Skip to main content
Log in

Richtig vorgehen bei Kinderwunsch, Schwangerschaft und Geburt

Deszensus, Harn- oder Analinkontinenz

  • Fortbildung
  • Published:
gynäkologie + geburtshilfe Aims and scope

Die Beratung einer Patientin mit bestehendem Deszensus, Inkontinenz oder vorausgegangener Deszensus- oder Inkontinenzoperation zum Thema Schwangerschaft ist nicht einfach, da die Studienlandschaft sehr lückenhaft ist. Die aktuelle Literatur beschränkt sich meist auf Fallberichte, daher verzichten auch Leitlinien überwiegend auf Empfehlungen. Der folgende Beitrag kann daher nur bedingt wissenschaftlich sein und reflektiert gleichermaßen unsere klinischen Erfahrungen.

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.

Literatur

  1. Fialkow MF, Newton KM, Lentz GM Weiss NS. Lifetime risk of surgical management for pelvic organe prolapse or urinary incontinence. IntUrogynecol J (2008) 19: 437–440

    CAS  Google Scholar 

  2. Smith FJ, Holman CD, Moorin RE, Tsokos N. Lifetime risk of of undergoing surgery for pelvic organ prolapse. ObstetGynecol 2010; 116: 1096–100

    Google Scholar 

  3. Nurhidayati B. Uterine prolapse complicating pregnancy and labor: a case report and literature review. IntUrogynecol J (2012) 23: 647–650

    Google Scholar 

  4. Quiroz LH, Munoz A, Shippey SH, Gutman RE, Handa VL. Vaginal parity and pelvic organ prolapse. J Reprod Med 2010 Mar–Apr; 55 (3–4):93–8

    PubMed Central  PubMed  Google Scholar 

  5. Gyhagen M1, Bullarbo M, Nielsen TF, Milsom I. Prevalence and risk factors for pelvic organ prolapse 20 years after childbirth: a national cohort study in singleton primiparae after vaginal or caesarean delivery. BJOG. 2013 Jan;120(2):152–60

    Article  CAS  PubMed  Google Scholar 

  6. Lewis CM, Culligan P. Sacrohysteropexy followed by successful pregnancy and eventual reoperation for prolapse. IntUrogynecol J. 2012 Jul;23(7):957–9.

    Google Scholar 

  7. Kovac SR, Cruikshank SH. Successful pregnancies and vaginal deliveries after sacrospinousuterosacral fixation in five of nineteen patients. Am J ObstetGynecol 1993;168:1778–83; discussion 83–6.

    Article  CAS  Google Scholar 

  8. Hefni M, El-Toukhy T. Sacrospinouscervicocolpopexy with follow-up 2 years after successful pregnancy. Eur J ObstetGynecolReprod Biol. 2002 Jul 10;103(2):188–90.

    Article  Google Scholar 

  9. Pradhan A, Tincello DG, Kearney R. Childbirth after pelvic floor surgery: analysis of Hospital Episode statistics in England, 2002–2008. BJOG 2013 Jan; 120(2): 200–4

    Article  CAS  PubMed  Google Scholar 

  10. Kumtepe Y, Cetinkaya K, Karasu Y. Pregnancy and delivery after anterior vaginal mesh replacement: a case presentation. Urogynecol J. 2013 Feb;24(2):345–7

    Article  Google Scholar 

  11. Groutz A, Gordon D, Keidar R, Lessing JB, Wolman I, David MP, Chen B. Stress urinary incontinence: prevalence among nulliparous compared with primiparous and grand multiparous premenopausal women. Urodyn. 1999;18(5):419–25

    Article  CAS  Google Scholar 

  12. Groenen R, Vos MC, Willekes C, Vervest HA. Pregnancy and delivery after mid-urethral sling procedures for stress urinary incontinence: case reports and a review of literature. IntUrogynecol J Pelvic Floor Dysfunct 2008;19:441–8.

    Article  Google Scholar 

  13. Pollard ME, Morrisroe S, Anger JT. Outcomes of pregnancy following surgery for stress urinary incontinence: systematic review. J Urol 2012 Jun; 187 (6): 1966–70

    Article  PubMed  Google Scholar 

  14. Panel L, Triopon G, Courtieu C, Mares P, de Tayrac R. How to advise a woman, who wants to get pregnant after a sub-urethral tape-placement?. IntUrogynecol J Pelvic floor Dysfunct 2008;19: 347–50

    Article  Google Scholar 

  15. Johannessen HH1, Wibe A, Stordahl A, Sandvik L, Backe B, Mørkved S. Prevalence and predictors of anal incontinence during pregnancy and 1 year after delivery: a prospective cohort study. BJOG. 2014 Feb;121(3):269–79.

    Article  CAS  PubMed  Google Scholar 

  16. https://www.embryotox.de/loperamid.html

  17. Schwandner T, Hemmelmann C, Heimerl T, et al.: Triple-target treatment versus low-frequency electrostimulation for anal incontinence a randomized controlled trial. DtschArzteblInt 2011; 108(37): 653–60.

    Google Scholar 

  18. Edwards H, Grotegut C, Harmanli OH, Rapkin D, Dandolu V. Is severe perineal damage increased in women with prior anal sphincter injury? J Matern Fetal Neonatal Med. 2006;13:723–727

    Article  Google Scholar 

  19. Priddis H, Dahlen HG, Schmied V, Sneddon A, Kettle C, Brown C et al. Risk of recurrence, subsequent mode of birth and morbidity for women who experienced severe perineal trauma in a first birth in New South Wales between 2000–2008: a population based data linkage study. BMC Pregnancy Childbirth. 2013 Apr 8;13:8

    Google Scholar 

  20. Basham E, Stock L, Lewicky-Gaupp C, Mitchell C, Gossett DR. Subsequent pregnancy outcomes after obstetric anal sphincter injuries (OASIS). Female Pelvic Med Reconstr Surg. 2013 Nov-Dec;19(6):328–32.

    Article  PubMed  Google Scholar 

  21. Harkin R, Fitzpatrick M, O'Connell PR, O'Herlihy C. Anal sphincter disruption at vaginal delivery: is recurrence predictable? Eur J Obstet Gynecol Reprod Biol 2003; 109:149.

    Article  PubMed  Google Scholar 

  22. Scheer I, Thakar R, Sultan AH. Mode of delivery after previous obstetric anal sphincter injuries (OASIS) - a reappraisal? International Urogynecology Journal. 2009;13:1095–1101

    Article  Google Scholar 

  23. Aigmueller T, Umek W, Elenskaia K, Frudinger A, Pfeifer J, Helmer H, Huemer H, Tammaa A, van der Kleyn M, Tamussino K, Koelle D; Austrian Urogynecology Working Group.Guidelines for the management of third and fourth degree perineal tears after vaginal birth from the Austrian Urogynecology Working Group. IntUrogynecol J. 2013 Apr;24(4):553–8.

    CAS  Google Scholar 

  24. Khunda A, Karmarkar R, Abtahi B, Gonzales G, Elneil S. Pregnancy in women with Fowler's syndrome treated with sacralneuromodulation. IntUrogynecol J. 2013 Jul;24(7):1201–4.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wildt, B., Beilecke, K. Richtig vorgehen bei Kinderwunsch, Schwangerschaft und Geburt. gynäkologie + geburtshilfe 19, 31–36 (2014). https://doi.org/10.1007/s15013-014-0426-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s15013-014-0426-8

Navigation