Clinical Specialties : Pelvic Floor

Pelvic Floor Rehabilitation

The Pelvic Floor Dysfunction (PFD) program at the University of Miami Hospital is committed to providing services targeting the treatment of symptoms such as urinary incontinence, urinary urgency and frequency, pelvic pain, fecal incontinence, constipation and chronic pelvic pain.

What is the Pelvic Floor?

The pelvic floor is a group of muscles forming an anatomical sling that supports your pelvic organs such as the bladder, uterus or prostate, and rectum. These muscles surround the urethra, vagina, and rectum. Like all the muscles, the pelvic floor needs to be able to function well to allow normal urination, bowel functions and pain free intercourse. Dysfunction of the pelvic floor can lead to incontinence, pain, and improper organ suspension.

Pelvic Floor Dysfunction (PFD) Symptoms

PFD is when the muscles of the pelvic floor do not contract or relax correctly. PFD can be experienced in both men and women and can cause uncomfortable sensations and affect or even limit our daily activities. The most commonly reported symptoms are:

  • Urinary Incontincence
  • Urinary Urgency and Frequency
  • Fecal/Bowel Incontinence
  • Pelvic Pressure
  • Unexplained Pelvic Pain
  • Incomplete Emptying of the Bladder
  • Lower Back or Radiating Pain
  • Painful Intercourse
  • Constipation
  • Pelvic Floor Weakness

Possible Causes for Pelvic Floor Dysfunction Include: Recurrent Urinary Tract Infections, Bladder Irritants (Caffeine, Alcohol, Artificial Sweeteners), Childbirth Trauma, Hormonal Changes, Surgery, Prostatectomy, Postural Dysfunction, and Muscle Atrophy

Common Pelvic Floor Disorders Include: Stress Urinary Incontinence, Urge Urinary Incontinence, Interestitial Cystitis, Chronic Pelvic Pain, Vulvodynia, Dyspareunia and Organ Prolapse