International urogynecology journal and pelvic floor dysfunction最新文献_第7页

Comment on Palma and Rosenbaum: "the ethical challenge of surgical innovation". 评论帕尔马和罗森鲍姆:“外科创新的伦理挑战”。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-10-01 Epub Date: 2009-07-28 DOI: 10.1007/s00192-009-0958-y

Vicente Solà, Paolo Ricci, Jack Pardo

引用次数: 0

Abdominal wall reconstruction following removal of a chronically infected mid-urethral tape. 切除慢性感染的中尿道带后腹壁重建。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-10-01 Epub Date: 2009-03-10 DOI: 10.1007/s00192-009-0852-7

Helen Walker, Thomas Brooker, Wolf Gelman

引用次数: 7

The development of an Incontinence Treatment Motivation Questionnaire for patients undergoing pelvic floor physiotherapy in the treatment of stress incontinence. 对接受盆底物理疗法治疗压力性尿失禁的患者进行尿失禁治疗动机问卷调查。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-05-15 DOI: 10.1007/s00192-009-0907-9

Susmita Sarma, Graeme Hawthorne, Kiran Thakkar, Wendy Hayes, Kate H Moore

{"title":"The development of an Incontinence Treatment Motivation Questionnaire for patients undergoing pelvic floor physiotherapy in the treatment of stress incontinence.","authors":"Susmita Sarma, Graeme Hawthorne, Kiran Thakkar, Wendy Hayes, Kate H Moore","doi":"10.1007/s00192-009-0907-9","DOIUrl":"https://doi.org/10.1007/s00192-009-0907-9","url":null,"abstract":"Introduction and hypothesis: The aim of this paper is to develop a motivation questionnaire regarding perseverance in pelvic floor muscle training (PFMT) supervised by physiotherapists for stress urinary incontinence.Methods: Sixteen semi-structured interviews were conducted in women with stress urinary incontinence that revealed 15 common themes; 117 items were constructed and reviewed by continence advisors. Surviving items (n = 73) were administered to 210 women. Data were analysed for item properties, factor analysis was used to examine the questionnaire structure and tests of convergence/divergence used to check for sensitivity.Results: The Incontinence Treatment Motivation Questionnaire (ITMQ) comprises 18-items in five scales, assessing attitudes towards treatment (72.62% of explained variance; alpha = 0.87), reasons for not doing PFMT (55.73%; alpha = 0.74), living with incontinence (62.70% variance; alpha = 0.70), desire for treatment (65.37% variance; alpha = 0.74) and the effect of incontinence severity on PFMT (51.62% variance, alpha = 0.68). Scales were generally sensitive to known group differences.Conclusions: This study represents the first effort to develop a motivation scale for PFMT. This validated Motivation Questionnaire is an instrument to test the impact of motivation upon cure, in PFMT.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1085-93"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0907-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28176046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Pelvic floor disorders among indigenous women living in Xingu Indian Park, Brazil. 居住在巴西新古印第安人公园的土著妇女盆底疾病。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-05-15 DOI: 10.1007/s00192-009-0906-x

Maíta Poli de Araujo, Claudia Cristina Takano, Manoel João Batista Castello Girão, Marair Gracio Ferreira Sartori

{"title":"Pelvic floor disorders among indigenous women living in Xingu Indian Park, Brazil.","authors":"Maíta Poli de Araujo, Claudia Cristina Takano, Manoel João Batista Castello Girão, Marair Gracio Ferreira Sartori","doi":"10.1007/s00192-009-0906-x","DOIUrl":"https://doi.org/10.1007/s00192-009-0906-x","url":null,"abstract":"Introduction and hypothesis: Current assessment for pelvic floor disorders (PFDs) allows comparison between different communities.Methods: A total of 377 indigenous women living in Xingu Indian Park were evaluated. The pelvic organ prolapse quantification (POP-Q) was the system used to quantification the staging of pelvic support. The pelvic floor muscle strength was assessed by a perineometer. Logistic regression analysis was used to determine risk factors that were associated with prolapse.Results: Only 5.8% of women reported urinary incontinence. The overall distribution of POP-Q stage system was the following: 15.6% stage 0, 19.4% stage I, 63.9% stage II and 0.8% stage III. Parity and age were the risk factors for pelvic organ prolapse (p < 0.0001).Conclusions: Urinary incontinence was uncommon in Xingu indigenous women. Like non-indigenous communities, age and parity were the most important risk factors to the genital prolapse.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1079-84"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0906-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28176047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

