There are several approaches to treatment of<unk> , and often several approaches are used in combination. Physical therapy Pelvic<unk>  muscle (PFM) training is vital for treating different types of<unk> . Two common problems are uterine prolapse and urinary incontinence both of which stem from muscle weakness. Pelvic<unk>  muscle therapy is the first-line of treatment for urinary incontinence and thus should be considered before more invasive procedures such as surgery. Being able to control the pelvic<unk>  muscles is vital for a well functioning pelvic<unk> . Without the ability to control the pelvic<unk>  muscles, pelvic<unk>  training cannot be done successfully. Pelvic<unk>  muscle therapy strengthens the muscles of the pelvic<unk>  through repeated contractions of varying strength. Through vaginal palpation exams and the use of biofeedback, the tightening, lifting, and squeezing actions of these muscles can be determined. Biofeedback can be used to treat urinary incontinence as it records contractions of the pelvic<unk>  muscles and can help patients become aware of the use of their muscles. PFM training can also increase female sexual satisfaction by improving sexual function and the ability to orgasm. In addition, abdominal muscle training has been shown to improve pelvic<unk>  muscle function. By increasing abdominal muscle strength and control, a person may have an easier time activating the pelvic<unk>  muscles in sync with the abdominal muscles. Many physiotherapists are specially trained to address the muscle weaknesses associated with<unk>  and can effectively treat<unk>  through strengthening exercises. Overall, physical therapy can significantly improve the quality of life of those with<unk>  by relieving symptoms. Medication Overactive bladder can be treated with medications, including those in the class of antimuscarinics and beta 3 agonists. Antimuscarinics are the most commonly used, however, beta 3 agonists can be used for those that are unable to take antimuscarinics due to side effects or other reasons. Devices A pessary is a plastic or silicone device that may be used for women with pelvic organ prolapse. This treatment is useful for individuals who do not want to have surgery or are unable to have surgery due risk of the procedure. Some pessaries have a knob that can also treat urinary incontinence. To be effective, pessaries must be fit by a medical provider and the largest device that fits comfortably should be used. Lifestyle modifications Treatment for<unk> , especially the symptom of urinary incontinence, is essential, but so is prevention. Patients are usually encouraged to change their lifestyles; interventions such as reducing body weight, limiting the use of stimulants, quitting smoking, limiting strenuous efforts, preventing constipation and increasing physical activity can help prevent<unk> . For those that already have diagnosed<unk> , symptoms can be eased by physical activity, especially abdominal exercises and pelvic<unk>  exercises (Kegels) that strengthen the pelvic<unk> . Symptoms of urinary incontinence can also be reduced by making dietary changes such as limiting intake of acidic and spicy foods, alcohol and caffeine. Surgery Surgery is performed when desired by the patient or when less invasive treatments, such as lifestyle modification and physical therapy, are not effective. There are various procedures used to address prolapse. Cystoceles are treated with a surgical procedure known as a Burch colposuspension, with the goal of suspending the prolapsed urethra so that the urethrovesical junction and proximal urethra are replaced in the pelvic cavity. Uterine prolapse is treated with hysterectomy and uterosacral suspension. With enteroceles, the prolapsed small bowel is elevated into the pelvis cavity and the rectovaginal fascia is reapproximated. Rectoceles, in which the anterior wall of the rectum protrudes into the posterior wall of the vagina, require posterior colporrhaphy, also known as repair of the vaginal wall. Though<unk>  is more common in women, there are also proven methods to assist men. In severe cases of<unk>  causing urinary incontinence, a radical prostatectomy followed by postoperative pelvic<unk>  muscle therapy is an option.
Pelvic floor dysfunction
Delayed ejaculation
Premature ejaculation
Pelvic girdle pain
Pelvic pain
Dyspareunia
Pelvic organ prolapse
Coital incontinence