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Physical, Complementary, and Alternative Medicine in the Treatment of Pelvic Floor Disorders

  • Female Urology (K Kobashi, Section Editor)
  • Published:
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Abstract

Purpose of Review

The purpose of the study was to catalog the most recent available literature regarding the use of conservative measures in treatment of pelvic floor disorders.

Recent Findings

Pelvic floor disorders encompass abnormalities of urination, defecation, sexual function, pelvic organ prolapse, and chronic pain, and can have significant quality of life implications for patients. Current guidelines recommend behavioral modifications and conservative treatments as first-line therapy for pelvic floor disorders. We have reviewed the literature for articles published on physical, complementary, and alternative treatments for pelvic floor disorders over the past 5 years. Review of pelvic floor muscle physiotherapy (PFMT) and biofeedback (BF) shows a benefit for patients suffering from bladder dysfunction (incontinence, overactive bladder), bowel dysfunction (constipation, fecal incontinence), pelvic organ prolapse, and sexual dysfunction (pelvic pain). Combination of PFMT and BF has shown improved results compared to PFMT alone, and some studies find that electrical stimulation can augment the benefit of BF and PFMT. Additionally, acupuncture and cognitive behavioral therapy has shown to be an effective treatment for pelvic floor disorders, particularly with respect to pelvic pain.

Summary

This update highlights beneficial conservative treatments available for pelvic floor dysfunction, and supplements the current literature on treatment options for patients suffering from these disorders.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Continence Center, Urological Institute of Northeast New York, Division of Urology, Albany Medical College, 23 Hackett Boulevard, Albany, NY, 12208, USA

    Alex Arnouk, Elise De, Alexandra Rehfuss, Carin Cappadocia, Samantha Dickson & Fei Lian

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  1. Alex Arnouk
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  2. Elise De
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  3. Alexandra Rehfuss
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Correspondence to Elise De.

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Alex Arnouk, Elise De, Alexandra Rehfuss, Carin Cappadocia, Samantha Dickson, and Fei Lian each declare no potential conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Female Urology

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Video 1

Introduction to PFMT (MP4 61.0 MB).

Video 2

Introduction to Female Pelvic Floor Muscle Exam (MP4 229 MB).

Video 3

Female Pelvic Floor Muscle Exam (MP4 284 MB).

Video 4

Sample Pelvic Floor Muscle Exercises (MP4 234 MB).

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Arnouk, A., De, E., Rehfuss, A. et al. Physical, Complementary, and Alternative Medicine in the Treatment of Pelvic Floor Disorders. Curr Urol Rep 18, 47 (2017). https://doi.org/10.1007/s11934-017-0694-7

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