Pelvic Floor Disorders Related to Urology and Gynecology

Multicompartment pelvic floor disorders are common. Twenty three percent of patients undergoing surgery for fecal incontinence or rectal prolapse have both urinary incontinence and genital prolapse. A focused, yet comprehensive pelvic floor history and physical exam identifies patient who suffer from anterior, middle and posterior pelvic floor pathologies. In those patients, it is preferable to address any coexistent pelvic defect/problem simultaneously. This chapter will focus on the evaluation and management of urinary incontinence and pelvic floor prolapse.