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The pelvic floor or pelvic diaphragm is an anatomical location in the human body, [1] which has an important role in urinary and anal continence, sexual function and support of the pelvic organs. [2] The pelvic floor includes muscles, both skeletal and smooth, ligaments and fascia.
The coccygeus muscle completes the pelvic floor, which is also called the pelvic diaphragm. It supports the viscera in the pelvic cavity, and surrounds the various structures that pass through it. The levator ani is the main pelvic floor muscle and contracts rhythmically during female orgasm, and painfully during vaginismus. [4]
Though pelvic floor dysfunction is thought to more commonly affect women, 16% of men have been identified with pelvic floor dysfunction. [13] Pelvic floor dysfunction and its multiple consequences, including urinary incontinence, is a concerning health issue becoming more evident as the population of advancing age individuals rises.
The coccygeus muscle is posterior to levator ani and anterior to the sacrospinous ligament in the pelvic floor.It is a triangular plane of muscular and tendinous fibers. It arises by its apex from the spine of the ischium and sacrospinous ligament.
The same human pelvis, front imaged by X-ray (top), magnetic resonance imaging (middle), and 3-dimensional computed tomography (bottom). The pelvis (pl.: pelves or pelvises) is the lower part of an anatomical trunk, [1] between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton [2] (sometimes also called bony pelvis or pelvic skeleton).
The deep perineal pouch is bordered inferiorly by the perineal membrane, also known as the inferior fascia of the urogenital diaphragm. It is bordered superiorly by the superior fascia of the urogenital diaphragm. [1]
Pelvic floor physical therapy (PFPT) is a specialty area within physical therapy focusing on the rehabilitation of muscles in the pelvic floor after injury or dysfunction. It can be used to address issues such as muscle weakness or tightness post childbirth, dyspareunia, vaginismus, vulvodynia, constipation, fecal or urinary incontinence, pelvic organ prolapse, and sexual dysfunction.
The perineal membrane has two distinct portions that span the opening of the anterior pelvic outlet. [2]The ventral (anterior) portion is associated with the compressor urethra and urethrovaginal sphincter muscles (previously called deep transverse perineal muscles), and is continuous with the insertion of the arcus tendineus fascia pelvis. [3]