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Journal für Urologie und Urogynäkologie/Österreich

Erschienen in:

04.07.2022 | Originalien

Geburt und Beckenboden

verfasst von: Prim. PD Dr. Oliver Preyer, MBA, Dr. Philipp Fößleitner, BSc

Erschienen in: Journal für Urologie und Urogynäkologie/Österreich | Ausgabe 3/2022

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Zusammenfassung

Eine Spontangeburt steigert bekannterweise das Risiko für eine Harninkontinenz und/oder einen uterovaginalen Prolaps im späteren Leben jeder Frau. Die Suche nach effektiven Präventionsmaßnahmen und Optimierungen im Geburtsmanagement beschäftigt die Forschung daher seit vielen Jahrzehnten. Die Hauptursachen der Beckenbodendysfunktion nach einer Geburt sind dabei die Verletzung des Beckenbodens durch Kompression, Zerrungen, Ab- und Ausriss von Nerven, Muskeln und Bindegewebsfasern. Der Abriss des M. levator ani spielt dabei in der Entstehung von Inkontinenz und Prolaps eine wichtige Rolle. Vielfach wird die Entbindung per Sectio caesarea als effektive Prävention zur Verhinderung von Harninkontinenz und Prolaps angesehen, ein Blick auf die aktuelle Datenlage bestätigt diese These jedoch nicht. Die einzigen evidenzbasierten Methoden zur Prävention von Harninkontinenz und Prolaps sind derzeit das Beckenbodentraining während und nach der Schwangerschaft sowie Lebensstilmodifikationen.

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Titel: Geburt und Beckenboden
verfasst von: Prim. PD Dr. Oliver Preyer, MBA
Dr. Philipp Fößleitner, BSc
Publikationsdatum: 04.07.2022
Verlag: Springer Vienna
Erschienen in: Journal für Urologie und Urogynäkologie/Österreich / Ausgabe 3/2022
Print ISSN: 1023-6090
Elektronische ISSN: 1680-9424
DOI: https://doi.org/10.1007/s41972-022-00168-8

Springer Medizin Österreich

Zusammenfassung

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