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[Female stress incontinence: aspects of pathogenesis and functional anatomy]
Annette Kohler1, Ruth Kirschner-Hermanns1,2, Manfred Staat3
1Zentrum für Kontinenz und Neuro-Urologie, Urologische Klinik, Universitätsklinikum Bonn, Rheinische Friedrich-Wilhelms Universität.
Abstract:
This article focuses on female stress incontinence in the form of pelvic floor dysfunction and urethral sphincter deficiency, although isolated stress incontinence accounts for less than half of all incontinence cases. Especially in women of old age and those with neurological comorbidities, the causes of incontinence are mostly multifactorial. Also it has to be considered that the female bladder, urethra, uterus and rectum as well as the muscular and ligamentous structures of the female pelvis minor are affected by phases of fertility, possible pregnancies, births and menopause in addition to the normal ageing process.
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