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  • 1
    Electronic Resource
    Electronic Resource
    Selection of Treatment for Patients with Stress Incontinence (1999)
    Springer
    International urogynecology journal 10 (1999), S. 213-214 
    Details
    ISSN: 1433-3023
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001920050047
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Transvaginal electrical stimulation in the treatment of genuine stress incontinence and detrusor instability (1993)
    Springer
    International urogynecology journal 4 (1993), S. 9-13 
    Details
    ISSN: 1433-3023
    Keywords: Electrical stimulation ; Urinary incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Electrical stimulation has been widely used in Europe to treat incontinence, but original studies and overall use of the device has been limited in North America. Forty-five patients with documented genuine stress incontinence, detrusor instability or mixed incontinence had self-administered therapy for 15 minutes twice daily, for a duration of 6 weeks. Treatment was delivered by a new stimulation device with an attached vaginal probe. Patients recorded treatment times, leak episodes and pad use. Objective measures included a pad test, standing stress test, standing CMG, and resting and dynamic urethral closure pressure profiles. The subjective success rates based on a questionnaire were 71% for genuine stress incontinence, 70% for detrusor instability, and 52% for combined incontinence. Objective testing for both types of incontinence did not show significant improvement after treatment. Four patients reported pain during use of the device, but most wished to continue the device in preference to other therapy.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00372801
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  • 3
    Electronic Resource
    Electronic Resource
    Laparoscopic Burch procedure (1993)
    Springer
    International urogynecology journal 4 (1993), S. 253-254 
    Details
    ISSN: 1433-3023
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00372728
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Urethral closure pressure profiles in the standing position: Are they necessary? (1995)
    Springer
    International urogynecology journal 6 (1995), S. 343-345 
    Details
    ISSN: 1433-3023
    Keywords: Sitting position ; Urethral closure pressure profile
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of the study was to assess the sensitivity for urodynamic abnormalities of both static and dynamic urethral closure pressure profiles done in the sitting and standing positions. Multichannel urethral closure pressure profilometry (UCPP) was performed on 21 patients complaining of stress incontinence. Two clinical groups were identified, those with mild to moderate and those with severe incontinence. The parameters of both the static and the dynamic UCPPs obtained in the sitting and standing positions were compared for sensitivity to urodynamic abnormalities. Non-parametric statistical methods were used (Wilcoxon signed rank test; Mann-Whitney test.) No statistically significant differences were found in the mean maximum urethral closure pressures (MUCPs) in the two positions. Patients with a clinical diagnosis of severe incontinence had decreased MUCPs in both positions. It was therefore concluded that the urethral closure pressure profile may be measured in the sitting position without compromising the results.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01892741
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    The contribution of urethrocystoscopy to evaluation of lower urinary tract dysfunction in women (1996)
    Springer
    International urogynecology journal 7 (1996), S. 307-311 
    Details
    ISSN: 1433-3023
    Keywords: Cystoscopy ; Intrinsic sphincter deficiency ; Urethrocystoscopy ; Urethroscopy ; Urodynamics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study was to determine whether the evaluation of lower urinary dysfunction with urodynamics and urethrocystoscopy provides unique information that is missed by urodynamics alone. Eighty-four women underwent multichannel urodynamics and urethrocystoscopy. Retrospective analysis included evaluation of the relationships between lower urinary tract lesions and risk factors using χ2 and Fisher's exact tests. Urethrocystoscopic findings changed the diagnosis and managment in 6 patients. New urethrocystoscopic findings included papillary transitional-cell carcinoma, cystitis glandularis, an intravesical suture and a urethral diverticulum. Clinical parameters were not predictive of these findings. Urethrocystoscopic findings also contributed to the final diagnosis in 10 patients with intrinsic sphincter deficiency. Considered alone, maximum urethral closure pressure ≤20 cm H2O had a sensitivity of only 20% and a positive predictive value of 40% for this diagnosis. Urodynamics without urethrocystoscopy would have missed important diagnoses in 19% of women. Urethrocystoscopy and urodynamics complement one another, and both have a role in the evaluation of women with lower urinary tract dysfunction.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01901104
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  • 6
    Electronic Resource
    Electronic Resource
    Review of current literature (1990)
    Springer
    International urogynecology journal 1 (1990), S. 36-44 
    Details
    ISSN: 1433-3023
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00373607
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    Concurrent genuine stress incontinence and detrusor instability (1990)
    Springer
    International urogynecology journal 1 (1990), S. 128-131 
    Details
    ISSN: 1433-3023
    Keywords: Genuine stress incontinence ; Detrusor instability
