shame, the main reason is the lack of knowledge and attention to the disease.
There is a general lack of attention and delay in the diagnosis and treatment of FPFD.
With the increase of the elderly population, the prevention and treatment of this disease has become an important issue for women’s health. Therefore, it is an important task now to enhance publicity and raise awareness of FPRD.