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2024 | OriginalPaper | Hoofdstuk

33. Pelvic floor disorders

Auteurs : Prof. dr. Huub C. H. van der Vaart, Dr. Pieternel Steures, Prof. dr. Jan-Paul W. R. Roovers

Gepubliceerd in: Textbook of Obstetrics and Gynaecology

Uitgeverij: Bohn Stafleu van Loghum

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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.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Woordenlijst
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.
Literatuur
1.
go back to reference 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. 2015:110–27. 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. 2015:110–27.
2.
go back to reference Bump RC, Norton PA. Epidemiology and natural history of pelvic floor dysfunction. Obstet Gynecol Clin North Am. 1998;25:723–46.CrossRefPubMed Bump RC, Norton PA. Epidemiology and natural history of pelvic floor dysfunction. Obstet Gynecol Clin North Am. 1998;25:723–46.CrossRefPubMed
3.
go back to reference 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. 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.
4.
go back to reference Van Koughnett JS, Wexner S. Current management of fecal incontinence. Choosing amongst treatment options to optimize outcomes. World J Gastroenterol. 2013 Dec 28;19(48):9216–30. Van Koughnett JS, Wexner S. Current management of fecal incontinence. Choosing amongst treatment options to optimize outcomes. World J Gastroenterol. 2013 Dec 28;19(48):9216–30.
5.
go back to reference Labrie J, Berghmans BL, Fischer K, Milani AL, Van der Wijk I, Smalbraak DJ, Vollebregt A, Schellart RP, Graziosi GC, Van der Ploeg JM, Brouns JF, Tiersma ES, Groenendijk AG, Scholten P, Mol BW, Blokhuis EE, Adriaanse AH, Schram A, Roovers JP, Lagro-Janssen AL, Van der Vaart CH. Surgery versus physiotherapy for stress urinary incontinence. N Engl J Med. 2013;369(12):1124–33. https://doi.org/10.1056/NEJMoa1210627.CrossRefPubMed Labrie J, Berghmans BL, Fischer K, Milani AL, Van der Wijk I, Smalbraak DJ, Vollebregt A, Schellart RP, Graziosi GC, Van der Ploeg JM, Brouns JF, Tiersma ES, Groenendijk AG, Scholten P, Mol BW, Blokhuis EE, Adriaanse AH, Schram A, Roovers JP, Lagro-Janssen AL, Van der Vaart CH. Surgery versus physiotherapy for stress urinary incontinence. N Engl J Med. 2013;369(12):1124–33. https://​doi.​org/​10.​1056/​NEJMoa1210627.CrossRefPubMed
6.
go back to reference Lucs MG, Bosch JL, Burkhard FC. EAU guidelines on surgical management of urinary incontinence. Eur Urol. 2012;61:1118–29.CrossRef Lucs MG, Bosch JL, Burkhard FC. EAU guidelines on surgical management of urinary incontinence. Eur Urol. 2012;61:1118–29.CrossRef
7.
go back to reference Lucs MG, Bosch JL, Burkhard FC. EAU guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol. 2012;61:1130–42.CrossRef Lucs MG, Bosch JL, Burkhard FC. EAU guidelines on assessment and nonsurgical management of urinary incontinence. Eur Urol. 2012;61:1130–42.CrossRef
8.
go back to reference 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. 2015:110–38. 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. 2015:110–38.
Metagegevens
Titel
Pelvic floor disorders
Auteurs
Prof. dr. Huub C. H. van der Vaart
Dr. Pieternel Steures
Prof. dr. Jan-Paul W. R. Roovers
Copyright
2024
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2994-6_33