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Forty-six patients with both genuine stress incontinence (GSI) and detrusor instability (DI), as determined by urodynamic evaluation, were treated with medication or surgery and followed for 6 months. It was found that 60% responded favorably to medical therapy with imipramine hydrochloride, oxybutynin chloride, or dicyclomine hydrochloride. Surgery for stress incontinence was performed in 24 patients, including 17 started initially on medication. Surgical cure was achieved in 38% of these 24 patients, and a further 29% of the surgical group were cured with additional drug therapy. Overall, 85% of patients responded favorably to medication and/or surgery. Patients with combined GSI and DI require detailed urodynamics and may be candidates for surgery, in spite of the coexistent DI.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00376595
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    The pathophysiology of genuine stress incontinence (1990)
    Springer
    International urogynecology journal 1 (1990), S. 12-18 
    Details
    ISSN: 1433-3023
    Keywords: Pathophysiology ; Stress incontinence ; Urinary incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Urinary continence in the female is maintained as long as intraurethral pressure exceeds bladder pressure. The elements which maintain this condition at rest and during stress include: internal urethral sphincter, external urethral sphincter, anatomic support of the urethrovesical junction, and intact innervation. Urethral junction and presence of genuine stress incontinence may be best assessed by measurement of resting and stress urethral closure pressure profiles using multichannel urodynamic testing. The findings subsequent to urethral closure pressure profilometry influence the kind of therapy selected, including types of surgery, when this treatment option is chosen.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00373603
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  • 9
    Electronic Resource
    Electronic Resource
    Leak-Point Pressure: Clinical Application of Values at Two Different Volumes (2000)
    Springer
    International urogynecology journal 11 (2000), S. 136-141 
    Details
    ISSN: 1433-3023
    Keywords: Key words: Leak-point pressure – Low maximal urethral closure pressure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: A prospective analysis of 306 consecutive patients with genuine stress incontinence was performed to evaluate the clinical usefulness of additional leak-point pressure (LPP) determination at 200 ml. LPP values at both volumes were compared to maximal urethral closure pressure (MUCP) in an attempt to determine a critical cut-off value for the detection of a low MUCP (≤20 cmH2O). A positive LPP at 150 ml was found in 157 patients. The mean LPP for patients with a low MUCP was 58.5 cmH2O compared to 71.6 for those with a normal MUCP, which was statistically significant (p = 0.01). The correlation coefficient between LPP and MUCP was 0.317. A negative LPP was found in 30% (24/79) of the total having a low MUCP. The addition of values for LPP at 200 ml resulted in an increase in the number who leaked to 191, a 50% increase in the detection rate of low MUCP and a statistically significant relationship between LPP ≤60 cmH2O and low MUCP. Various critical cut-off values for LPP demonstrated good specificity but poor sensitivity for the detection of a low MUCP. It was concluded that there was a statistically significant relationship between LPP and MUCP. Performing LPP at 200 ml provides additional clinically useful diagnostic information.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001920070040
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  • 10
    Electronic Resource
    Electronic Resource
    Suburethral sling procedure for genuine stress incontinence and low urethral closure pressure. A continued experience (1992)
    Springer
    International urogynecology journal 3 (1992), S. 18-21 
    Details
    ISSN: 1433-3023
    Keywords: Genuine stress incontinence ; Low urethral closure pressure ; Suburethral sling
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Forty-eight patients with genuine stress incontinence and low urethral closure pressure have undergone a suburethral sling procedure using polytetrafluoroethylene. Forty-five of the 48 patients have been followed up beyond 3 months, allowing assessment of postoperative complications. Ten patients required intermittent self-catheterization, 6 continuing beyond 3 months secondary to obstructed voiding or vesical dysfunction. Six slings were removed due to graft infection and/or vaginal mucosa erosion. All patients who were continent prior to removal remained so afterwards. Two slings were loosened secondary to obstructed voiding (1 patient experienced improved voiding, the other continued intermittent catheterization). Sixty-two per cent (28/45) of the patients followed, developed at least one documented urinary tract infection. Thirty-four of the 45 patients followed, underwent postoperative multichannel urodynamic testing. Ten patients (29%) demonstrated postoperative detrusor instability (5 were new onset, 5 were persistent). Six improved with medication and bladder retraining drills. Twenty-eight of the 34 patients tested (82.4%) were objectively cured of genuine stress incontinence. In spite of the complications noted, this suburethral sling procedure offers a high success rate and is a viable alternative in treating patients with genuine stress incontinence and low urethral closure pressure. Modifications in surgical technique have been made to reduce postoperative complications in the future.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00372643
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    Paper (German National Licenses)
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