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Comprehensive management includes diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Skills include, but are not limited to: complex gynecologic care, minimally invasive surgery, pelvic floor gynecologic care, urogynecology, and vaginal surgery. [16]
They unanimously agreed that surgery should be discouraged for pelvic floor dyssynergia, and instead that biofeedback/pelvic floor retraining was the first line treatment. When dyssynergia is present with major abnormalities like rectocele or rectal intussusception, biofeedback/pelvic floor retraining should be conducted before attempting surgery.
OhioHealth is a not-for-profit system of hospitals and healthcare providers based in Columbus and the Central Ohio area. The system consists of 15 hospitals, 200+ ambulatory sites, hospice, home health, medical equipment and other health services spanning 47 Ohio counties. [1]
This is a network of providers for care that is not of an emergency nature. [31] The hospital is also affiliated with Mount Carmel Health Partners – a network of up to "1,200 primary care and specialty physicians" – and with Anthem Blue Cross and Blue Shield .
Many patients who have vulvodynia also have high-tone pelvic floor, meaning that their pelvic floor muscles are too tight. This may contribute to their pain in the area. Pelvic floor physical therapy may help treat the pelvic floor dysfunction and help the patient gain greater control over their pelvic floor muscles.
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