{"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\/fr\/blog\/2025\/03\/10\/introduccion-al-suelo-pelvico\/","title":{"rendered":"Introduction au plancher pelvien"},"content":{"rendered":"
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Le plancher pelvien est un ensemble de muscles, de fascias et de ligaments situ\u00e9s dans la partie inf\u00e9rieure du tronc, ancr\u00e9s aux os du bassin, \u00e0 la mani\u00e8re d'un \"hamac\". Si l'on a longtemps pens\u00e9 que sa seule fonction \u00e9tait de soutenir les visc\u00e8res pelviens (vessie, ut\u00e9rus et rectum chez la femme ; vessie, prostate et rectum chez l'homme), on sait aujourd'hui qu'il remplit bien d'autres t\u00e2ches. Il participe \u00e0 la stabilisation de la posture, de l'\u00e9quilibre et de la marche, ainsi qu'\u00e0 la respiration, par une action coordonn\u00e9e avec les muscles abdominaux, notamment les muscles abdominaux profonds, et les muscles fessiers. Ils collaborent \u00e9galement aux fonctions physiologiques des organes pelviens, et en particulier \u00e0 la coordination de la miction et de la d\u00e9f\u00e9cation. Chez la femme, le plancher pelvien joue \u00e9galement un r\u00f4le tr\u00e8s important lors des rapports sexuels et de l'accouchement. Chez l'homme, il joue un r\u00f4le dans l'\u00e9rection et l'\u00e9jaculation.\u00a0<\/p>\n

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\u00a0\u00a0\u00a0\u00a0\u00a0La structure et la fonction du plancher pelvien sont tr\u00e8s complexes. Il existe encore aujourd'hui une grande divergence entre les auteurs, avec des nomenclatures et des th\u00e9ories diff\u00e9rentes concernant les m\u00e9canismes de la miction et de la continence. C'est pourquoi je ne m'aventurerai pas \u00e0 donner des d\u00e9tails plus g\u00e9n\u00e9raux sur le sujet, car il faudrait plusieurs centaines de pages pour le faire. Je me concentrerai sur son r\u00f4le dans la miction, qui est, du point de vue des infections urinaires, ce qui nous int\u00e9resse. Mais avant d'aborder ce sujet, je voudrais souligner la diff\u00e9rence entre les termes \"plancher pelvien\" et \"p\u00e9rin\u00e9e\", car bien qu'ils soient souvent utilis\u00e9s de mani\u00e8re interchangeable, ils ont une signification diff\u00e9rente. Le p\u00e9rin\u00e9e est la r\u00e9gion anatomique qui ferme la partie inf\u00e9rieure du bassin, tandis que le plancher pelvien est un ensemble de muscles, de ligaments et de fasciae, comme je l'ai d\u00e9j\u00e0 mentionn\u00e9, situ\u00e9s dans le bassin (et une partie de celui-ci, dans le p\u00e9rin\u00e9e). C'est comme imaginer que le plancher pelvien est la porte de la maison et que le p\u00e9rin\u00e9e est la fa\u00e7ade de cette maison. La porte est int\u00e9gr\u00e9e \u00e0 la fa\u00e7ade, mais la porte n'est pas la m\u00eame chose que la fa\u00e7ade. Ainsi, le plancher pelvien n'est pas le m\u00eame que le p\u00e9rin\u00e9e. Toutefois, pour des raisons pratiques, ces deux termes sont souvent utilis\u00e9s de mani\u00e8re interchangeable, et c'est ce que nous ferons sur ce site web.<\/p>\n

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Bibliographie :<\/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

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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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