Pelvic Floor Dysfunction
 
With the exception of our nervous and locomotive systems we carry all of our organs within the torsum.  By the nature of humans' erect position some weight is transferred within the torsum down to the pelvis over a funneled shaped muscle called the "levator ano."  This structure is also called the pelvic floor. 
 
Through a very intricate arrangement of muscle the pelvic floor normally allows for effortless elimination of urine and stool while maintaining a perfect seal at other times.  When the coordination of these muscles fails various problems can develop.  These problems can be grouped into two categories: problems of obstruction or problems of incontinence. The exact reason and mechanism for these deficiencies can be difficult to ascertain and in a minority of cases, we are unable to make any improvements. 
 
However, various tests that include defecogram or defecography, anorectal manometry, ultrasonography and electromypgraphy along with clinical findings can help us determine a surgical plan that while not always perfect, often improves symptoms in the majority of patients.

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