{"id":1135,"date":"2025-03-10T13:20:05","date_gmt":"2025-03-10T13:20:05","guid":{"rendered":"https:\/\/urolistic.com\/?p=1135"},"modified":"2025-05-27T09:56:31","modified_gmt":"2025-05-27T09:56:31","slug":"introduccion-al-suelo-pelvico","status":"publish","type":"post","link":"https:\/\/urolistic.com\/en\/blog\/2025\/03\/10\/introduccion-al-suelo-pelvico\/","title":{"rendered":"Introduction to the pelvic floor"},"content":{"rendered":"
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The pelvic floor is a set of muscles, fasciae and ligaments located in the lower part of the trunk, anchored to the pelvic bones, like a \"hammock\". Although for a long time it was thought that their only function was to support the pelvic viscera (bladder, uterus and rectum in women; bladder, prostate and rectum in men), it is now known that they perform many other tasks. They are involved in stabilising posture, balance and gait, as well as in breathing, through coordinated action with the abdominal muscles, especially the deep abdominal muscles, and the gluteal muscles. They also collaborate in the physiological functions of the pelvic organs, and in particular in the coordination of urination and defecation. In women, the pelvic floor also plays a very important role during sexual intercourse and childbirth. In men, it plays a role in erection and ejaculation.\u00a0<\/p>\n

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\u00a0\u00a0\u00a0\u00a0\u00a0The structure and function of the pelvic floor is very complex. To this day there is still a great discrepancy between authors, with various nomenclatures and theories regarding micturition and continence mechanisms. For this reason, I will not venture to give more general details on the subject, as it would take several hundred pages. I will focus on the role it plays in micturition, which is, from the point of view of urinary tract infections, what matters to us. But before I go into that, I would like to point out the difference between the terms \"pelvic floor\" and \"perineum\", because although they are often used interchangeably, they have a different meaning. The perineum is the anatomical region that closes the lower part of the pelvis, while the pelvic floor is a set of muscles, ligaments and fasciae, as I have already mentioned, located in the pelvis (and part of it, in the perineum). It is like imagining that the pelvic floor is the door of the house and the perineum is the fa\u00e7ade of that house. The door is integrated into the fa\u00e7ade, but the door is not the same as the fa\u00e7ade. Therefore, the pelvic floor is not the same as the perineum. However, for practical purposes, these two terms are often used interchangeably, and on this website we will do so.<\/p>\n

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Bibliography:<\/em><\/p>\n

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Rocca Rossetti S. Functional anatomy of pelvic floor. Arch Ital Urol Androl. 2016 Mar 31;88(1):28-37.<\/p>\n

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Ashton-Miller JA, DeLancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101:266-96.<\/p>\n

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Easley DC, Abramowitch SD, Moalli PA. Female pelvic floor biomechanics: bridging the gap. Curr Opin Urol. 2017 May;27(3):262-267.<\/p>\n

<\/p>\n

Rocca Rossetti S. Functional anatomy of pelvic floor. Arch Ital Urol Androl. 2016 Mar 31;88(1):28-37.<\/p>\n

<\/p>\n

Ashton-Miller JA, DeLancey JO. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007 Apr;1101:266-96.<\/p>\n

<\/p>\n

Easley DC, Abramowitch SD, Moalli PA. Female pelvic floor biomechanics: bridging the gap. Curr Opin Urol. 2017 May;27(3):262-267.<\/p>\n

<\/p>\n

Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011 Oct;27(4):437-47.<\/p>\n

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Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n

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Minardi D, d\u2019Anzeo G, Parri G, Polito M Jr, Piergallina M, et al. The role of uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a randomized controlled prospective study. Urology. 2010 Jun;75(6):1299-304.\u00a0<\/p>\n

<\/p>\n

van Geen FJ, van de Wetering EHM, Nieuwhof-Leppink AJ, Klijn AJ, de Kort LMO. Dysfunctional voiding: exploring disease transition from childhood to adulthood. Urology. 2023 Apr 5:S0090-4295(23)00266-2.<\/p>\n

<\/p>\n

Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011 Oct;27(4):437-47.<\/p>\n

<\/p>\n

Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n

<\/p>\n

Minardi D, d\u2019Anzeo G, Parri G, Polito M Jr, Piergallina M, et al. The role of uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a randomized controlled prospective study. Urology. 2010 Jun;75(6):1299-304.\u00a0<\/p>\n

<\/p>\n

Lee PJ, Kuo HC. High incidence of lower urinary tract dysfunction in women with recurrent urinary tract infections. Low Urin Tract Symptoms. 2020 Jan;12(1):33-40.<\/p>\n

<\/p>\n

Haylen BT, Lee J, Husselbee S, Law M, Zhou J. Recurrent urinary tract infections in women with symptoms of pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):837-42.\u00a0<\/p>\n

<\/p>\n

Lazaros T, Ioannis T, Vasileios S, Christina P, Michael S. The effect of pelvic floor muscle training in women with functional bladder outlet obstruction. Arch Gynecol Obstet. 2023 May;307(5):1489-1494.<\/p>\n

