Skip to main content
SpringerLink
Log in

Beckenbodenschmerzen – primär und sekundär

  • Chapter
  • First Online:
Leitsymptom chronischer Unterbauchschmerz der Frau

  • 1634 Accesses

Zusammenfassung

Der überaktive oder hypertone, willkürlich nicht zu relaxierende Beckenbodenmuskel kann eine primäre oder sekundäre Ursache von Schmerzsyndromen im kleinen Becken sein. Vaginale Palpation und perinealer Ultraschall eignen sich zur Diagnostik und Planung einer Biofeedback-Therapie. Eine multimodale Therapie ist zumeist notwendig, insbesondere, wenn eine zentrale Sensibilisierung bereits stattgefunden hat. Eine gezielte physiotherapeutische Behandlung der Beckenbodenmuskulatur, ggf. kombiniert mit lokalen, systemischen, psychologischen/psychosomatischen oder medikamentösen Optionen, erscheint sinnvoll.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Apte G, Nelson P, Brismee JM, Dedrick G, Justiz R, 3rd, Sizer PS, Jr. (2012) Chronic female pelvic pain–part 1: clinical pathoanatomy and examination of the pelvic region. Pain Pract 12(2): 88–110.

    Google Scholar 

  • Baessler K, Bircher MD, Stanton SL (2004). Pelvic floor dysfunction in women after pelvic trauma. Bjog 111(5): 499–502

    Article  CAS  PubMed  Google Scholar 

  • Baessler K, Junginger B (2012) Which mechanisms keep up continent?-The role of pelvic floor muscles, bladder neck support and motor control. Int Urogynecol J 23(2 Suppl): 219–220

    Google Scholar 

  • Barber MD, Maher C (2013). Apical prolapse. Int Urogynecol J 24(11): 1815–1833

    Article  PubMed  Google Scholar 

  • Bhide AA, Puccini F, Khullar V, Elneil S, Digesu GA (2013) Botulinum neurotoxin type A injection of the pelvic floor muscle in pain due to spasticity: a review of the current literature. Int Urogynecol J 24(9): 1429–1434

    Article  PubMed  Google Scholar 

  • Cardozo L, Robinson D (2002) Special considerations in premenopausal and postmenopausal women with symptoms of overactive bladder. Urology 60(5 Suppl 1): 64-71; discussion 71

    Google Scholar 

  • Chaitow L (2007) Chronic pelvic pain: Pelvic floor problems, sacro-iliac dysfunction and the trigger point connection. J Body Mov Ther 11: 327–339

    Article  Google Scholar 

  • Deindl FM, Vodusek DB, Hesse U, Schussler B (1993) Activity patterns of pubococcygeal muscles in nulliparous continent women. Br J Urol 72(1): 46–51

    Article  CAS  PubMed  Google Scholar 

  • DeLancey JO (1994) The anatomy of the pelvic floor. Curr Opin Obstet Gynecol 6(4): 313–316

    Article  CAS  PubMed  Google Scholar 

  • DeLancey JO (1994) Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol 170(6): 1713–1720; discussion 1720-1713

    Article  CAS  PubMed  Google Scholar 

  • Dell JR, Parsons CL (2004) Multimodal therapy for interstitial cystitis. J Reprod Med 49(3 Suppl): 243–252

    CAS  PubMed  Google Scholar 

  • Feiner B, Jelovsek JE, Maher C (2009) Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. Bjog 116(1): 15–24

    Article  CAS  PubMed  Google Scholar 

  • Feiner B, Maher C (2010) Vaginal mesh contraction: definition, clinical presentation, and management. Obstet Gynecol 115(2 Pt 1): 325–330

    Article  PubMed  Google Scholar 

  • FitzGerald MP, Payne CK, Lukacz ES et al. and Interstitial Cystitis Collaborative Research N (2012) Randomized multicenter clinical trial of myofascial physical therapy in women with interstitial cystitis/painful bladder syndrome and pelvic floor tenderness. J Urol 187(6): 2113–2118

