Functional disorders of the pelvic floor. Recommendations of the Polish Club of Coloproctology Scientific Society

Functional disorders of the pelvic floor are complex phenomena due to anatomical losses within the musculofascial system and are dependent on innervation and the qualities of connective tissue. Functional disorders of the pelvic floor vary in form and location. Configuration of these disorders determines the clinical presentation including the lowering of pelvic floor, genital prolapse, rectal prolapse, rectoceles, enteroceles, and cystoceles. The presented recommendations concern the principles of diagnostics and comprehensive therapeutic management. The objective of surgical treatment consists in restoration of proper architecture of supportive tissues within the pelvic floor using tension-free procedures and appropriate prosthetic materials. This allows for effective fixation of lowered structures and prolapsing organs.