Welkom bij Scalda & Bohn Stafleu van Loghum
Scalda heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen.Je kunt de producten hieronder links aanschaffen en rechts inloggen.
01-03-2003 | Overzichtsartikel
Bekkenfysiotherapie bij onvrijwillig urineverlies
Auteurs: Bary Berghmans, dr. Marga IJland, dr. Gommert van Koeveringe, dr. Ron Winkens, prof.dr. Philip Van Kerrebroeck
Log in om toegang te krijgenshare
DELEN
Deel dit onderdeel of sectie (kopieer de link)
-
Optie A:
-
Optie B:Deel de link per e-mail
samenvatting
Berghmans LCM, IJland M, Van Koeveringe GA, Winkens R, Van Kerrebroeck PhEV. Bekkenfysiotherapie bij onvrijwillig urineverlies. Huisarts Wet 2003;46(3):148-52.
Bekkenfysiotherapie voor urine-incontinentie wordt vaak genoemd als behandeling van eerste keuze.
Bij stressincontinentie treedt onwillekeurig urineverlies op bij fysieke inspanning: de druk in de blaas overschrijdt de maximale druk in de plasbuis in afwezigheid van activiteit van de blaasspier. Ter bevordering van het extrinsiek afsluitmechanisme van de plasbuis richt bekkenfysiotherapie zich bij stressincontinentie vooral op krachtsverbetering en coördinatie van de periurethrale en bekkenbodemspieren. Behandelmethoden zijn: oefentherapie met of zonder biofeedback, elektrostimulatie en vaginale kegeltjes. Met name bekkenbodemspieroefeningen zijn effectief. Overactiviteit van de blaas is een disfunctie van de blaas waarbij de patiënt geen of onvoldoende controle heeft over plotselinge, onwillekeurige contracties van de blaasspier, waardoor vroegtijdig urine verloren kan gaan. Bekkenfysiotherapie richt zich op een reductie of opheffing van deze blaasoveractiviteit via reflexinhibitie. De behandeling bestaat uit informatie en voorlichting, elektrostimulatie, blaastraining of gedragstherapie en/of oefentherapie met of zonder biofeedback. Vooral elektrostimulatie blijkt een werkzame behandelvorm.
Radicale prostatectomie is de voornaamste oorzaak van onvrijwillig urineverlies bij mannen. Bekkenbodemeducatie als nabehandeling vermindert de duur en de mate van incontinentie. Bekkenfysiotherapie blijkt in veel gevallen bij urine-incontinentie een effectieve behandeloptie.
Log in om toegang te krijgen
Literatuur
go back to reference Rekers H, Drogendijk AC, Valkenburg H, Riphagen F. Urinary incontinence in women from 35 to 79 years of age: prevalence and consequences. Eur J Gynecol Reprod Biol 1992;43:229-34.CrossRef
Rekers H, Drogendijk AC, Valkenburg H, Riphagen F. Urinary incontinence in women from 35 to 79 years of age: prevalence and consequences. Eur J Gynecol Reprod Biol 1992;43:229-34.CrossRef
go back to reference Valk M. Urinary incontinence in psychogeriatric nursing home patients. Prevalence and determinants [Proefschrift]. Utrecht: Universiteit Utrecht, 1999.
Valk M. Urinary incontinence in psychogeriatric nursing home patients. Prevalence and determinants [Proefschrift]. Utrecht: Universiteit Utrecht, 1999.
go back to reference Newman DK. How much society pays for urinary incontinence. Ostomy-Wound-Manage 1997;43:18-25.PubMed
Newman DK. How much society pays for urinary incontinence. Ostomy-Wound-Manage 1997;43:18-25.PubMed
go back to reference Schulman C, Claes H, Matthijs J. Urinary incontinence in Belgium: a population-based epidemiological survey. Eur Urol 1997;32:315-20.PubMed
Schulman C, Claes H, Matthijs J. Urinary incontinence in Belgium: a population-based epidemiological survey. Eur Urol 1997;32:315-20.PubMed
go back to reference Lagro-Janssen, Smits AJA, Van Weel C. Women with urinary incontinence: self perceived worries and general practitioners’ of knowledge of the problem. Br J Gen Pract 1990;40:331-4.PubMed
Lagro-Janssen, Smits AJA, Van Weel C. Women with urinary incontinence: self perceived worries and general practitioners’ of knowledge of the problem. Br J Gen Pract 1990;40:331-4.PubMed
go back to reference Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P Ulmsten U, et al. The standardization of terminology of lower urinary tract function. Neurourol Urodynam 2002;21:167-78.CrossRef
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P Ulmsten U, et al. The standardization of terminology of lower urinary tract function. Neurourol Urodynam 2002;21:167-78.CrossRef
go back to reference Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. In: Abrams P, Khoury S, Wein A, editors. Incontinence. Plymouth: Health Publication, 1999:206.