    Google Scholar 

  • Foster HE, Jr., Hanno PM, Nickel JC et al. and Interstitial Cystitis Collaborative Research N (2010) Effect of amitriptyline on symptoms in treatment naive patients with interstitial cystitis/painful bladder syndrome. J Urol 183(5): 1853–1858

    Google Scholar 

  • Giannantoni A, Bini V, Dmochowski R, Hanno P, Nickel JC, Proietti S, Wyndaele JJ (2012) Contemporary management of the painful bladder: a systematic review. Eur Urol 61(1): 29–53

    Article  PubMed  Google Scholar 

  • Gilpin SA, Gosling JA, Smith AR, Warrell DW (1989) The pathogenesis of genitourinary prolapse and stress incontinence of urine. A histological and histochemical study. Br J Obstet Gynaecol 96(1): 15–23

    Article  CAS  PubMed  Google Scholar 

  • Hodges PW, Cresswell AG, Daggfeldt K, Thorstensson A (2000). Three dimensional preparatory trunk motion precedes asymmetrical upper limb movement. Gait Posture 11(2): 92–101.

    Article  CAS  PubMed  Google Scholar 

  • Hodges PW, Sapsford R and Pengel LH (2007). Postural and respiratory functions of the pelvic floor muscles. Neurourol Urodyn.

    Google Scholar 

  • Junginger B (2009). Bewegte Bilder aus der Tiefe. Diagnostischer Ultraschall in der Beckenbodenrehabilitation. physiopraxis 10: 30–33.

    Google Scholar 

  • Kahn MA and Stanton SL (1997). Posterior colporrhaphy: its effects on bowel and sexual function. Br J Obstet Gynaecol 104(1): 82–86.

    Article  CAS  PubMed  Google Scholar 

  • Kavvadias T, Baessler K, Schuessler B (2012) Pelvic pain in urogynecology. Part II: treatment options in patients with lower urinary tract symptoms. Int Urogynecol J 23(5): 553–561

    Article  PubMed  Google Scholar 

  • Kavvadias T, Pelikan S, Roth P, Baessler K, Schuessler B (2013) Pelvic floor muscle tenderness in asymptomatic, nulliparous women: topographical distribution and reliability of a visual analogue scale. Int Urogynecol J 24(2): 281–286

    Article  PubMed  Google Scholar 

  • Lowman JK, Jones LA, Woodman PJ, Hale DS (2008) Does the Prolift system cause dyspareunia? Am J Obstet Gynecol 199(6): 707 e701–706

    Google Scholar 

  • Lukban JC, Parkin JV, Holzberg AS, Caraballo R, Kellogg-Spadt S, Whitmore KE (2001) Interstitial cystitis and pelvic floor dysfunction: a comprehensive review. Pain Med 2(1): 60–71

    Article  CAS  PubMed  Google Scholar 

  • Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S (2008) Surgical management of pelvic organ prolapse in women: a short version Cochrane review. Neurourol Urodyn 27(1): 3–12

    Article  CAS  PubMed  Google Scholar 

  • Maher C, Feiner B, Baessler K, Schmid C (2013) Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 4: CD004014

    PubMed  Google Scholar 

  • Mangera A, Apostolidis A, Andersson KE et al. (2014) An updated systematic review and statistical comparison of standardised mean outcomes for the use of botulinum toxin in the management of lower urinary tract disorders. Eur Urol 65(5): 981–990

    Article  CAS  PubMed  Google Scholar 

  • Nelson P, Apte G, Justiz R, 3rd, Brismee JM, Dedrick G, Sizer PS, Jr. (2012) Chronic female pelvic pain–part 2: differential diagnosis and management. Pain Pract 12(2): 111–141

    Google Scholar 

  • Oyama IA, Rejba A, Lukban JC et al. (2004) Modified Thiele massage as therapeutic intervention for female patients with interstitial cystitis and high-tone pelvic floor dysfunction. Urology 64(5): 862–865

    Article  PubMed  Google Scholar 

  • Parsons CL (2002) Interstitial cystitis: epidemiology and clinical presentation. Clin Obstet Gynecol 45(1): 242–249

