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2019 | OriginalPaper | Hoofdstuk

23. Pelvic floor disorders

Auteurs : Huub (C.H.) van der Vaart, Dr Pieternel Steures, Professor Jan-Paul W. R. Roovers

Gepubliceerd in: Textbook of Obstetrics and Gynaecology

Uitgeverij: Bohn Stafleu van Loghum

Summary

The pelvic floor, consisting of muscles and connective tissue, plays a crucial role in a woman’s life. Basically, the pelvic floor has two functions. It must support the pelvic organs such as the bladder, anorectum and vagina against a rise in intra-abdominal pressure. It does so by providing basic support and contraction at appropriate moments. On the other hand, it must allow the passage of urine and faeces, and allow pain-free sexual intercourse. Life events as childbirth and menopause are likely to affect normal functioning. Dysfunction of the pelvic floor is the field of the subspecialty urogynaecology.

vorige hoofdstuk Abnormal uterine bleeding

volgende hoofdstuk Benign pelvic mass

Alleen toegankelijk voor geautoriseerde gebruikers

Dyspareunia

Painful sexual intercourse due to medical or psychological causes

Genital hiatus

The area between the left and right levator ani muscle through which the anorectum, vagina and urethra passes

Overactive bladder syndrome

Urgency, with or without frequency, nocturia and urinary incontinence

Stress urinary incontinence

Involuntary loss of urine during a rise in intra-abdominal pressure, such as laughing, coughing or physical exercise

Urgency urinary incontinence

Involuntary loss of urine associated with a sudden strong desire to void

Bharucha, et al. Epidemiology, pathophysiology, and classification of faecal incontinence: state of the science summary for national institute of diabetes and digestive and kidney diseases (NIDDK) workshop. Am J Gastroenterol. 2015:110–127.

Bump RC, Norton PA. Epidemiology and natural history of pelvic floor dysfunction. Obstet Gynecol Clin North Am. 1998;25:723–46. CrossRef

DeLancey JOL. Pelvic floor anatomy and pathology, chap. 2, pp. 13–51. In: Hoyte L, Damaser M, editors. Biomechanics of the female pelvic floor. Elsevier 2016. ISBN: 978-0-12-803228-2.

Koughnett JS van, Wexner S. Current management of fecal incontinence. Choosing amongst treatment options to optimize outcomes. World J Gastroenterol. 2013 Dec 28;19(48):9216–9230. CrossRef

Labrie J, Berghmans BL, Fischer K, Milani AL, Wijk I van der, Smalbraak DJ, Vollebregt A, Schellart RP, Graziosi GC, Ploeg JM van der, Brouns JF, Tiersma ES, Groenendijk AG, Scholten P, Mol BW, Blokhuis EE, Adriaanse AH, Schram A, Roovers JP, Lagro-Janssen AL, Vaart CH van der. Surgery versus physiotherapy for stress urinary incontinence. N Engl J Med. 2013 Sep 19;369(12):1124–33. https://doi.org/10.1056/NEJMoa1210627. CrossRef

Lucs MG, Bosch JL, Burkhard FC. EAU guidelines on surgical management of urinary incontinence. Eur Urol. 2012a;61:1118–29. CrossRef

Lucs MG, Bosch JL, Burkhard FC. EAU guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol. 2012b;61:1130–42. CrossRef

Whitehead, et al. Treatment of fecal incontinence: state of the science summary for the national institute of diabetes and digestive and kidney diseases workshop. Am J Gastroenterol. 2015:110–138.

Titel: Pelvic floor disorders
Auteurs: Huub (C.H.) van der Vaart
Dr Pieternel Steures
Professor Jan-Paul W. R. Roovers
Uitgeverij: Bohn Stafleu van Loghum
Boek: Textbook of Obstetrics and Gynaecology
Print ISBN: 978-90-368-2130-8

Elektronisch ISBN: 978-90-368-2131-5

Copyright: 2019
DOI: https://doi.org/10.1007/978-90-368-2131-5_23

Bohn Stafleu van Loghum

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