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The pelvic floor is a complex structure that can be the source of disorders as women age and bear children, says The pelvic floor is a complex structure that can be the source of disorders as women age and bear children, says Natasha Ginzburg, MD, Natasha Ginzburg, MD, urologist and director of female pelvic medicine and surgery at Upstate. She describes the pelvic floor as a hammock of muscle and tissue that, in women, includes the vagina, rectum and uterus. Problems with urination, defecation and protruding organs in the pelvic floor can be treated successfully through behavioral changes, physical therapy, medicines and biofeedback, with surgery (generally minimally invasive) as a last choice, she said. urologist and director of female pelvic medicine and surgery at Upstate. She describes the pelvic floor as a hammock of muscle and tissue that, in women, includes the vagina, rectum and uterus. Problems with urination, defecation and protruding organs in the pelvic floor can be treated successfully through behavioral changes, physical therapy, medicines and biofeedback, with surgery (generally minimally invasive) as a last choice, she said.