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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    International urogynecology journal 9 (1998), S. 187-188 
    ISSN: 1433-3023
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International urogynecology journal 6 (1995), S. 187-194 
    ISSN: 1433-3023
    Keywords: Biofeedback ; Electrical stimulation ; Nonsurgical therapy ; Physiotherapy ; Urinary incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of the study was to evaluate the effectiveness of in-office physiotherapy for stress, mixed and urge incontinence. All subjects underwent urodynamics. Those with stress incontinence received pressure biofeedback pelvic floor exercises and electrical stimulation. Those with detrusor instability and mixed incontinence received bladder drills, anticholinergic medications, electrical stimulation and pressure biofeedback pelvic floor exercises. All those with atrophic vaginitis received vaginal estrogen. Weekly treatment sessions for 4 weeks and then monthly for 2 months were directed by a trained gynecologic nurse. Weekly bladder diaries were kept. Outcome measures included diary-recorded incontinence episodes and subjective reporting of continence. One hundred and four women completed the program. Weekly incontinence episodes decreased from 22 to 2 (〈0.05) in both stress and detrusor instability/mixed incontinence groups. An average of 4.5 sessions over 6.1 weeks was necessary for optimal response; 86% reported subjective improvement. It was concluded that multimodality treatment of incontinence leads to a 90% reduction in incontinence episodes. The relative contribution of each treatment modality requires further study.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    International urogynecology journal 5 (1994), S. 25-30 
    ISSN: 1433-3023
    Keywords: Ambulatory urodynamics ; Bladder holter ; Urge incontinence ; Urodynamics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The identification of bladder instability is essential for the appropriate treatment of incontinent women. In-office stationary urodynamics may miss up to 50% of unstable bladder diagnoses. Multichannel microtip transducer ambulatory urodynamics were performed on 27 women with urgency-associated urinary incontinence, utilizing two commercially produced systems. All the women had previously undergone inoffice multichannel testing. An additional 12 cases of bladder instability were identified. Three cases of bladder instability were confirmed. Satisfactory monitoring was performed for a period of up to 8 hours. Problems with catheter migration/expulsion and timer correlation led to diagnostic difficulties, especially as related to urethral pressure tracings. Essentially a bladder ‘holter’ monitor, ambulatory monitoring can augment the diagnostic accuracy of cystometric testing. This technique should reach widespread acceptance as a useful complement to current diagnostic tools.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1433-3023
    Keywords: Key words:Obstructive device – Quality of life – Stress incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: The aim of the study was to evaluate the efficacy, safety and effect on quality of life of the Reliance urinary control insert (Uromed Corp., Needham, MA) in women with genuine stress incontinence. Efficacy was evaluated at baseline and at the end of the 12-month study period by standardized pad-weight studies and by rating scales measuring acceptability, incontinence symptom improvement, ease of learning, comfort and time to habituation, recorded in diaries at monthly intervals in 63 women. The SF-36 Health Survey questionnaire was used to assess quality of life status at baseline without the device and after 12 months of device use. A significant decrease in urine loss at 12 months compared with baseline was shown by standardized pad-weight studies, with and without the device in situ. Urine loss was reduced by more than 80% in 91% of the 63 patients, and 79% were completely dry. Patient diaries showed significant improvement in control of leakage, comfort, and ease of device use during the study period. Short-term-36 Health Status data also indicated significant improvement in the physical functioning score at 12 months. Urinary tract infection and hematuria were the most common adverse effects. The Reliance urinary control insert is an efficacious and safe means of controlling genuine stress incontinence in women. The device was perceived as easy to use and comfortable for these 63 women, and resulted in improved quality of life.
    Type of Medium: Electronic Resource
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