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Pelvic Floor Dysfunction

Pelvic Floor Dysfunction can lead to a number of symptoms and complaints. These symptoms may occur in men and up to one-third of women. Many of these conditions lead to poor self-esteem, withdrawal from physical activity and maybe most significantly withdrawal from social situations and personal relationships.

PFD may be “idiopathic,” meaning that no cause is identified; however risk factors that can increase the risk of PFD include:

  • Age
  • Prior Surgery (for example hysterectomy in women, prostate surgery in men)
  • Obesity
  • Smoking
  • Menopause
  • Child birth
  • Diet
  • Pelvic trauma
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What is Pelvic Floor Dysfunction (PFD)?

The pelvis is similar to a bowl made of bone with the bottom cut out. The bottom of the bowl is composed of a group of muscles known as the pelvic floor. The pelvic floor acts like a hammock and the organs of the pelvis (bladder, rectum, vagina/uterus (women), prostate (men)) rest on the pelvic muscles. The muscles and nerves of the pelvic floor are responsible, in part, to normal function of expelling both urine and feces. When these muscle and nerves are functioning incorrectly it may lead to the following urinary symptoms:

The dysfunction may lead to the following bowel complaints:

  • Feeling of incomplete emptying of bowels or inability to complete a bowel movement
  • Painful bowel movements

In addition, abnormal function of these pelvic floor muscles can lead to problems with the genitalia (sex organs) in both men and women. Female patients may report pain with intercourse or even pain with a gynecological exam, in addition to pelvic pain or spasm. Pain may occur with orgasm as well. Male patients may have been diagnosed with prostatitis and their symptoms persist despite antibiotic treatment. Male patients may also report chronic testicular pain (orchalgia).

Patients with pelvic floor dysfunction may have been previously diagnosed with the following conditions

Pelvic floor dysfunction is evaluated and diagnosed by history and physical exam. Other tests may be required to rule out other potential reasons for the patient’s symptoms. Dr. Scolieri, a board certified urologist, provides the most comprehensive science based therapy to his patients. Algorithms or care paths have been developed using the most current research from the urologic, gynecological and gastroenterologic communities. Patients are provided with clear pathways of management, specific to their complaints, allowing their participation in treatment and a clear understanding of goals and expectations.

Pelvic Floor Dysfunction treatment can include one or more of the following:

Pelvic Floor Rehabilitation and Biofeedback
Posterior Tibial Nerve Stimulation
InterStim Therapy
Surgical Treatments
PFD Treatment

Contact us to schedule your appointment with Dr. Michael Scolieri

Patients with PFD including few or any of the symptoms associated with the condition need not continue to suffer. Comprehensive treatment options exist and most are non-invasive, effective and painless. Dr. Michael Scolieri, a board certified urologist, has been treating many of these conditions effectively for over a decade at Northeastern Ohio Urological Surgeons in Canfield, Salem and Alliance Ohio . Please contact us if you or your loved one would like help.

Resources and Information:

Northeastern Ohio Urological Surgeons

Northeastern Ohio Urological Surgeons

American Urogynecologic Society

American Urogynecologic Society


Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction

Voices For PFD

Voices For PFD