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Anale pijn- en disfunctionele klachten en de relatie met het prikkelbaredarmsyndroom

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Book cover Functioneel urologische en seksuele klachten bij de man

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Samenvatting

In dit hoofdstuk worden anale pijn en disfunctionele klachten in relatie tot het prikkelbaredarmsyndroom besproken. Klachten van het achterste compartiment kunnen niet los van klachten van de rest van de bekkenbodem worden gezien. Vaak is een ‘snelle’ oplossing niet beschikbaar. Organische aandoeningen moeten uitgesloten en behandeld worden. Bij persisterende klachten moeten functionele oorzaken overwogen worden in de wetenschap dat langdurige pijn een catastroferend effect kan hebben en de pijngevoeligheid doet vergroten. Daarnaast is het in kaart brengen van de invloed van de klachten op het dagelijks functioneren van groot belang. Andere aspecten zoals seksuologische klachten worden belicht. Behandeling is bij voorkeur multidisciplinair waarbij naast defecatieregulatie en medicamenteuze pijnvermindering de bekkenfysiotherapeut en de psycholoog een grote rol kunnen spelen.

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Author information

Authors and Affiliations

  1. Stichting Proctos Klinieken, Professor Bronkhorstlaan 10, 3723 MB, Bilthoven, The Netherlands

    Charlotte Deen-Molenaar

  2. VUmc, Afdeling MDL, Amsterdam, The Netherlands

    Richelle Felt-Bersma

  3. VUmc, Amsterdam, The Netherlands

    Joke Groot

  4. Bekkenfysiotherapie Baarn, Protos Kliniek Bilthoven, Bilthoven, The Netherlands

    Daniëlle van Reijn

Authors
  1. Charlotte Deen-Molenaar
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  2. Richelle Felt-Bersma
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  3. Joke Groot
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  4. Daniëlle van Reijn
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Editor information

Editors and Affiliations

  1. Mannenkliniek de Boer , Baarn, The Netherlands

    Bert-Jan de Boer

  2. Seksuologie Centrum Amsterdam , Amsterdam, The Netherlands

    Adrie Heijnen

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© 2016 Bohn Stafleu van Loghum

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Deen-Molenaar, C., Felt-Bersma, R., Groot, J., van Reijn, D. (2016). Anale pijn- en disfunctionele klachten en de relatie met het prikkelbaredarmsyndroom. In: de Boer, BJ., Heijnen, A. (eds) Functioneel urologische en seksuele klachten bij de man. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-1398-3_9

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  • DOI: https://doi.org/10.1007/978-90-368-1398-3_9

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