Zusammenfassung
Ehe bei paradoxer Kontraktion des M. puborectalis (Beckenbodendyskinesie, „obstructed defecation syndrome“ [ODS] usw.) ein chirurgisches Vorgehen ins Auge gefasst wird, das mit dem Risiko von Fehlschlag und postoperativer Morbidität einhergeht, müssen alle Möglichkeiten einer konservativen Therapie ausgeschöpft werden. Als wirkungsvolle Option resultiert aus zahlreichen Studien die physiotherapeutische Behandlung, vorzugsweise unterstützt von Biofeedback, was auch anderen konservativen Maßnahmen überlegen ist.
Abstract
Before surgery is considered for the condition of paradoxical puborectalis contraction (pelvic floor dyssynergia, obstructive defecation syndrome, etc.), all conservative therapy options should be exhausted because of the risk of failure and complications associated with surgery. Numerous studies have confirmed that physiotherapy is an effective treatment, preferably supported by biofeedback, which is superior to other conservative measures.
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Hochwimmer, R. Die paradoxe M.-puborectalis-Kontraktion aus Sicht der Physiotherapie. J. Urol. Urogynäkol. 25, 12–14 (2018). https://doi.org/10.1007/s41972-018-0026-2
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DOI: https://doi.org/10.1007/s41972-018-0026-2