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  • 1
    Electronic Resource
    Electronic Resource
    The anisotropic nature of urethral occlusive forces (1985)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 92 (1985), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. A newly-developed unidirectional force gauge was used to demonstrate that the urethral occlusive forces are unequal around the circumference of the female urethra. In the proximal two-thirds of the urethra significantly greater forces are exerted in the anterior position compared with those exerted in the lateral and posterior positions. By contrast the occlusive forces in the distal third of the urethra are greater in the posterior and lateral positions than in the anterior position. These findings hold true for both women with normal and abnormal urinary control. Rotational variations have previously been reported but have been thought to be artefact due to catheter stiffness; this study shows that rotational variations are genuine and not due to artefact.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1985.tb04876.x
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Prevalence of faecal incontinence among women with urinary incontinence (1999)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 106 (1999), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1999.tb08170.x
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The role of partial denervation of the pelvic floor in the aetiology of genitourinary prolapse and stress incontinence of urine. A neurophysiological study (1989)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 96 (1989), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. Single-fibre electromyography of the pubococcygeus muscle of the pelvic floor was performed in 69 asymptomatic women and 105 women with stress incontinence of urine or genitourinary prolapse or both. The results suggest that partial denervation of the pelvic floor with subsequent reinnervation is a normal accompaniment of ageing and is increased by childbirth. Women with stress incontinence of urine or genitourinary prolapse or both have a significant increase in denervation of the pelvic floor compared with asymptomatic women.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1989.tb01571.x
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    The role of pudendal nerve damage in the aetiology of genuine stress incontinence in women (1989)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 96 (1989), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. Conduction was studied in the terminal branches of the pudendal nerve in 42 women with normal urinary control and 87 women with stress incontinence of urine, genitourinary prolapse, or both. Women with stress incontinence of urine had delayed conduction to both the striated urethral muscle and the pelvic floor muscle, indicative of dcnervation injury. Women with normal urinary control and genitourinary prolapse had similar conduction times to the urethral sphincter striated muscle as normal women but clear evidence of denervation damage to the pelvic floor.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1989.tb01572.x
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Pelvic floor damage and childbirth: a neurophysiological study (1990)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 97 (1990), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Summary. Ninety six nulliparous women were investigated to establish whether childbirth causes damage to the striated muscles and nerve supply of the pelvic floor. The techniques used were concentric needle electromyography (EMG), pudendal nerve conduction tests and assessment of pelvic floor contraction using a perineometer. There was EMG evidence of re-innervation in the pelvic floor muscles after vaginal delivery in 80% of those studied. Women who had a long active second stage of labour and heavier babies showed the most EMG evidence of nerve damage. Forceps delivery and perineal tears did not affect the degree of nerve damage seen. We conclude that vaginal delivery causes partial denervation of the pelvic floor (with consequent re-innervation) in most women having their first baby. In a few this is severe and is associated with urinary and faecal incontinence. For some it is likely to be the first step along a path leading to prolapse and/or stress incontinence.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1990.tb02570.x
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Commentary. Detrusor instability—current management (1991)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 98 (1991), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1991.tb10328.x
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    A new condition-specific health-related quality of life questionnaire for the assessment of women with anal incontinence (2001)
    Oxford, UK : Blackwell Science Ltd
    BJOG 108 (2001), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective To design and validate a condition-specific health-related quality of life questionnaire for the assessment of women with anal incontinence.Design A psychometric study by postal survey.Setting South Manchester University Hospital, UK.Sample Two hundred and twenty women with known anal incontinence.Method The questionnaire was adapted from the King's Health Questionnaire, a condition-specific health-related quality of life questionnaire for the assessment of women with urinary incontinence. The questionnaire was then tested for acceptability, reliability and validity by postal survey.Results The Manchester Health Questionnaire was found to be highly acceptable to women and showed excellent internal consistency, test–retest reliability, criterion and construct validity.Conclusion The questionnaire is both a valid and reliable instrument for the assessment of health-related quality of life among women with anal incontinence. It will be useful in many different clinical settings and be of practical use in the evaluation of women after childbirth. As the good response rates show it could be a successful part of a postal survey.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.2001.00245.x
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    An Evaluation of the Efficacy of In-Patient Bladder Retraining (2000)
    Springer
    International urogynecology journal 11 (2000), S. 271-276 
    Details
    ISSN: 1433-3023
    Keywords: Key words: Bladder retraining – Detrusor instability
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: This is a retrospective review of 50 consecutive patients with urinary frequency, urgency and urge incontinence, admitted in 1995 and early 1996 for bladder retraining in the form of timed voiding. At discharge 80% of the women were subjectively cured or satisfactorily improved, but this was significantly reduced to 32% of the 37 who replied to a postal survey between 12 and 29 months (mean interval 21.3 months) later. There were no significant associations between outcome and urodynamic diagnosis, reduced cystometric capacity, length of symptomatology, previous treatment or requirement for additional therapy, but this may have been in part due to small numbers. In conclusion, bladder retraining is a method of treatment for patients with both sensory urgency and detrusor instability which appears to be at least as successful as other modes of treatment for these conditions.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/PL00004027
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    Paper (German National Licenses)
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