Beckenbodenschwächen

Beckenbodenschwächen, also known as pelvic floor weakness, refers to a condition where the muscles of the pelvic floor become weakened or damaged. The pelvic floor is a group of muscles located at the base of the pelvis that supports the pelvic organs, including the bladder, uterus (in women), and rectum. Weakening of these muscles can lead to various issues.

Common symptoms of pelvic floor weakness include urinary incontinence, which is the involuntary leakage of urine, and fecal incontinence, the inability to control bowel movements. In women, prolapse can occur, where one or more of the pelvic organs descend from their normal position into or out of the vagina. This can manifest as a feeling of pressure or a bulge in the pelvic area. Sexual dysfunction, such as pain during intercourse or reduced sensation, can also be a consequence.

Several factors can contribute to pelvic floor weakness. Childbirth, particularly vaginal delivery, is a significant cause due to the stretching and potential tearing of the muscles and supporting tissues. Hormonal changes during menopause can also reduce muscle tone. Aging, chronic coughing, heavy lifting, and obesity can place increased strain on the pelvic floor muscles, leading to their weakening over time.

Diagnosis typically involves a physical examination, including an internal pelvic exam. Medical history and symptom reporting are also crucial. Treatment options vary depending on the severity of the weakness and the specific symptoms. Pelvic floor muscle training, often referred to as Kegel exercises, is a primary non-surgical approach. Physical therapy can also be beneficial. In more severe cases, surgical interventions may be considered to repair damaged tissues or support prolapsed organs. Lifestyle modifications, such as weight management and avoiding straining, can help manage and prevent the worsening of symptoms.