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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    International urogynecology journal 11 (2000), S. 142-147 
    ISSN: 1433-3023
    Keywords: Key words: Detrusor instability – Genuine stress incontinence – Inter- and intraobserver variability – Peak flow rate – Uroflowmetry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: Our aim was to investigate the proposition that uroflowmetry patterns can be reliably interpreted and correspond with specific urodynamic diagnoses. Uroflowmetry traces from 129 women with diagnoses of either genuine stress incontinence or detrusor instability were interpreted by four physicians with a minimum of 6 months experience in urogynecology. To test intraobserver variability, the traces were classified a second time 8 weeks later. Inter- and intraobserver variability was calculated by κ analysis. There was marked intra- and interobserver variability in classification of traces, but no evidence of a correlation between urodynamic diagnosis and uroflowmetry pattern. Neither peak flow, total voided volume nor rate of acceleration of flow correlated with diagnosis. Although flow rates are important in predicting possible problems following surgery for stress incontinence, there is no evidence that flow patterns can be used as a screening test for specific urodynamic diagnoses.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of assisted reproduction and genetics 10 (1993), S. 130-136 
    ISSN: 1573-7330
    Keywords: follicle stimulating hormone ; luteinizing hormone ; estradiol ; oocytes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Methods One hundred eleven consecutive females with infertility due to various etiologies were investigated. Cycle day 3 serum levels of FSH, LH, and E2 were determined prior to ovulation induction with a combination of clomiphene citrate and human gonadotropins. Follicular growth was monitored ultrasonically, and when appropriate, oocytes were recruited, counted, graded, and then used, as prearranged, for either IVF or GIFT. Basal hormone levels were compared to the peak E2 concentration, the number of follicles aspirated, and the number of preovulatory oocytes recovered following drug therapy. Details of resulting pregnancies were also recorded.
    Abstract: Results Patients with low basal FSH levels (〈11.5 mIu/ml) yielded a higher mean number of preovulatory oocytes than those with high values (〉11.5 mIu/ml), i.e., 6.7 oocytes per cycle vs 2.5 oocytes (P 〈 0.001). In the low group 97% of cycles yielded more than three fertilizable oocytes compared to 42% in the high group (P 〈 0.5). There were 16 term pregnancies (16%) in the low group and 1 (8.3%) in the high group. Basal LH and E2 levels did not improve on the ability to distinguish between different populations of infertile females who responded differently to ovulation induction.
    Notes: Aim To determine the value of basal follicle stimulating hormone (FSH), luteinizing hormone (LH), and estradiol (E2) levels on cycle day 3 in predicting the ovulation stimulation response in patients receiving exogenous gonadotropins for in vitro fertilization (IVF) or gamete intrafallopian transfer (GIFT).
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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