TY  - CHAP
A1  - Bhattarai, Aroj
A1  - Frotscher, Ralf
A1  - Staat, Manfred
T1  - Computational Analysis of Pelvic Floor Dysfunction
T2  - Women's Health and Biomechanics
N2  - Pelvic floor dysfunction (PFD) is characterized by the failure of the levator ani (LA) muscle to maintain the pelvic hiatus, resulting in the descent of the pelvic organs below the pubococcygeal line. This chapter adopts the modified Humphrey material model to consider the effect of the muscle fiber on passive stretching of the LA muscle. The deformation of the LA muscle subjected to intra-abdominal pressure during Valsalva maneuver is compared with the magnetic resonance imaging (MRI) examination of a nulliparous female. Numerical result shows that the fiber-based Humphrey model simulates the muscle behavior better than isotropic constitutive models. Greater posterior movement of the LA muscle widens the levator hiatus due to lack of support from the anococcygeal ligament and the perineal structure as a consequence of birth-related injury and aging. Old and multiparous females with uncontrolled urogenital and rectal hiatus tend to develop PFDs such as prolapse and incontinence.
KW  - Pelvic muscle
KW  - Muscle fibers
KW  - Passive stretching
KW  - Pelvic floor dysfunction
Y1  - 2018
SN  - 978-3-319-71574-2
U6  - http://dx.doi.org/10.1007/978-3-319-71574-2_17
N1  - Lecture Notes in Computational Vision and Biomechanics, vol 29
SP  - 217
EP  - 230
PB  - Springer
CY  - Cham
ER  -