Urogyn盲kologische Probleme bei Frauen im Alter

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• 作者：Dr. A. Gatzweiler (1) (2)
  S. A. Sch眉ttoff (1)
  W. Distler (1)
  
• 关键词：Postmenopause ; Urogenitale Atrophie ; Harndrang ; Harninkontinenz ; Genitaldeszensus ; Postmenopause ; Urogenital atrophy ; Urgency ; Urinary incontinence ; Genital prolapse
• 刊名：Der Gyn?kologe
• 出版年：2005
• 出版时间：December 2005
• 年：2005
• 卷：38
• 期：12
• 页码：1057-1064
• 全文大小：687KB
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• 作者单位：Dr. A. Gatzweiler (1) (2)
  S. A. Sch眉ttoff (1)
  W. Distler (1)
  
  1. Klinik und Poliklinik f眉r Frauenheilkunde und Geburtshilfe, Universit盲tsklinikum Carl Gustav Carus, Dresden
  2. Klinik und Poliklinik f眉r Frauenheilkunde und Geburtshilfe, Universit盲tsklinikum Carl Gustav Carus, Fetscherstra脽e 74, 01307, Dresden
  

文摘

Postmenopausal estrogen deficiency leads to morphologic, anatomical and functional changes to the urogenital system. The most commonly resulting problems are urogenital atrophy, recurrent urinary tract infections, urgency, urinary incontinence, and genital prolapse. These pathologic conditions restrict the quality of daily life in the women affected and also their social life, and can lead to a number of secondary problems. In addition to the general processes of aging, comorbidities and concurrernt medications also have effects on the urogenital tract and should be taken into account. In most cases basic diagnostic procedures are sufficient. The therapy is based on conservative approaches in elderly women, and topical estrogen application has a key role. If operative procedures are planned, however, a more extensive urogynecological workup of the patients concerned is advisable.