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  • 1
    Electronic Resource
    Electronic Resource
    Perinealsonographie (1993)
    Springer
    Archives of gynecology and obstetrics 254 (1993), S. 501-503 
    Details
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zusammenfassung 1. Die Perinealsonographie ist im Routinebetrieb der Kolpozystographie in der Aussagekraft gleichzusetzen. 2. Die Perinealsonographie stellt für die Patientin eine geringere Belastung dar als die seitliche Kolpozystographie. 3. Bei entsprechender Erfahrung des Untersuchers ist die Reproduzierbarkeit gegeben.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02266085
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Operative Behandlung der Stressinkontinenz bei Totalprolaps des Uterus (1993)
    Springer
    Archives of gynecology and obstetrics 254 (1993), S. 507-508 
    Details
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02266089
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Urethral profilometry in women with uterovaginal prolapse (1995)
    Springer
    International urogynecology journal 6 (1995), S. 10-13 
    Details
    ISSN: 1433-3023
    Keywords: Urethral profilometry ; Uterovaginal prolapse
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of the study was to investigate the continence mechanism in women with uterovaginal prolapse by analysing urethral pressure profiles. Twenty-four women (mean age 59.0±11.9 years, mean parity 3.1±1.6) with prolapse underwent urodynamic evaluation. Urethral pressure profiles were obtained with prolapse and after reduction of the prolapse with a swab stick in the posterior vaginal fornix. After reduction the maximum urethral closure pressure (MUCP) and pressure transmission ratios (PTR) in all four quartiles of the urethra decreased, the position of the MUCP was shifted proximally and the functional urethral length was increased. Thirteen women reported a history of continence and 11 reported incontinence. Ten of 13 women (77%) who reported continence with prolapse were incontinent with their prolapse reduced. In these women, MUCP and PTRs in the first three quartiles of the urethra decreased significantly upon prolapse reduction. In the patients who reported incontinence with prolapse, only the MUCP decreased significantly upon prolapse reduction. Comparisons between the historically continent and incontinent women showed a statistically significant difference only for PTRs in the second and third quartiles of the urethra before prolapse reduction. Because the position of maximum urethral closure pressure before reduction was located in the distal half of the urethra in all patients, we conclude that direct pressure of the prolapsed mass on the urethra (rather than kinking) is the mechanism masking incompetence of the urethral closure mechanism in women with uterovaginal prolapse. The 77% rate of latent incontinence in this series suggests that women with severe pelvic relaxation should undergo careful urogynecologic evaluation before an attempt at surgical correction.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01961841
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Die Bedeutung der hypotonen Urethra in der operativen Therapie der Stressinkontinenz (1993)
    Springer
    Archives of gynecology and obstetrics 254 (1993), S. 498-500 
    Details
    ISSN: 1432-0711
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Schlußfolgerung 1. Die Ergebnisse nach Inkontinenzoperationen bei hypotoner Urethra können nur bei einheitlicher Definition verglichen werden. 2. Die Erfolgsrate bei hypotoner Urethra ist vom Operationsverfahren abhängig. 3. Operationsmethoden, die am paraurethralen Gewebe angreifen, sind bei hypotoner Urethra kontraindiziert. 4. Eine hypotone Urethra weist eine signifikant kürzere funktionelle Urethralänge auf als eine normotone Urethra. 5. Nur bei präoperativer Bestimmung einer hypotonen Urethra kann ein adäquates Operationsverfahren gewählt werden.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02266083
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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