Hunskaar S, Arnold EP, Burgio K, Diokno AC, Herzog AR, Mallett VT. Epidemiology and natural history of urinary incontinence. In: Abrams P, Khoury S, Wein A, editors. Incontinence. Plymouth: Health Publication, 1999:206.
go back to reference ICS Pelvic Floor Clinical Assessment Group. Terminology of pelvic floor function and dysfunction. Bristol: ICS, 2001.
ICS Pelvic Floor Clinical Assessment Group. Terminology of pelvic floor function and dysfunction. Bristol: ICS, 2001.
go back to reference Gezondheidsraad. Urine-incontinentie, publicatie nr 2001/12. Den Haag: Gezondheidsraad, 2001.
Gezondheidsraad. Urine-incontinentie, publicatie nr 2001/12. Den Haag: Gezondheidsraad, 2001.
go back to reference Lagro-Janssen ALM, Breedvelt Boer HP, Van Dongen JJA, Lemain TJJ, Steeneken F, Dijkstra RH, et al. NHG-Standaard Incontinentie voor urine. Huisarts Wet 1995;38:71-80.
Lagro-Janssen ALM, Breedvelt Boer HP, Van Dongen JJA, Lemain TJJ, Steeneken F, Dijkstra RH, et al. NHG-Standaard Incontinentie voor urine. Huisarts Wet 1995;38:71-80.
go back to reference Klomp MLF, Gercama AJ, De Jong-Wubben JGM, Mulders AHP, Romeijnders ACM, Rosmalen CFH, et al. NHG-Standaard Bemoeilijkte mictie bij oudere mannen (eerste herziening). Huisarts Wet 1997;40:114-24.
Klomp MLF, Gercama AJ, De Jong-Wubben JGM, Mulders AHP, Romeijnders ACM, Rosmalen CFH, et al. NHG-Standaard Bemoeilijkte mictie bij oudere mannen (eerste herziening). Huisarts Wet 1997;40:114-24.
go back to reference Berghmans LCM, Bernards ATM, Bluyssen AMW, Grupping MHM, Hendriks HJM, de Jong MJE, et al. KNGF-richtlijn Stress urine-incontinentie. Ned Tijdschr Fysiother 1998a;108(4), suppl.:1-35.
Berghmans LCM, Bernards ATM, Bluyssen AMW, Grupping MHM, Hendriks HJM, de Jong MJE, et al. KNGF-richtlijn Stress urine-incontinentie. Ned Tijdschr Fysiother 1998a;108(4), suppl.:1-35.
go back to reference Fantl JA, Newman DK, Colling J, DeLancey JOL, Keeys C, Loughery R, et al. Urinary incontinence in adults: Acute and chronic management. Rockville: US Dept of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research; March 1996. AHCPR publication 96-0682 Clinical Practice Guideline No.2, 1996 Update.
Fantl JA, Newman DK, Colling J, DeLancey JOL, Keeys C, Loughery R, et al. Urinary incontinence in adults: Acute and chronic management. Rockville: US Dept of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research; March 1996. AHCPR publication 96-0682 Clinical Practice Guideline No.2, 1996 Update.
