Skip to main content
Log in

Verzakking: behandeling van een gevoel, of echt minder na behandeling?

  • Klinische vraag
  • Published:
Stimulus

Samenvatting

Een verzakking, ofwel een prolaps, van de vrouwelijke bekkenorganen is een verzamelnaam voor een aantal klinische condities, zoals een verzakking van de vaginavoorwand (ook wel uretrokèle, cystokèle of cysto-uretrokèle genoemd) en/of de vagina-achterwand (enterokèle of rectokèle), een verzakking van de baarmoeder (van het apicale segment van de cervix/uterus), of, als de baarmoeder ontbreekt, van de vaginatop (cuff of vault prolapse) (Abrams e.a., 2002).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatuur

  • Abrams P, Cardozo L, Fall M, e.a. The standardization of terminology of lower urinary tract function. Neurourol Urodynam 2002;21:167-78.

    Google Scholar 

  • Adams E, Thomson A, Maher C, Hagen S. Mechanical devices for pelvic organ prolapse in women (Cochrane Review). In: The Cochrane Library, Issue 2, 2004. Oxford: Update Software.

  • Balmforth J, Bidmead J, Cardozo L, Hextall A, Kelvin B, Mantle J. Raising the tone: a prospective observational study evaluating the effect of pelvic floor muscle training on bladder neck mobility and associated improvement in stress urinary incontinence. Nerourol Urodyn 2004;23:553-4

    Google Scholar 

  • Baragi RV, DeLancey JO, Caspari R, Howard DH, Ashton-Miller JA. Differences in pelvic floor area between African American and European American women. Am J Obstet Gynecol 2002;187:111-5.

    Google Scholar 

  • Berghmans LCM, Frederiks CMA, Bie RA de, Weil EHJ, Smeets LWH, Waalwijk van Doorn ESC van, Janknegt RA. Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment, for genuine stress incontinence. Neurourol & Urodyn 1996;15:37-52.

    Google Scholar 

  • Berghmans LCM, Hendriks HJM, Bø K, Hay-Smith EJ, Bie RA de, Waalwijk van Doorn ESC van. Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials. Br J Urol 1998;82:181-91.

    Google Scholar 

  • Bernstein I. The pelvic floor muscles. Kopenhagen: University of Copenhagen, Hvidovre Hospital, Department of Urology, 1997.

  • Bø K. Adherence to pelvic floor muscle exercise and long term effect on stress urinary incontinence. A five year follow up. Scand J Med Sci Sports 1995;5:36-9.

    Google Scholar 

  • Bø K, Talseth T. Change in urethral pressure during voluntary pelvic floor muscle contraction and vaginal electrical stimulation. Int Urogyn J 1997;8:3-7.

    Google Scholar 

  • Bø K. Pelvic floor muscle training is effective in treatment of stress urinary incontinence, but how does it work? Int Urogynecol J 2004;15:76-84.

    Google Scholar 

  • Bø K, Hagen RH, Kvarstein B, Jørgensen J, Larsen S. Pelvic floor muscle exercise for the treatment of female stress urinary incontinence: III. Effects of two different degrees of pelvic floor muscle exercise. Neurourol Urodyn 1990;9:489-502.

    Google Scholar 

  • Bø K, Kvarstein B, Nygaard I. Lower urinary tract symptoms and pelvic floor muscle exercise adherence after 15 years. Obstet & Gynecol 2005;105:999-1005

    Google Scholar 

  • Bø K, Lilleäs F, Talseth T, Hedlund H. Dynamic MRI of pelvic floor muscles in an upright sitting position. Neurorul Urodyn 2001;20:167-74.

    Google Scholar 

  • Bø K, Sherburn M. Evaluation of female pelvic-floor muscle function and strength. Phys Ther 2005;85(3):269-82.

