GYNECOLOGY AND OBSTETRICS
Learning outcomes of the course unit
Provide basic knowledge about the anatomy and function of the pelvic floor
Understand and recognize the risk factors
Course contents summary
Functional anatomy of the pelvic floor suspension system
• Work related to the pathogenesis of stress urinary incontinence and description of
front suspension system on the cervical region trigonal and urethra sopradiaframatica.
• Description of structures: ligaments pubo-urethral urethral pelvic ligament, tendon
arch of levator ani muscle, tendinous arch of the endopelvic fascia.
Functional anatomy of the pelvic floor support system
• Constitutive role of the muscles of the pelvic floor muscles divided into the
urogenital diaphragm and the pelvic diaphragm.
• Sling of the puborectalis muscle, levator ani muscle, physiology of the anorectal
Clinical classification of urinary incontinence (UI)
Epidemiology of incontinence
Risk factors: gender, pregnancy, tears from childbirth, menopause, hysterectomy
Diagnostic Tools: pubo-coccygeal test (PCTest) and clinical assessment of muscle
Scores symptom, voiding diary, tests of the diaper (PADTest) and Q-Tip test
Paul Benedict. Rehabilitation Uro-Gynaecology. Edizioni Minerva Medica. Second edition.
Pierluigi Paparella. Female pelvic floor. Physiology and dysfunction. Poletto Publisher
Assessment methods and criteria