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Table of Contents
Vol. 84, No. 1, 2010
Issue release date: February 2010
Section title: Review
Editor's Choice -- Free Access
Urol Int 2010;84:1–9

Surgical Reconstruction of Pelvic Floor Descent: Anatomic and Functional Aspects

Wagenlehner F.M.E.a · Bschleipfer T.a · Liedl B.b · Gunnemann A.c · Petros P.d · Weidner W.a
aClinic of Urology, Pediatric Urology and Andrology, Justus Liebig University, Giessen, bBeckenbodenzentrum München, Munich, and cDepartment of Urology, Klinikum Lippe, Detmold, Germany; dDepartment of Gynaecology, Royal Perth Hospital, Perth, W.A., Australia
email Corresponding Author

F.M.E. Wagenlehner

Clinic of Urology, Pediatric Urology and Andrology, Justus Liebig University

Rudolf-Buchheim-Strasse 7

DE–35385 Giessen (Germany)

Tel. +49 641 994 4518, Fax +49 641 994 4509, E-Mail wagenlehner@aol.com

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Introduction: The human pelvic floor is a complex structure and pelvic floor dysfunction is seen frequently in females. Materials and Methods: This review focuses on the surgical reconstruction of the pelvic floor employing recent findings on functional anatomy. A selective literature research was performed by the authors. Results: Pelvic floor activity is regulated by 3 main muscular forces that are responsible for vaginal tension and suspension of the pelvic floor organs, bladder and rectum. A variety of symptoms can derive from pelvic floor dysfunctions, such as urinary urge and stress incontinence, abnormal bladder emptying, fecal incontinence, obstructive bowel disease syndrome and pelvic pain. These symptoms mainly derive, for different reasons, from laxity in the vagina or its supporting ligaments as a result of altered connective tissue. Pelvic floor reconstruction is nowadays driven by the concept that in case of pelvic floor symptoms, restoration of the anatomy will translate into restoration of the physiology and ultimately improve patients’ symptoms. Conclusion: The surgical reconstruction of the anatomy is almost exclusively focused on the restoration of the lax pelvic floor ligaments. Exact preoperative identification of the anatomical lesions is necessary to allow for exact anatomical reconstruction with respect to the muscular forces of the pelvic floor.

© 2010 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Review

Published online: February 17, 2010
Issue release date: February 2010

Number of Print Pages: 9
Number of Figures: 6
Number of Tables: 0

ISSN: 0042-1138 (Print)
eISSN: 1423-0399 (Online)

For additional information: http://www.karger.com/UIN

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