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Urogynäkologie meets Koloproktologie

Befunde und Symptome

Urogynecology meets coloproctology

Signs and symptoms

  • Leitthema
  • Published:
coloproctology Aims and scope

Zusammenfassung

Zu Beckenbodendysfunktionen gehören auch Stuhlentleerungsstörungen und sexuelle Probleme. Um die Assoziation von anorektalen Symptomen, Rektozele und Sexualfunktion zu untersuchen, erfolgte eine sekundäre Datenanalyse von urogynäkologischen Patientinnen und gesunden Probandinnen, die für den Validierungsprozess des Deutschen Beckenboden-Fragenbogens rekrutiert worden waren: 63 urogynäkologische Patientinnen und 24 gesunde Probandinnen. Eine Rektozele kam bei 50 % der urogynäkologischen Patientinnen vor, aber nur bei einer gesunden Frau. Je größer die Rektozele, desto mehr Stuhlentleerungsstörungen wurden angegeben. Diejenigen, die vermehrt pressen mussten, unterstützten die Defäkation auch häufiger digital. Stuhlentleerungsstörungen waren mit dem Gefühl der weiten Scheide beim Sex assoziiert. Zusammenfassend bestätigt diese Auswertung, dass vermehrtes Pressen mit einer Rektozele, Stuhlentleerungsstörungen und dem Gefühl der zu weiten Scheide assoziiert ist.

Abstract

Pelvic floor dysfunction also involves defecation disorders and sexual problems. To investigate the association between anorectal symptoms, rectocele and sexual function, we performed a secondary analysis of data obtained from 63 urogynecological patients and 24 healthy women recruited for the validation of the German pelvic floor questionnaire. A rectocele was present in 50% of urogynecological patients but only in 1 healthy woman. The larger the rectocele, the more obstructed defecation was described. Patients who strained excessively during defecation also more frequently assisted defecation by digitation. Bowel emptying problems were associated with the feeling of a lax vagina during sex. In conclusion this evaluation confirmed that excessive straining is associated with a rectocele, obstructed defecation and the feeling of a lax vagina during sexual intercourse.

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Authors and Affiliations

  1. Beckenbodenzentrum, Franziskus und St. Joseph-Krankenhaus Berlin, Budapester Str. 15–19, 10787, Berlin, Deutschland

    Kaven Baessler

  2. Klinik für Urologie, Franziskus-Krankenhaus Berlin, Budapester Str. 15–19, 10787, Berlin, Deutschland

    Carsten Kempkensteffen

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  1. Kaven Baessler
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  2. Carsten Kempkensteffen
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Correspondence to Kaven Baessler.

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Interessenkonflikt

K. Baessler und C. Kempkensteffen geben an, dass kein Interessenkonflikt besteht.

Die für diesen Artikel analysierten Daten wurden innerhalb einer Studie erhoben, die im Einklang mit der Deklaration von Helsinki erfolgte. Ein positives Ethikvotum liegt vor.

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Baessler, K., Kempkensteffen, C. Urogynäkologie meets Koloproktologie. coloproctology 43, 253–260 (2021). https://doi.org/10.1007/s00053-021-00544-2

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