The effect of urethral dilatation on pressure flow studies in women with voiding dysfunction and overactive bladder. 尿道扩张对女性排尿功能障碍和膀胱过度活动患者压力流的影响。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-05-15 DOI: 10.1007/s00192-009-0904-z

Maya Basu, Jonathan Duckett

{"title":"The effect of urethral dilatation on pressure flow studies in women with voiding dysfunction and overactive bladder.","authors":"Maya Basu, Jonathan Duckett","doi":"10.1007/s00192-009-0904-z","DOIUrl":"https://doi.org/10.1007/s00192-009-0904-z","url":null,"abstract":"Introduction and hypothesis: The aim of this study was to assess whether urethral dilatation (UD) leads to changes in pressure flow parameters in women with voiding dysfunction (VD) and whether this correlates with improvement in overactive bladder symptoms (OAB).Methods: Forty three women with drug-resistant OAB and VD underwent cystoscopy and UD. Pressure flow studies were undertaken at 6 weeks with further follow-up at 6 months. Any significant changes in pressure flow parameters after UD were evaluated.Results: Thirty three percent of the participants reported subjective improvement. This was maintained at 6 months in 19%. Improvement in OAB was associated with an increase in maximum flow rate centile (p = 0.02) and a decrease in detrusor pressure at maximum flow (p = 0.03). Thirteen percent developed urodynamic stress incontinence.Conclusions: Thirty three percent of women with drug-resistant OAB have a short-term improvement following UD. Improvement is associated with an increased maximum flow rate centile and a decreased detrusor pressure at maximum flow. The long-term improvement rate is poor.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1073-7"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0904-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28176048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women. 无张力阴道带(TVT)中尿道吊带在超重和肥胖妇女中的一年结果。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-05-16 DOI: 10.1007/s00192-009-0909-7

Lindsay B Killingsworth, Thomas L Wheeler, Kathryn L Burgio, Tovia E Martirosian, David T Redden, Holly E Richter

{"title":"One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women.","authors":"Lindsay B Killingsworth, Thomas L Wheeler, Kathryn L Burgio, Tovia E Martirosian, David T Redden, Holly E Richter","doi":"10.1007/s00192-009-0909-7","DOIUrl":"https://doi.org/10.1007/s00192-009-0909-7","url":null,"abstract":"Introduction: The purpose of this study was to assess the impact of body mass index (BMI) on tension-free vaginal tape (TVT) success rates, patient satisfaction, and complications 1 year following surgery.Methods: Baseline and 1-year postsurgery outcomes were abstracted, including Urogenital Distress Inventory (UDI-6) scores, Incontinence Impact Questionnaire (IIQ-7) scores, and patient satisfaction ratings. Multivariable logistic and linear regression analyses were performed to examine relationships between outcomes and BMI.Results: Subjects (N = 195) with a mean age of 59.3 +/- 12.6 were included. There was significant improvement within each group (all p values <0.01) in total UDI-6 and IIQ-7 scores from baseline to 1 year postsurgery; all groups had high patient satisfaction. No differences in improvement or complications rates were observed among the BMI cohorts (all p values >0.05).Conclusion: Differential counseling of overweight or obese women regarding outcomes of the TVT procedure is not supported by these results; longer follow-up is warranted.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1103-8"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0909-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28255254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 56

Urolithiasis in pregnancy. 妊娠期尿石症。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-06-19 DOI: 10.1007/s00192-009-0920-z

Stavros Charalambous, Asterios Fotas, D E E Rizk

引用次数: 21

Body mass index as a risk factor for cystotomy during suprapubic placement of mid-urethral slings. 在耻骨上放置中尿道吊带时，体重指数是膀胱切除术的危险因素。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-06-06 DOI: 10.1007/s00192-009-0915-9

Gena C Dunivan, AnnaMarie Connolly, Mary L Jannelli, Ellen C Wells, Elizabeth J Geller