    Google Scholar 

  • Bø K, Talseth T, Holme I. Single blind, randomised controlled trial of pelvic floor exercises, electrical stimulation, vaginal cones, and no treatment in management of genuine stress incontinence in women. BMJ 1999; 318:487-93.

  • Bump R, Hurt WG, Fantl JA, Wyman JF. Assessment of Kegel exercise performance after brief verbal instruction. Am J Obstet Gynecol 1991;165:322-29.

    Google Scholar 

  • Bump R, Norton P. Epidemiology and natural history of pelvic floor dysfunction. Urogynecology and Pelvic Floor Dysfunction 1998;25(4):723-46.

  • Constantinou CE, Govan DE. Contribution and timing of transmitted and generated pressure components in the female urethra. Female incontinence. New York: Allan R Liss Inc, 1981:113-20.

  • Davila GW. Vaginal prolapse: management with nonsurgical techniques. Postgrad-Med 1996;99(4):171-6, 181, 184-5.

    Google Scholar 

  • DeLancey J. Functional anatomy of the female lower urinary tract and pelvic floor. Neurobiology of Incontinence 1990;151:57-76. Chichester, Wiley. Ciba Foundation symposium.

  • DeLancey J. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 1994a;170:1713-23.

  • DeLancey J. The anatomy of the pelvic floor. Curr Opin Obstet Gynecol 1994b;6:313-316.

  • DeLancey J. The pathophysiology of stress urinary incontinence in women and its applications for surgical treatment. World J Urol 1997;15:268-74.

    Google Scholar 

  • DeLancey JO, Kearney R, Chou Q, Speights S, Binno S. The appearance of levator ani muscle abnormalities in magnetic resonance images after vaginal delivery. Obstet-Gynecol 2003;101(1):46-53.

    Google Scholar 

  • Frawley H, e.a. The effect of physiotherapy treatment program for gynaecological surgery: a prospective, single blind RCT. Ongoing study June 2002.

  • Hagen S, e.a. Feasability study for a randomized clinical trial to evaluate the effectiveness of pelvic floor muscle training for pelvic organ prolapse. Ongoing study September 2003.

  • Hagen S, Stark D, Maher C, Adams E. Conservative management of pelvic organ prolapse in women (Cochrane Review). In: The Cochrane Library, Issue 2, 2004. Oxford: Update software

  • Handa VL, Harvey L, Cundiff GW, Siddique SA, Kjerulff KH. Sexual function among women with urinary incontinence and pelvic organ prolapse. Am J Obstet Gynecol 2004;191:751-6.

    Google Scholar 

  • Harvey MA. Pelvic floor exercises during and after pregnancy: a systematic review of their role in preventing pelvic floor dysfunction. J Obstet Gynaecol Canada 2003;25:487-98.

    Google Scholar 

  • Hay-Smith EJ, Bo K, Berghmans LC, Hendriks HJ, Bie RA de, Waalwijk van Doorn ES van. Pelvic floor muscle training for urinary incontinence in women (Cochrane review). In: The Cochrane Library Issue 1, 2001. Update Software.

  • Heit M, Rosenquist C, Culligan P, Graham C, Murphy M, Shott S. Predicting treatment choice for patients with pelvic organ prolapse. Obstet Gynecol 2003;101:1279-84.

    Google Scholar 

  • Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol 2002;186:1160-66.

    Google Scholar 

  • Howard D, Miller J, DeLancey J, Ashton-Miller J. Differential effects of cough, valsalva, and continence status on vesical neck movement. Obstet Gynecol 2000;95:535-40.

    Google Scholar 

  • Jarvis SK, Hallam TK, Lujic S, Abbott JA, Vancaillie TG. Peri-operative physiotherapy improves outcomes for women undergoing incontinence and or prolapse surgery: results of a randomised controlled trial. Aust N Z J Obstet Gynaecol 2005;45(4):300-3.

    Google Scholar 

  • Kegel AH. Progressive resistance exercise in the functional restoration of the perineal muscles. Am J Obstet Gynecol 1948;56:238-49.

