The urethral support system during pregnancy and after childbirth

Pelvic floor dysfunction in women is a major health problem. Symptoms are protrusion of vaginal tissue, voiding difficulties, urinary incontinence, stool problems and sexual dysfunction. Many of these women may eventually require surgery for pelvic floor dysfunction, especially for prolaps and urinary incontinence. This thesis focuses on urinary incontinence and especially on the etiological aspects of pregnancy and childbirth. In a community survey MacLennan reported a prevalence of all types of self-reported urinary incontinence in women is 35.3%. Urinary incontinence increased after pregnancy according to parity and age. The highest prevalence (51.9%) is reported in women aged 70-74 years.

	Title and contents
	Korte Nederlandse samenvatting
	Chapter 1
	Chapter 2
	Chapter 3
	Chapter 4
	Chapter 5
	Chapter 6
	Chapter 7
	Nawoord
	Curriculum vitae
	Stellingen
	Complete thesis

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