go back to reference Abrams P. Assessment and treatment of urinary incontinence. Lancet 2000;355:2153-8.CrossRef
Abrams P. Assessment and treatment of urinary incontinence. Lancet 2000;355:2153-8.CrossRef
go back to reference Lagro-Janssen ALM, Debruyne FMJ, Smits AJA, Van Weel C. The effects of treatment of urinary incontinence in general practice. Family Practice 1992;9:284-9.CrossRefPubMed
Lagro-Janssen ALM, Debruyne FMJ, Smits AJA, Van Weel C. The effects of treatment of urinary incontinence in general practice. Family Practice 1992;9:284-9.CrossRefPubMed
go back to reference Berghmans LCM, Hendriks HJM, De Bie RA, Van Waalwijk van Doorn ESC, Bø K, Van Kerrebroeck PhEV. Conservative treatment of urge urinary incontinence in woman, a systematic review of randomized clinical trials. BJU 2000;85:254-63.CrossRef
Berghmans LCM, Hendriks HJM, De Bie RA, Van Waalwijk van Doorn ESC, Bø K, Van Kerrebroeck PhEV. Conservative treatment of urge urinary incontinence in woman, a systematic review of randomized clinical trials. BJU 2000;85:254-63.CrossRef
go back to reference DeLancey JOL. Genuine stress incontinence: Where are we now, where should we go? Am J Obste Gynecol 1996;175:311-9.CrossRef
DeLancey JOL. Genuine stress incontinence: Where are we now, where should we go? Am J Obste Gynecol 1996;175:311-9.CrossRef
go back to reference Grimby A, Milson I, Molander U, Wiklund I, Ekelund P. The influence of urinary incontinence on the QOL of elderly women. Age Ageing 1993;22:82-9.CrossRefPubMed
Grimby A, Milson I, Molander U, Wiklund I, Ekelund P. The influence of urinary incontinence on the QOL of elderly women. Age Ageing 1993;22:82-9.CrossRefPubMed
go back to reference Norton PA, MacDonald LD, Sedgwick PM, Stanton SL. Distress and delay associated with urinary incontinence, frequency and urgency in women. BMJ 1988;297:1187.CrossRefPubMed
Norton PA, MacDonald LD, Sedgwick PM, Stanton SL. Distress and delay associated with urinary incontinence, frequency and urgency in women. BMJ 1988;297:1187.CrossRefPubMed
go back to reference DeLancey JOL. Structural aspects of urethrovesical function in the female. Neurourol Urodyn 1988;7:509-19.CrossRef
DeLancey JOL. Structural aspects of urethrovesical function in the female. Neurourol Urodyn 1988;7:509-19.CrossRef
go back to reference Van Kampen M, De Weerdt W, Van Poppel H, Baert L. Urinary incontinence following transurethral, transvesical and radical prostatectomy. Acta Urologica Belgica 1997;65:1-7.PubMed
Van Kampen M, De Weerdt W, Van Poppel H, Baert L. Urinary incontinence following transurethral, transvesical and radical prostatectomy. Acta Urologica Belgica 1997;65:1-7.PubMed
go back to reference Van Kampen M, De Weerdt W, Van Poppel H, Feys H, Castell Campesino A, Stragier J, et al. Prediction of urinary continence following radical prostatectomy. Urologia Internationalis 1998;60:80-4.CrossRefPubMed
Van Kampen M, De Weerdt W, Van Poppel H, Feys H, Castell Campesino A, Stragier J, et al. Prediction of urinary continence following radical prostatectomy. Urologia Internationalis 1998;60:80-4.CrossRefPubMed
go back to reference Wilson PD, Bø K, Hay-Smith J, Nygaard I, Staskin D, Wyman J. Conservative treatment in women. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence. Plymouth: Health Publication, 2002:573-624.
Wilson PD, Bø K, Hay-Smith J, Nygaard I, Staskin D, Wyman J. Conservative treatment in women. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence. Plymouth: Health Publication, 2002:573-624.
go back to reference WHO. International Classification of Impairments, Activities and Participation: a manual of dimensions of disablement and functioning. Geneva, 1997.
WHO. International Classification of Impairments, Activities and Participation: a manual of dimensions of disablement and functioning. Geneva, 1997.
go back to reference Berghmans LCM, Hendriks HJM, Bø K, Hay-Smith, De Bie RA, Van Waalwijk van Doorn ESC. Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials. Br J Urol 1998b;82:181-91.PubMed
Berghmans LCM, Hendriks HJM, Bø K, Hay-Smith, De Bie RA, Van Waalwijk van Doorn ESC. Conservative treatment of stress urinary incontinence in women: a systematic review of randomized clinical trials. Br J Urol 1998b;82:181-91.PubMed
go back to reference Berghmans LCM, Frederiks CMA, De Bie RA, Weil EHJ, Smeets LWH, Van Waalwijk van Doorn ESC, et al. Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment for genuine stress incontinence. Neurourol Urodynam 1996;15:37-52.CrossRef
Berghmans LCM, Frederiks CMA, De Bie RA, Weil EHJ, Smeets LWH, Van Waalwijk van Doorn ESC, et al. Efficacy of biofeedback, when included with pelvic floor muscle exercise treatment for genuine stress incontinence. Neurourol Urodynam 1996;15:37-52.CrossRef
go back to reference Eriksen BC. Electrostimulation of the pelvic floor in female urinary incontinence [Proefschrift]. University of Trondheim, Norway, 1989.