    Google Scholar 

  • Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S. Surgical man age ment of pelvic organ prolapse in women (Cochrane Review). In: The Cochrane Library, Issue 4, 2004. Oxford: Update Software.

  • McLennan AH, Taylor AW, Wilson DH, Wilson D. The prevalence of pelvic floor muscle disorders and their relationship to gender, age, parity and mode of delivery. Br J Obstet Gynaecol 2000;107(12):1460-70.

    Google Scholar 

  • Miller JM, Ashton-Miller JA, DeLancey J. A pelvic muscle precontraction can reduce cough-related urine loss in selected women with mild SUI. J Am Geriatr Soc 1998;46:870-74.

    Google Scholar 

  • Miller J, Perucchini D, Carchidi L, DeLancey J, Ashton-Miller J. Pelvic floor muscle contraction during a cough and decreased vesical neck mobility. Obstet Gynecol 2001;97:255-60.

    Google Scholar 

  • Mørkved S, Bø K, Fjørtoft T. Is there any additional effect of adding biofeedback to pelvic floor muscle training? A single-blind randomized controlled trial. Obstet Gynecol 2002;100(4):730-39.

    Google Scholar 

  • Mørkved S, Bø K, Schei B, Salvesen KA. Pelvic floor muscle training during pregnancy to prevent urinary incontinence: a single-blind randomized controlled trial. Obstet-Gynecol 2003;101(2):313-9.

    Google Scholar 

  • Peschers U, Vodusek D, Fanger G, Schaer G, DeLancey J, Schussler B. Pelvic muscle activity in nulliparous volunteers. Neurourol Urodyn 2001;20:269-75.

    Google Scholar 

  • Peschers UM, Schaer GN, DeLancy JO, Schuessler B. Levator ani function before and after childbirth. Br J Obstet Gynaecol 1997;104(9) Sept:999-1003.

    Google Scholar 

  • Piya-Anant M, Therasakvichya S, Leelaphatanadit C, e.a. Integrated health research program for the Thai elderly: prevalence of genital prolapse and effectiveness of pelvic floor exercise to prevent worsening of genital prolapse in elderly women. J Med Assoc Thai 2003;86:509.

    Google Scholar 

  • Poma PA. Nonsurgical management of genital prolapse. A review and recommendations for clinical practice. J Reprod Med 2000;45(10):789-97.

    Google Scholar 

  • Swift S, Pound T, Dias J. Case-control study of etiologic factors in the development of severe pelvic organ prolapse. Int Urogynecol J 2001;12:187-92.

    Google Scholar 

  • Thakar R, Stanton S. Management of genital prolapse. BMJ 2002;324:1258-62.

    Google Scholar 

  • Thompson J, O'Sullivan P. Levator plate movement during voluntary pelvic floor muscle contraction in subjects with incontinence and prolapse: a cross-sectional study. Int Urogynecol J 2003;14:84-8.

    Google Scholar 

  • Weber AM, Richter HE. Pelvic organ prolapse. Obstetrics & Gynecology 2005;106(3):615-34.

  • Wilson PD, Berghmans B, Hagen S, Hay-Smith J, Moore K, Nygaard I, e.a. Adult conservative management. In: Paul Abrams, Linda Cardozo, Saad Khoury, Alan Wein (Eds). Incontinence (volume 2 Management). Paris, France: Health Publication Ltd. 2005.

  • World Health Organisation. International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland, 2002.

Download references

Author information

Authors and Affiliations

Authors

Additional information

Epidemioloog, gezondheidswetenschapper, bekkenfysiotherapeut, Pelvic care Center Maastricht.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Berghmans, B. Verzakking: behandeling van een gevoel, of echt minder na behandeling?. STIM 25, 65–72 (2006). https://doi.org/10.1007/BF03063032

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03063032

Navigation