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The Anatomy and Dynamics of Pelvic Floor Function and Dysfunction

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The Female Pelvic Floor

Abstract

Pelvic anatomy may be defined as those bones, muscles, ligaments and organs which conteibute to normal pelvic floor function.

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Reference

  • Brown JS, Sawaya G, Thorn DH Grady D Hysterectomy and urinary incontinence: a systematic review, Lancet (2000) 356: 535–539

    Article  PubMed  CAS  Google Scholar 

  • Bush MB, Petros PEP, Barrett- Lennard BR On the flow through the human urethra Biomechanics (1997) 30: 967–969.

    Article  CAS  Google Scholar 

  • Courtney H Anatomy of the pelvic diaphragm and ano-rectal musculature as related to sphincter preservation in ano-rectal surgery. American Journal Surgery, (1950), 79: 155–173.

    Article  Google Scholar 

  • Creed K. Functional diversity of smooth muscle. British Med. Bulletin, (1979), 3: 243–247

    Google Scholar 

  • De Lancey J O L Structural support of the urethra as it relates to stress incontinence: thehammock hypothesis Am J Obst Gynecol (1994)170: 1713–1723.

    Google Scholar 

  • Huisman AB. Aspects on the anatomy of the female urethra with special relation to urinary continence. Contr Gynecol and Obstets., (1983) 10: 1–31.

    CAS  Google Scholar 

  • Ingelman-Sundberg A The pubovesical ligament in stress incontinence. Acta Obstets and Gynecol Scandinavica, (1949), 28: 183–188.

    Google Scholar 

  • Jeffcoate TNA Principles of Gynaecology. (1962),(2nd Ed.) Butterworths, London.

    Google Scholar 

  • Lose G and Colstrup H, Mechanical properties of the urethra in healthy and stress incontinent females: dynamic measurements in the resting urethra, J Urol., (1990) 144: 1258–1262.

    PubMed  CAS  Google Scholar 

  • Netter F Atlas of Human Anatomy (1989)CIBA-Geigy Corp Ardsley USA

    Google Scholar 

  • Nichols DH and Randall CL Vaginal Surgery. (1989),3rd Ed, Williams Wilkins, Baltimore. 1–46.

    Google Scholar 

  • Parks AG, Swash M and Urich H Sphincter Denervation in ano-rectal incontinence and rectal prolapse. Gut; (1977); 18: 656–665.

    Article  PubMed  CAS  Google Scholar 

  • Petros PE and Ulmsten U. Urethral pressure increase on effort originates from within the urethra, and continence from musculovaginal closure, Neurourology and Urodynamics, (1995), 14: 337–350

    Article  PubMed  CAS  Google Scholar 

  • Petros PE and Ulmsten U `Urethral and bladder neck closure mechanisms’ Am J Obst Gynecol. (1995) 173: 346–347

    Google Scholar 

  • Petros PE and Ulmsten U Role of the pelvic floor in bladder neck opening and closure: I muscle forces, Int J Urogynecol and Pelvic Floor, (1997) 8: 74–80

    Article  CAS  Google Scholar 

  • Petros PE and Ulmsten U Role of the pelvic floor in bladder neck opening and closure: II vagina. Int J Urogynecol and Pelvic Floor, (1997) 8: 69–73

    Article  Google Scholar 

  • Petros PE The pubourethral ligaments-an anatomical and histological study in the live patient, Intl Urogynecology (1998) 9: 154–157.

    Article  CAS  Google Scholar 

  • Petros PE, Von Konsky B Anchoring the midurethra restores bladder neck anatomy and continence, Lancet (1999) 354: 997–998

    Article  PubMed  CAS  Google Scholar 

  • Petros PE Cure of urinary and fecal incontinence by pelvic ligament reconstruction suggests a connective tissue etiology for both. International Journal of Urogynecology (1999); 10: 356–360

    Article  Google Scholar 

  • Petros PE ltr Influence of hysterectomy on pelvic floor dysfunction Lancet (2000), 356:1275.

