Objective:To investigate the incidence and related situation of pelvic floor dysfunction in female pilots.Methods:The clinical diagnosis, treatment and aeromedical identification of 2 female pilots with pelvic floor dysfunction were retrospectively analyzed. Pelvic floor ultrasound combined with clinical diagnosis was performed and relevant literatures were reviewed.Results:One of the 2 cases had mild bladder enlargement, increased bladder neck mobility, increased urethral rotation Angle and cysteine Angle opening, and no damage to internal and external anal sphincter and levator ani muscle, she was diagnosed as pressure urinary incontinence, mild uterine prolapse, and increased hiatus area of levator ani muscle. Another case had mild bladder enlargement, formation of bladder urethral funnel, opening of posterior horn of bladder, and increased mobility of bladder neck, she was diagnosed as pressure urinary incontinence and increased hiatus area of levator ani muscle. Both cases had clinical symptoms and were mild cases. The result of aviation medical identification was qualified for flying. During follow-up, 2 pilots received independent Kegel training or intermittent Kegel training and pelvic floor rehabilitation therapy for more than half a year, and the pilots′ autonomic symptoms were significantly improved.Conclusions:Attention should be paid to the pelvic floor dysfunction of female pilots by early diagnosis, early treatment and early recovery, to ensure the physical and mental health of female pilots.

Objective:To investigate the incidence and related situation of pelvic floor dysfunction in female pilots.Methods:The clinical diagnosis, treatment and aeromedical identification of 2 female pilots with pelvic floor dysfunction were retrospectively analyzed. Pelvic floor ultrasound combined with clinical diagnosis was performed and relevant literatures were reviewed.Results:One of the 2 cases had mild bladder enlargement, increased bladder neck mobility, increased urethral rotation Angle and cysteine Angle opening, and no damage to internal and external anal sphincter and levator ani muscle, she was diagnosed as pressure urinary incontinence, mild uterine prolapse, and increased hiatus area of levator ani muscle. Another case had mild bladder enlargement, formation of bladder urethral funnel, opening of posterior horn of bladder, and increased mobility of bladder neck, she was diagnosed as pressure urinary incontinence and increased hiatus area of levator ani muscle. Both cases had clinical symptoms and were mild cases. The result of aviation medical identification was qualified for flying. During follow-up, 2 pilots received independent Kegel training or intermittent Kegel training and pelvic floor rehabilitation therapy for more than half a year, and the pilots′ autonomic symptoms were significantly improved.Conclusions:Attention should be paid to the pelvic floor dysfunction of female pilots by early diagnosis, early treatment and early recovery, to ensure the physical and mental health of female pilots.