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Understanding Pelvic Floor Dyssynergia: Causes, Symptoms, and Treatment Options

Pelvic Floor Dyssynergia

Pelvic floor dyssynergia, also known as anismus or pelvic floor dysfunction, is a condition that affects the muscles of the pelvic floor, leading to difficulties with defecation and urination. This medical condition can significantly impact one's quality of life and is commonly associated with urology and gastrointestinal disorders. In this blog post, we will dive into the causes, symptoms, and various treatment options available for pelvic floor dyssynergia.

- Understanding pelvic floor dyssynergia

- Symptoms of pelvic floor dyssynergia

- Diagnosis of pelvic floor dyssynergia

- Treatment options for pelvic floor dyssynergia

- Additional resources

    Understanding Pelvic Floor Dyssynergia

    The pelvic floor consists of a group of muscles and ligaments that support the bladder, rectum, and reproductive organs. When these muscles do not function properly, it can result in pelvic floor dyssynergia, causing problems with bowel movements and urination. This condition is often linked to medical history factors, such as gastrointestinal disorders, irritable bowel syndrome, hemorrhoids, and chronic constipation.

    Symptoms of Pelvic Floor Dyssynergia

    Pelvic floor dyssynergia can manifest in various ways, depending on the affected individual. Common symptoms include:

    1. Difficulty with Bowel Movements: Individuals may experience constipation and find it challenging to pass stool, often straining excessively during defecation.

    2. Fecal Incontinence: On the other hand, some people may encounter episodes of involuntary fecal leakage or incontinence.

    3. Urinary Issues: Pelvic floor dyssynergia can also lead to urinary incontinence, making it challenging to control the flow of urine.

    4. Pelvic Pain: Discomfort or pain in the perineum, rectum, or pelvic region may be present.

    5. Sensation of an Obstruction: A feeling of rectal blockage or incomplete emptying during bowel movements might occur.

      Diagnosis of Pelvic Floor Dyssynergia

      Medical professionals, including urologists, gastroenterologists, and gynecologists, diagnose pelvic floor dyssynergia through various methods. They may use anorectal manometry, defecography, or electromyography with electrodes to assess the muscles' motility and functioning in the pelvic floor region.

      Treatment Options for Pelvic Floor Dyssynergia

      Thankfully, several treatment options can effectively manage pelvic floor dyssynergia, ultimately improving the patient's quality of life. Some of these include:

      1. Biofeedback Therapy: This non-invasive technique helps individuals gain better control over their pelvic floor muscles. By providing real-time feedback, patients can learn how to relax or contract their muscles appropriately.

      2. Physical Therapy: Pelvic floor physical therapy involves targeted exercises to strengthen and relax the pelvic floor muscles, aiding in better bowel and bladder function.

      3. Medications: Muscle relaxants and laxatives may be prescribed to relieve muscle tension and address constipation, respectively.

      4. Enema and Rectal Measures: In certain cases, enemas or rectal measures may be recommended to facilitate bowel movements.

      5. Surgical Interventions: For severe cases, surgical procedures may be considered to correct pelvic floor disorders or rectal prolapse.


        Pelvic floor dyssynergia is a condition that affects the pelvic floor muscles, causing difficulties with bowel movements and urination. It is often associated with urology and gastrointestinal disorders, impacting an individual's quality of life. If you or someone you know experiences symptoms of pelvic floor dyssynergia, seek medical attention promptly. With the right treatment approach, including biofeedback, physical therapy, or medication, this condition can be effectively managed, allowing patients to regain control over their lives and improve overall health and well-being. Remember to consult healthcare professionals for personalized advice and guidance on the most suitable treatment options for you.

        Want to learn more about pelvic floor dyssynergia?

        - Pelvic Floor Dysfunction and Non Invasive Treatments

        - So Glad You Asked: The Pelvic Floor (Episode 1)

        - Pelvic Floor Therapy 101

        - Pelvic Floor Dyssynergia