    Google Scholar 

  • Petros PE The anatomy of the perineal membrane: its relationship to injury in childbirth and episiotomy, Aust. NZ J Obstet.Gynaecol (2002) 42:577–8

    Google Scholar 

  • Swash M, Henry MM, Snooks SJ Unifying concept of pelvic floor disorders and incontinence. Journal of the Royal Society of Medicine, (1985), 78: 906–911.

    PubMed  CAS  Google Scholar 

  • Yamada H. Aging rate for the strength of human organs and tissues. Strength of Biological Materials, Williams and Wilkins Co, Balt. ( Ed) Evans FG. (1970); 272–280.

    Google Scholar 

  • Zacharin RF A suspensory mechanism of the female urethra. Journal of Anatomy, (1963), 97: 423–427.

    CAS  Google Scholar 

  • Ayoub SF Anterior fibres of the levator ani muscle in man. Journal of Anatomy, (1979), 128: 571–580.

    CAS  Google Scholar 

  • Berglas B and Rubin IC Study of the supportive structures of the uterus by levator myography. Surgery Gynecol and Obstets., (1953), 97: 667–692.

    Google Scholar 

  • DeLancey J Correlative Study of Paraurethral Anatomy. Obstet. Gynecol. (1986); 68: 91–97.

    Google Scholar 

  • Denny-Brown D and Robertson E Physiology of micturition. Brain, (1933), 56: 149–191.

    Article  Google Scholar 

  • Dickinson RL The vagina as a hernial canal. American Journal Obstets Dis Women and Child. (1889), 22: 692–697.

    Google Scholar 

  • Dickinson RL Studies of the levator ani muscle. American Journal Obstets Dis Women and Child. (1889), 22: 898–917.

    Google Scholar 

  • Downing SJ and Sherwood OD The physiological role of relaxin in the pregnant rat 1V The influence of relaxin on cervical collagen and glycosaminoglycans, Endocrinology. (1986), 118: 471–479

    Article  PubMed  CAS  Google Scholar 

  • Falconer C, Ekman-Orderberg G, Malmstrom A and Ulmsten U Clinical outcome and changes in connective tissue metabolism after Intravaginal Slingplasty in stress incontinent women, Int Urogynecol J (1996) 7: 133–137.

    Article  CAS  Google Scholar 

  • Fothergill WE Pathology and the operative treatment of displacements of the pelvic viscera. Journal of Obstets and Gynaecol of the British Empire, (1907), 13: 410–419.

    Article  Google Scholar 

  • Gosling JA Dickson JS and Humpherson JR Gross and microscopic anatomy of the urethra II. Functional Anatomy of the Urinary Tract,(1983),Churchill Livingstone, Edinburgh. 5.15.20.

    Google Scholar 

  • Gosling JH, Dixon JS and Critchley HOD A comparative study of the human external sphincter and periurethral ani muscles. British Journal Urology, (1981), 53: 35–41.

    Article  CAS  Google Scholar 

  • Gosling JA Structure of the lower urinary tract and pelvic floor. Gynaecological Urology,(1985),12: 285–294. Ed Raz S, WB Saunders and Co London.

    Google Scholar 

  • Kovanen V, Suominen H, Risteli J and Risteli L Type IV collagen and laminin in slow and fast skeletal muscle in rats–effects of age and life-time endurance training. Collagen Rel Res. (1988), 8: 145–153.

    CAS  Google Scholar 

  • Milley PS and Nicholls DH The relationship between the pubourethral ligaments and the urogenital diaphragm in the human female. Anat Rec. (1971), 170: 281–283.

    Article  PubMed  CAS  Google Scholar 

  • Nichols DH and Randall CL Massive eversion of the vagina, in Vaginal Surgery. (1989),3rd Ed, Eds Nichols DH and Randall CL, Williams Wilkins, Baltimore. 328–357.

    Google Scholar 

  • Nordin M Biomechanics of collagenous tissues, in Basic Biomechanics of the Skeletal System. (1980), Eds, Frankel VH and Nordin M., Lee and Febiger, Philadelphia. P87–110.

    Google Scholar 

  • Olesen KP and Walter S Bladder base insufficiency. Acta Obstets and Gynecol Scandinavica, (1978), 57: 463–468.

