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  • 1
    Electronic Resource
    Electronic Resource
    Fascia lata sling cystourethropexy for the management of female urinary incontinence (1998)
    Springer
    International urogynecology journal 9 (1998), S. 165-173 
    Details
    ISSN: 1433-3023
    Keywords: Fascia lata ; Pubovaginal sling ; Surgery ; Urinary incontinence ; Women
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Pubovaginal sling cystourethropexy has rapidly become one of the primary surgical treatment options for women with urinary incontinence. The procedure has evolved over time with regard to clinical indications, patient selection criteria and surgical techniques. This article reviews the historical development of pubovaginal sling cystourethropexy, including recent technical advances. The selection of graft materials is considered and the utility of fascia lata emphasized. Clinical results and potential complications of the procedure are also reviewed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02001087
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    The contemporary clinical treatment of female stress incontinence (1994)
    Springer
    International urogynecology journal 5 (1994), S. 112-118 
    Details
    ISSN: 1433-3023
    Keywords: Management ; Pathogenesis ; Stress incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Genuine stress incontinence is a common problem whose pathogenesis stems from an anatomical defect of the bladder neck and proximal urethra. After correct investigation treatment can be instigated which will ensure a successful outcome. Contemporary management is reviewed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00375825
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    The investigation of female stress incontinence (1994)
    Springer
    International urogynecology journal 5 (1994), S. 119-124 
    Details
    ISSN: 1433-3023
    Keywords: Investigation ; Pathogenesis ; Stress incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Genuine stress incontinence is a common problem whose pathogenesis stems from a disturbance of the normal anatomy and innervation of the bladder neck and proximal urethra. A thorough understanding of this, as well as a methodical and logical investigation of the problem, will ensure correct patient selection and achieve a good long-term cure. The authors present a discussion of stress incontinence and its investigation.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00375827
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Treatment of stress urinary incontinence with artificial urinary sphincter (1994)
    Springer
    International urogynecology journal 5 (1994), S. 168-174 
    Details
    ISSN: 1433-3023
    Keywords: Artificial urinary sphincter ; Female incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Stress urinary incontinence in women is usually due to either urethral hypermobility or intrinsic urethral weakness. Stress incontinence due to urethral hypermobility is usually cured with a cystourethropexy. That due to intrinsic urethral weakness, however, requires either periurethral injection, sling cystourethropexy or placement of an artificial urinary sphincter to achieve reasonable success rates. The artificial urinary sphincter has been used since 1972. Many modifications have been made to the original device, culminating in the currently available device, the AS-800, made by American Medical Systems. This paper reviews patient selection, surgical technique and complications of artificial urinary sphincter placement in the treatment of women with intrinsic urethral weakness (type III incontinence).
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00386632
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Complications of incontinence surgery (1994)
    Springer
    International urogynecology journal 5 (1994), S. 353-360 
    Details
    ISSN: 1433-3023
    Keywords: Complications ; Incontinence procedures
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Knowledge of the complications which may result from surgical procedures for stress urinary incontinence is important for appropriate preoperative counselling. Complications addressed in this article include failure to cure incontinence, bleeding, infection, intraoperative damage to viscera, voiding dysfunction, osteitis pubis, nerve injuries, sling erosion, genital prolapse and dyspareunia.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00418699
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Uncommon causes of irritative lower urinary tract symptoms (1995)
    Springer
    International urogynecology journal 6 (1995), S. 271-276 
    Details
    ISSN: 1433-3023
    Keywords: Abacterial cystitis ; Cystitis ; Interstitial cystitis ; Irritative voiding symptoms ; Painful bladder ; Urethral syndrome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Bladder symptoms accompanying a spectrum of disorders, ranging from urethral syndrome to interstitial cystitis, may be caused by potentially reversible factors. Some non-steroidal anti-inflammatory agents, particularly tiaprofenic acid, can cause frequency, urgency and suprapubic pain which is reversed upon discontinuing the medication. Anabolic steroids and GnRH agonists can on occasion cause bladder i irritability. Approximately half of women with bladder endometriosis have frequency and dysuria, usually without hematuria. Mycoplasma, ureaplasma and chlamydia are all associated with urethral syndrome. Cystitis may be caused by herpes simplex virus, herpes zoster, human T-lymphotrophic virus type 1, cytomegalovirus, toxoplasma and candida. Some work-related toxins may cause bladder effects without neoplasm. Foods high in tyrosine, tyramine and aspartate may exacerbate painful bladder syndrome. A search for potential non-bacterial sources of irritative lower urinary tract symptoms is warranted in evaluating women with such symptoms.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01901523
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    Perceived self-efficacy as a predictor of outcome of pelvic muscle exercises in the treatment of urinary incontinence (1995)
    Springer
    International urogynecology journal 6 (1995), S. 262-266 
    Details
    ISSN: 1433-3023
    Keywords: Behavioral treatment ; Pelvic muscle exercises ; Self-efficacy ; Urinary incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Perceived self-efficacy (a person's confidence in her ability to perform a specific behavior in a specific situation) is a powerful mediator of health behavior changes in many areas. Despite the increasing attention paid to behavioral therapies for urinary incontinence, perceived self-efficacy has been largely overlooked. This preliminary study was conducted to evaluate the relationship between perceived self-efficacy and the treatment outcome of pelvic muscle exercises. Seventy-one women enrolled in a study assessing the outcome of a 3-month course of pelvic floor muscle exercises completing a self-efficacy questionnaire, which was administered at baseline and 3 weeks into treatment. Sixty-three of the women completed the questionnaire at 3 weeks. The primary outcome measure was number of incontinent episodes per day, as reported on a 3-day voiding diary. We defined improvement as ≥50% reduction in the number of incontinent episodes. There was a negative relationship between self-efficacy expectations at baseline and treatment outcome (r=−0.402). There was a trend toward a relationship between increases in self-efficacy between baseline and 3 weeks and improved treatment outcome (r=0.312,P〈0.07). We examined behavioral factors which might affect exercise continuation, and found that both inaccessibility for telephone follow-up calls and incompletely recorded baseline voiding diary were associated with a higher dropout rate. Our preliminary results, then, are mixed, as we found no relationship between high initial self-efficacy and treatment outcome, but did find a possible association between increases in self-efficacy perception and treatment outcome. Self-efficacy may be another piece in the puzzle of how to improve outcome for non-surgical incontinence treatments, but it needs more evaluation. Our research suggests that healthcare providers should not be reticent to recommend a course of pelvic muscle exercises for those patients who express poor perceived self-efficacy at the outset of treatment. In addition, an incomplete or partially completed voiding diary should serve as a warning that a patient may be a suboptimal candidate for behavioral therapy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01901521
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    Paper (German National Licenses)
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