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  • Actinomycosis  (1)
  • Female  (1)
  • Maximum urethral closure pressure  (1)
  • 1
    ISSN: 1433-3023
    Keywords: Genuine stress urinary incontinence ; Maximum urethral closure pressure ; Pressure transmission ratio ; Recurrent stress urinary incontinence ; Urethral functional length
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In this study 272 patients with genuine stress urinary incontinence (GSUI) were initially considered. Of these, 247 were divided into three groups based on: positive history for GSUI (group 1); positive history and clinical examination for GSUI (group 2); and positive history, clinical examination, and cough urethral pressure profile for GSUI (group 3). When compared with a group of 30 normal women (control group) the values for the urethral functional length (FL) and the maximum urethral closure pressure (MCUP) decreased progressively from group 1 to group 3. The pressure transmission ratio (PTR) was signficantly lower only in group 3. Tonometric values calculated for a group of 25 patients with GSUI recurring afterprevious surgical correction (group 4) were found to be comparable with group 3. These patients with recurrent GSUI had a FL decreased to 70% and a MCUP decreased to 48% of the normal values. The PTR was maintained at a normal value of 97% in patients with degree I recurrence, but was decreased to 68% in patients with degree II–III recurrence having the most severe impairment of the periurethral environment.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 6 (1996), S. 670-673 
    ISSN: 1432-1084
    Keywords: Actinomycosis ; Intrauterine devices ; Peritonitis ; CT
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Abdominal actinomycosis is a severe and progressive peritoneal infection, due to an anerobic gram-positive bacterium, Actinomyces israelii. The presence of a long-standing intrautrine device (IUD) is a well-known risk factor in young women. We report two cases of pelviperitoneal actinomycosis appearing in two young women with acute low abdominal pain. Abdominal CT demonstrated multiple solid or encapsulated peritoneal masses with marked contrast enhancement and infiltration of the adjacent mesentric fat. Laparoscopy confirmed the presence of intraperitoneal abscesses which contained Actinomyces israelii. High doses of amoxicillin and clavulanic acid (Augmentine) were given and following CT scan after 2 and 6 weeks showed a slow, but complete, resolution of the lesions. Although the radiologic presentation of actinomycosis is nonspecific, the diagnosis should be raised in the presence of pseudotumoral mesenteric infiltration, particularly in young women with an IUD. Abdominal CT is a useful method for diagnosis and for follow-up.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    International urogynecology journal 3 (1992), S. 2-7 
    ISSN: 1433-3023
    Keywords: Catheter ; Female ; Incontinence ; Obstruction ; Urodynamics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The importance of catheter diameter in causing inaccurate urethral pressure profile recordings was assessed with the aid of a special, dual diameter catheter. Cough pressure profiles obtained in premenopausal and postmenopausal incontinent patients were compared with control groups. The urethral functional length (FL) and pressure transmission ratio (PTR) did not change. The maximal urethral closing pressure (MUCP) decreased with the smaller catheter only in incontinent patients. Similarly, a decreased urethral surface at rest (USR) was observed for incontinent groups. Continent patients showed no modification of MUCP or USR with change in catheter diameter. The occlusive effect of the catheter was high (21 cmH2O) in incontinent patients and less in continent patients (5 cmH2O). The part played by the occlusive effect of the catheter may therefore be evaluated and considered an element explaining artificially high MUCP that do not reflect clinical reality in certain patients. This occurs most often in incontinent patients due to curvature of the catheter during coughing.
    Type of Medium: Electronic Resource
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