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https://www.leopoldina-krankenhaus.co... In this edition, Prof. Dr. med. Michael Weigel, chief physician of the Department of Gynecology and Obstetrics at the Leopoldina Hospital in Schweinfurt, provides information on the taboo subject of bladder weakness and prolapse symptoms. Like bladder weakness, prolapse symptoms typically occur in women and are caused by a weakening of the pelvic floor. The pelvic floor consists of muscles, tendons and a ligament structure that closes the bony pelvis at the bottom. A natural passage must be provided for the urethra and rectum. In women, there must also be space left open for the vagina. The problem with this is that a child's head can fit through if necessary, but then everything has to hold together tightly again. Prolapse symptoms first become noticeable as pressure in the abdomen or lower back after standing for a long time. If there is further prolapse, something presses against the vaginal opening from the inside, and in extreme cases the patient sits on the organs that are actually supposed to be held in place by the pelvic floor. Bladder weakness and prolapse problems can also occur at the same time. A general risk factor is weak connective tissue, being overweight and smoking. In men, bladder weakness is usually overflow incontinence, also known as an overflow bladder. This often occurs when the prostate presses on the urethra. Other causes can also be neurological or caused by bladder diseases. Urge incontinence is mainly treated with medication. In the case of stress incontinence, surgery is the last resort after reducing the risk factors and using classic therapy measures such as physiotherapy. A patient should always go to the doctor as soon as they are personally suffering.