<\/p>\n

Kao YL, Ou YC, Tsai KJ, Kuo HC. Predictive Factors for a Successful Treatment Outcome in Patients with Different Voiding Dysfunction Subtypes Who Received Urethral Sphincter Botulinum Injection. Toxins (Basel). 2022 Dec 15;14(12):877.\u00a0<\/p>\n

<\/p>\n

Jhang JF, Kuo HC. Recent advances in recurrent urinary tract infection from pathogenesis and biomarkers to prevention. Ci Ji Yi Xue Za Zhi. 2017 Jul-Sep;29(3):131-137.\u00a0<\/p>\n

<\/p>\n

van Geen FJ, van de Wetering EHM, Nieuwhof-Leppink AJ, Klijn AJ, de Kort LMO. Dysfunctional voiding: exploring disease transition from childhood to adulthood. Urology. 2023 Apr 5:S0090-4295(23)00266-2.<\/p>\n

<\/p>\n

Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011 Oct;27(4):437-47.<\/p>\n

<\/p>\n

Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n

<\/p>\n

Minardi D, d\u2019Anzeo G, Parri G, Polito M Jr, Piergallina M, et al. The role of uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a randomized controlled prospective study. Urology. 2010 Jun;75(6):1299-304.\u00a0<\/p>\n

<\/p>\n

Lee PJ, Kuo HC. High incidence of lower urinary tract dysfunction in women with recurrent urinary tract infections. Low Urin Tract Symptoms. 2020 Jan;12(1):33-40.<\/p>\n

<\/p>\n

Haylen BT, Lee J, Husselbee S, Law M, Zhou J. Recurrent urinary tract infections in women with symptoms of pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):837-42.\u00a0<\/p>\n

<\/p>\n

Lazaros T, Ioannis T, Vasileios S, Christina P, Michael S. The effect of pelvic floor muscle training in women with functional bladder outlet obstruction. Arch Gynecol Obstet. 2023 May;307(5):1489-1494.<\/p>\n

<\/p>\n

Kao YL, Ou YC, Tsai KJ, Kuo HC. Predictive Factors for a Successful Treatment Outcome in Patients with Different Voiding Dysfunction Subtypes Who Received Urethral Sphincter Botulinum Injection. Toxins (Basel). 2022 Dec 15;14(12):877.\u00a0<\/p>\n

<\/p>\n

Jhang JF, Kuo HC. Recent advances in recurrent urinary tract infection from pathogenesis and biomarkers to prevention. Ci Ji Yi Xue Za Zhi. 2017 Jul-Sep;29(3):131-137.\u00a0<\/p>\n

<\/p>\n

van Geen FJ, van de Wetering EHM, Nieuwhof-Leppink AJ, Klijn AJ, de Kort LMO. Dysfunctional voiding: exploring disease transition from childhood to adulthood. Urology. 2023 Apr 5:S0090-4295(23)00266-2.<\/p>\n

<\/p>\n

Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011 Oct;27(4):437-47.<\/p>\n

<\/p>\n

Haifler M, Stav K. Dysfunctional voiding in adults. Isr Med Assoc J. 2013 May;15(5):247-51.<\/p>\n

<\/p>\n

Minardi D, d\u2019Anzeo G, Parri G, Polito M Jr, Piergallina M, et al. The role of uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding: a randomized controlled prospective study. Urology. 2010 Jun;75(6):1299-304.\u00a0<\/p>\n

<\/p>\n

Lee PJ, Kuo HC. High incidence of lower urinary tract dysfunction in women with recurrent urinary tract infections. Low Urin Tract Symptoms. 2020 Jan;12(1):33-40.<\/p>\n

<\/p>\n

Haylen BT, Lee J, Husselbee S, Law M, Zhou J. Recurrent urinary tract infections in women with symptoms of pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):837-42.\u00a0<\/p>\n

<\/p>\n

Lazaros T, Ioannis T, Vasileios S, Christina P, Michael S. The effect of pelvic floor muscle training in women with functional bladder outlet obstruction. Arch Gynecol Obstet. 2023 May;307(5):1489-1494.<\/p>\n

<\/p>\n

Kao YL, Ou YC, Tsai KJ, Kuo HC. Predictive Factors for a Successful Treatment Outcome in Patients with Different Voiding Dysfunction Subtypes Who Received Urethral Sphincter Botulinum Injection. Toxins (Basel). 2022 Dec 15;14(12):877.\u00a0 Jhang JF, Kuo HC. Recent advances in recurrent urinary tract infection from pathogenesis and biomarkers to prevention. Ci Ji Yi Xue Za Zhi. 2017 Jul-Sep;29(3):131-137.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

El suelo p\u00e9lvico es un conjunto de m\u00fasculos, fascias y ligamentos que se sit\u00faan en la parte inferior del tronco, anclados a los huesos p\u00e9lvicos, a [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":1174,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-1135","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-estilo-de-vida"],"yoast_head":"\nIntroducci\u00f3n al suelo p\u00e9lvico | Urolistic<\/title>\n<meta name=\"description\" content=\"Redescubre el bienestar con Urolistic, el proyecto de la Dra. 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