{"title":"Body mass index as a risk factor for cystotomy during suprapubic placement of mid-urethral slings.","authors":"Gena C Dunivan, AnnaMarie Connolly, Mary L Jannelli, Ellen C Wells, Elizabeth J Geller","doi":"10.1007/s00192-009-0915-9","DOIUrl":"https://doi.org/10.1007/s00192-009-0915-9","url":null,"abstract":"Introduction and hypothesis: This study aims to investigate whether body mass index (BMI) is a risk factor for cystotomy during sling placement via suprapubic approach for stress urinary incontinence.Methods: Retrospective chart review was performed for suprapubic mid-urethral sling placement between June 2005 and October 2007. Data collected included demographics, BMI, and history of prior and concomitant procedures. Primary outcome was cystotomy during sling placement.Results: Of 198 women identified, 129 had a BMI < 30 kg/m2 and 69 had a BMI > or = 30 kg/m2. There were 18 (14.0%) cystotomies in the BMI < 30 kg/m2 group and three (4.3%) in the BMI > or = 30 kg/m2 group (p = 0.04). BMI < 30 kg/m2 remained a risk factor for cystotomy after controlling for confounders (OR 4.63, 95% CI 1.20-17.86), as did prior anti-incontinence surgery (OR 3.55, 95% CI 1.01-12.50).Conclusions: BMI < 30 kg/m2 may be a risk factor for cystotomy during sling placement utilizing the suprapubic approach.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1127-31"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0915-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28301339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Implementation of laparoscopic sacrocolpopexy--a single centre's experience. 腹腔镜骶骶固定术的实施——单中心经验。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-05-29 DOI: 10.1007/s00192-009-0914-x

Filip Claerhout, Jan Paul Roovers, Paul Lewi, Jasper Verguts, Dirk De Ridder, Jan Deprest

{"title":"Implementation of laparoscopic sacrocolpopexy--a single centre's experience.","authors":"Filip Claerhout, Jan Paul Roovers, Paul Lewi, Jasper Verguts, Dirk De Ridder, Jan Deprest","doi":"10.1007/s00192-009-0914-x","DOIUrl":"https://doi.org/10.1007/s00192-009-0914-x","url":null,"abstract":"Introduction and hypothesis: The aim of this study was to describe the learning curve of a single surgeon to achieve the ability to perform a complication-free and anatomically successful laparoscopic sacrocolpopexy (LSC).Methods: All patients, from the first LSC onwards (1996) were included. Outcome measures were operation time, number of laparotomies, complications and anatomical failures within 3 months. Learning curves were generated using moving average method (MOA) and cumulative sum (CUSUM) analysis to assess changes in respectively operation time and failures (laparotomy, complication or anatomical failure).Results: Of the 206 patients, 83% were completed by laparoscopy. The intra-operative and major respectively minor post-operative complication rates were 2.4% (n = 5), 4.4% (n = 9) and 12.6% (n = 26). CUSUM analysis showed adequate learning after 60 cases. MOA showed that operation time declined rapidly during the first 30 procedures reaching a steady state (175 min) after 90 cases. Complications remained unchanged throughout the series.Conclusions: LSC was associated with a low complication rate but a long learning curve.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1119-25"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0914-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28204491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 68

COL3A1 2209G>A is a predictor of pelvic organ prolapse. COL3A1 2209G>A是盆腔器官脱垂的预测因子。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-09-01 Epub Date: 2009-05-15 DOI: 10.1007/s00192-009-0913-y

Kirsten B Kluivers, Jeroen R Dijkstra, Jan C M Hendriks, Sabrina L Lince, Mark E Vierhout, Léon C L van Kempen

{"title":"COL3A1 2209G>A is a predictor of pelvic organ prolapse.","authors":"Kirsten B Kluivers, Jeroen R Dijkstra, Jan C M Hendriks, Sabrina L Lince, Mark E Vierhout, Léon C L van Kempen","doi":"10.1007/s00192-009-0913-y","DOIUrl":"https://doi.org/10.1007/s00192-009-0913-y","url":null,"abstract":"Introduction and hypothesis: A familial tendency has been demonstrated in the etiology of pelvic organ prolapse (POP), but the specific genetic defects have not been identified. Type III collagen is an important factor in the repair of connective tissue, and gene polymorphisms may impair the tensile strength. We hypothesized that polymorphisms in the alpha I chain of the type III collagen protein-encoding gene (COL3A1) pose women at risk for POP.Methods: In this case-control study, the prevalence of type III collagen polymorphisms was compared in women with and without signs and symptoms of POP.Results: Two hundred and two POP patients and 102 normal parous controls were included. A homozygous single-nucleotide substitution in the coding region of type III collagen (COL3A1 2209G>A, rs1800255) was identified in 27 (13%) POP patients and three (3%) controls (odds ratio, 5.0; 95% confidence interval, 1.4-17.1).Conclusions: The probability of POP was higher in women with COL3A1 2209G>A. This polymorphism showed to be a relevant risk factor for POP.","PeriodicalId":73495,"journal":{"name":"International urogynecology journal and pelvic floor dysfunction","volume":"20 9","pages":"1113-8"},"PeriodicalIF":0.0,"publicationDate":"2009-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00192-009-0913-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28251451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 52