Eriksen BC. Electrostimulation of the pelvic floor in female urinary incontinence [Proefschrift]. University of Trondheim, Norway, 1989.
go back to reference Bø K. Vaginal weight cones. Theoretical framework, effect on pelvic floor muscle strength and female stress urinary incontinence. Acta Obstet Gynecol Scand 1995;74:87.CrossRefPubMed
Bø K. Vaginal weight cones. Theoretical framework, effect on pelvic floor muscle strength and female stress urinary incontinence. Acta Obstet Gynecol Scand 1995;74:87.CrossRefPubMed
go back to reference Van Waalwijk van Doorn ESC, Ambergen AW. Diagnostic assessment of the overactive bladder during the filling phase: the detrusor activity index. Br J Urol 1999;83(suppl 2):16-21.
Van Waalwijk van Doorn ESC, Ambergen AW. Diagnostic assessment of the overactive bladder during the filling phase: the detrusor activity index. Br J Urol 1999;83(suppl 2):16-21.
go back to reference Berghmans LCM, Van Waalwijk van Doorn ESC, Nieman FHM, De Bie RA, Van den Brandt PA, Van Kerrebroeck PhEV. Efficacy of physical therapeutic modalities in women with proven bladder overactivity. Eur Urol 2002;41:581-8.CrossRefPubMed
Berghmans LCM, Van Waalwijk van Doorn ESC, Nieman FHM, De Bie RA, Van den Brandt PA, Van Kerrebroeck PhEV. Efficacy of physical therapeutic modalities in women with proven bladder overactivity. Eur Urol 2002;41:581-8.CrossRefPubMed
go back to reference Yamanishi T, Yasuda K, Sakakibara R, Hattori T, Suda S. Randomized, double blind study of electrical stimulation for urinary incontinence due to detrusor overactivity. Urology 2000;55:353-7.CrossRefPubMed
Yamanishi T, Yasuda K, Sakakibara R, Hattori T, Suda S. Randomized, double blind study of electrical stimulation for urinary incontinence due to detrusor overactivity. Urology 2000;55:353-7.CrossRefPubMed
go back to reference Bø K, Berghmans LCM. Nonpharmacologic treatments for overactive bladder – Pelvic floor exercises. Urology 2000;55(suppl. 5a):7-11.CrossRefPubMed
Bø K, Berghmans LCM. Nonpharmacologic treatments for overactive bladder – Pelvic floor exercises. Urology 2000;55(suppl. 5a):7-11.CrossRefPubMed
go back to reference Houston KA. Incontinence and the older woman. Clin Geriatr Med 1993;9:157-71.PubMed
Houston KA. Incontinence and the older woman. Clin Geriatr Med 1993;9:157-71.PubMed
go back to reference Wyman JF, Fantl JA, McClish DK, Bump RC. Comparative efficacy of behavioural interventions in the management of female urinary incontinence. Continence program for women Research Group. Am J Obstet Gynecol 1998;179:999-1007.CrossRefPubMed
Wyman JF, Fantl JA, McClish DK, Bump RC. Comparative efficacy of behavioural interventions in the management of female urinary incontinence. Continence program for women Research Group. Am J Obstet Gynecol 1998;179:999-1007.CrossRefPubMed
go back to reference Ceresoli A, Zanetti G, Trinchieri A, Seveso M, Del Nero A, Meligrana C, et al. Stress urinary incontinence after perineal radical prostatectomy. Arch Ital Urol Androl 1995;67:207-20.PubMed
Ceresoli A, Zanetti G, Trinchieri A, Seveso M, Del Nero A, Meligrana C, et al. Stress urinary incontinence after perineal radical prostatectomy. Arch Ital Urol Androl 1995;67:207-20.PubMed
go back to reference Van Kampen M, De Weerdt W, Van Poppel H, De Ridder D, Feys H, Baert L. The effect of pelvic floor re-education on duration and degree of incontinence after radical prostatectomy: a randomised controlled study. Lancet 2000;355:98-102.CrossRefPubMed
Van Kampen M, De Weerdt W, Van Poppel H, De Ridder D, Feys H, Baert L. The effect of pelvic floor re-education on duration and degree of incontinence after radical prostatectomy: a randomised controlled study. Lancet 2000;355:98-102.CrossRefPubMed
Metagegevens
- Titel
- Bekkenfysiotherapie bij onvrijwillig urineverlies
- Auteurs
-
Bary Berghmans
dr. Marga IJland
dr. Gommert van Koeveringe
dr. Ron Winkens
prof.dr. Philip Van Kerrebroeck
- Publicatiedatum
- 01-03-2003
- Uitgeverij
- Bohn Stafleu van Loghum
- DOI
- https://doi.org/10.1007/BF03083544