    Article  CAS  Google Scholar 

  • Paramore RH Some further considerations on the supports of the female pelvic viscera, in which the intra-abdominal pressure is still further defined. Journal of Obstets and Gynaecol of the British Empire, (1908), 14: 172–187.

    Google Scholar 

  • Paramore RH The supports in chief of the female pelvic viscera. Journal of Obstets and Gynaecol of the British Empire, (1908), 30: 391–409.

    Article  Google Scholar 

  • Peacock EE Structure, synthesis and interaction of fibrous protein and matrix. Wound Repair. (1984), 3rd Edition, Publishers WB Saunders Co, Philadelphia. 56–101.

    Google Scholar 

  • Petros PE A cystocele may compensate for latent stress incontinence by stretching the vaginal hammock, Gynecol and Obst Investigation (1998); 46: 206–209.

    Article  Google Scholar 

  • Petros PE Vault prolapse 1: dynamic supports of the vagina, Int J Urogynecol and pelvic floor (2001) 12:292–295.

    Google Scholar 

  • Porter NH A physiological study of the pelvic floor in rectal prolapse. bourn R. Coll. of Surg England,(1962). 31: 379–404.

    Google Scholar 

  • Power RM Embryological development of the levator ani muscle. American Journal of Obstets and Gynecol., (1948), 55: 367–381

    CAS  Google Scholar 

  • Rud T, Asmussen M, Andersson KE, Hunting A and Ulmsten U Factors maintaining the intraurethral pressure in women. Investigative Urology, (1980), 17: 4, 343–347.

    PubMed  CAS  Google Scholar 

  • Sultan AH, Kamm MA, Hudson CN, Thomas JM and Bartram CI Anal-sphincter disruption during vaginal delivery, N Eng J Med (1993); 329: 1905–11

    Article  CAS  Google Scholar 

  • Tanagho EA The anatomy and physiology of micturition. Clinics in Obstets and Gynecol, (1978), 5: 1: 3–26.

    CAS  Google Scholar 

  • Tanagho EA and Miller ER Initiation of voiding. British Journal of Urology, (1970), 42: 175–180.

    Article  PubMed  CAS  Google Scholar 

  • Tanagho EA, Myers FH, Smith DR Urethral resistance: its components and implications, No 2. striated muscle component. Investigative Urology, (1969), 7: 195

    PubMed  CAS  Google Scholar 

  • Wendell-Smith, CP and Ulsen PM The musculature of the pelvic floor. Scientific Foundation of Obstets ér Gynaecol. (Eds) Philipp EE, Barnes J and Newton M, William Heinemann Medical Books Ltd, London, (1977), 78–84.

    Google Scholar 

  • Walter JB and Israel MS (Eds) Inflammatory Reaction, in Walter and Israel Pathology, 5th Ed., Churchill and Livingstone, Edin, (1979) 71–85.

    Google Scholar 

  • Wilson PD Posterior pubourethral ligaments in normal and genuine stress incontinent women. Journal of Urology (1982), 130: 802–805.

    Google Scholar 

  • Woodburne RT Structure and function of the urinary bladder. Journal of Urology, (1960), 84: 79–85.

    Google Scholar 

  • Zacharin RF, Pelvic floor anatomy and cure of pulsion enterocoele. Springer-Verlag, Wien, (1985).

    Google Scholar 

Download references

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Authors and Affiliations

  1. Royal Perth Hospital and University of Western Australia, Perth, Western Australia, Australia

    PE Peter Petros MB BS (Syd) Dr.Med Sc (Uppsala) DS (UWA) FRCOG FRANZCOG CU

Authors
  1. PE Peter Petros MB BS (Syd) Dr.Med Sc (Uppsala) DS (UWA) FRCOG FRANZCOG CU
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© 2004 Springer-Verlag Berlin Heidelberg

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Petros, P. (2004). The Anatomy and Dynamics of Pelvic Floor Function and Dysfunction. In: The Female Pelvic Floor. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05445-1_2

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  • DOI: https://doi.org/10.1007/978-3-662-05445-1_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-05447-5

  • Online ISBN: 978-3-662-05445-1

  • eBook Packages: Springer Book Archive

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