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Geburt und Beckenboden

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

Erschienen in: Journal für Urologie und Urogynäkologie/Österreich

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

Springer Medizin Österreich

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Geburt und Beckenboden

Zusammenfassung

Springer Medizin Österreich

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