    Article  PubMed  Google Scholar 

  • Parsons CL (2005) Interstitial cystitis: a chronic disease with ever-increasing recognition and prevalence. J Urol 173(1): 6

    Article  PubMed  Google Scholar 

  • Parsons CL (2009) The potassium sensitivity test: a new gold standard for diagnosing and understanding the pathophysiology of interstitial cystitis. J Urol 182(2): 432–434

    Article  PubMed  Google Scholar 

  • Peters KM, Carrico DJ, Kalinowski SE, Ibrahim IA, Diokno AC (2007) Prevalence of pelvic floor dysfunction in patients with interstitial cystitis. Urology 70(1): 16–18

    Article  PubMed  Google Scholar 

  • Pezzone MA, Liang R, Fraser MO (2005) A model of neural cross-talk and irritation in the pelvis: implications for the overlap of chronic pelvic pain disorders. Gastroenterology 128(7): 1953–1964

    Article  PubMed  Google Scholar 

  • Prather H, Spitznagle TM, Dugan SA (2007) Recognizing and treating pelvic pain and pelvic floor dysfunction. Phys Med Rehabil Clin N Am 18(3): 477–496, ix

    Article  PubMed  Google Scholar 

  • Rogowski A, Bienkowski P, Tosiak A, Jerzak M, Mierzejewski P, Baranowski W (2013). Mesh retraction correlates with vaginal pain and overactive bladder symptoms after anterior vaginal mesh repair. Int Urogynecol J 24(12): 2087–2092

    Article  CAS  PubMed  Google Scholar 

  • Stacy J, Frawley H, Powell G, Goucke R, Pavy T (2012) Persistent pelvic pain: rising to the challenge. Aust N Z J Obstet Gynaecol 52(6): 502–507

    Article  PubMed  Google Scholar 

  • Tirumuru S, Al-Kurdi D, Latthe P (2010) Intravesical botulinum toxin A injections in the treatment of painful bladder syndrome/interstitial cystitis: a systematic review. Int Urogynecol J 21(10): 1285–1300

    Article  PubMed  Google Scholar 

  • Tu FF, As-Sanie S, Steege JF (2006) Prevalence of pelvic musculoskeletal disorders in a female chronic pelvic pain clinic. J Reprod Med 51(3): 185–189

    PubMed  Google Scholar 

  • Tu FF, Fitzgerald CM, Kuiken T, Farrell T, Harden RN (2007) Comparative measurement of pelvic floor pain sensitivity in chronic pelvic pain. Obstet Gynecol 110(6): 1244–1248

    Article  PubMed  Google Scholar 

  • Weiss JM (2001) Pelvic floor myofascial trigger points: manual therapy for interstitial cystitis and the urgency-frequency syndrome. J Urol 166(6): 2226–2231

    Article  CAS  PubMed  Google Scholar 

  • Woolf CJ (2011) Central sensitization: implications for the diagnosis and treatment of pain. Pain 152(3 Suppl): S2–15

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Beckenboden-Zentrum Charité Gynäkologie, Charité Universitätsmedizin Berlin Abteilung für Gynäkologie, Hindenburgdamm 30, 12200, Berlin, Deutschland

    K. Baessler & B. Junginger

Authors
  1. K. Baessler
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Junginger
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to K. Baessler .

Editor information

Editors and Affiliations

  1. Praxisklinik am Rosengarten, Mannheim, Germany

    Martin Sillem

  2. Brustzentrum, Martin-Luther-Krankenhausbetrieb GmbH, Berlin-Grunewald, Germany

    Friederike Siedentopf

  3. Endometriosezentrum Charité, Klinik für Gynäkologie, Charite Universitätsmedizin, Berlin, Germany

    Sylvia Mechsner

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Baessler, K., Junginger, B. (2015). Beckenbodenschmerzen – primär und sekundär. In: Sillem, M., Siedentopf, F., Mechsner, S. (eds) Leitsymptom chronischer Unterbauchschmerz der Frau. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43669-1_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-43669-1_8

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43668-4

  • Online ISBN: 978-3-662-43669-1

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation