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Female pelvic floor dysfunction: progress weakening of the support system

  • The structure of the female pelvic floor (PF) is an inter-related system of bony pelvis,muscles, pelvic organs, fascias, ligaments, and nerves with multiple functions. Mechanically, thepelvic organ support system are of two types: (I) supporting system of the levator ani (LA) muscle,and (II) the suspension system of the endopelvic fascia condensation [1], [2]. Significantdenervation injury to the pelvic musculature, depolimerization of the collagen fibrils of the softvaginal hammock, cervical ring and ligaments during pregnancy and vaginal delivery weakens thenormal functions of the pelvic floor. Pelvic organ prolapse, incontinence, sexual dysfunction aresome of the dysfunctions which increases progressively with age and menopause due toweakened support system according to the Integral theory [3]. An improved 3D finite elementmodel of the female pelvic floor as shown in Fig. 1 is constructed that: (I) considers the realisticsupport of the organs to the pelvic side walls, (II) employs the improvement of our previous FEmodel [4], [5] along with the patient based geometries, (III) incorporates the realistic anatomy andboundary conditions of the endopelvic (pubocervical and rectovaginal) fascia, and (IV) considersvarying stiffness of the endopelvic fascia in the craniocaudal direction [3]. Several computationsare carried out on the presented computational model with healthy and damaged supportingtissues, and comparisons are made to understand the physiopathology of the female PF disorders.

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Metadaten
Author:Aroj BhattaraiORCiD, Manfred StaatORCiD
DOI:https://doi.org/10.17185/duepublico/40821
Parent Title (English):1st YRA MedTech Symposium 2016 : April 8th / 2016 / University of Duisburg-Essen
Publisher:Universität Duisburg-Essen
Place of publication:Duisburg
Editor:Daniel Erni
Document Type:Conference Proceeding
Language:English
Year of Completion:2016
Creating Corporation:MedTech Symposium
Contributing Corporation:Young Researchers Academy
Date of the Publication (Server):2016/04/19
First Page:11
Last Page:12
Link:https://doi.org/10.17185/duepublico/40821
Zugriffsart:weltweit
Institutes:FH Aachen / Fachbereich Medizintechnik und Technomathematik
FH Aachen / IfB - Institut für Bioengineering
collections:Verlag / Universität Duisburg-Essen
Licence (German):License LogoUrheberrechtlich geschützt