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You searched for subject:(urogynaecology). Showing records 1 – 3 of 3 total matches.

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Freie Universität Berlin

1. Junginger, Bärbel. Evaluation funktioneller Beckenbodenstrategien und deren Einsatz in der konservativen Therapie von weiblichen Beckenbodenfunktionsstörungen.

Degree: 2019, Freie Universität Berlin

Introduction Pelvic floor dysfunction including urinary incontinence is a common disease in women, having a negative impact on life quality. Pelvic floor muscle (PFM) training is recommended as first-line-treatment. The three studies in this thesis evaluated abdominal muscle activity at maximum and submaximal PFM contractions (co-contraction) and how intraabdominal pressure (IAP) and bladder neck position (BN) are influenced. The second study focused on the effect of maximum and submaximal PFM contraction, endurance and breathing. An intervention study with 55 women was performed using motor control strategies and perineal ultrasound (PUS) as visual biofeedback tools and symptoms compared before and after treatment. Submaximal PFM contractions and their integration into everyday situations were main therapy components. Methods: Activity of the PF and abdominal muscles (fine-wire EMG), IAP (rectal catheter) and bladder neck position (PUS) were measured in healthy women during various voluntary muscle contractions (PFM and transversus abdominis muscle; TrA) and maneuvers (brace and Valsalva, head lifting). Muscle contractions and maneuvers were performed with different (gentle, moderate, maximum) contraction strengths (Study 1). Maximum and submaximal PFM contractions in healthy and incontinent women were measured by urodynamic adding PUS, respiratory movement measurement and abdominal muscle activity EMG. Focus was on PFM contraction duration and adequate BN elevation (Study 2). In an intervention study (Study 3), 55 women with urinary incontinence were treated with the "Bladder neck effective, controlled, integrative pelvic floor rehabilitation". Results were examined pre- and posttherapeutically with the validated German Pelvic Floor Questionnaire. Results: Even with submaximal contractions, the BN is adequately elevated and the PFM endurance is significantly greater compared with maximum contractions (33 vs. 10 seconds). TrA muscle co-contraction is present. Use of maximum PFM contractions greatly increases IAP (about 50 cmH2O like a moderate cough), limiting the elevation of the BN (about 30% of healthy and incontinent women depressed the BN). Especially the abdominal muscles under the ribcage are active at maximum PFM contractions, the PFM have to counteract the IAP. 67% and 78% of women with stress and urge incontinence reported improvements after performing "Bladder neck effective, controlled, integrative pelvic floor rehabilitation", with an average of 2 (1-6) treatment appointments required. 91% of women reported subjective improvements in bladder symptoms and improvements in life quality. Discussion: Pelvic floor muscle submaximal contractions in conjunction with TrA co-contraction have a positive effect on the BN position, the PFM endurance, integration into everyday life and symptom improvement in women with urinary incontinence. Advisors/Committee Members: female (gender), N.N. (firstReferee), N.N. (furtherReferee).

Subjects/Keywords: pelvic floor; urogynaecology; rehabilitation; biomechanics; perineal ultrasound; 600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Junginger, B. (2019). Evaluation funktioneller Beckenbodenstrategien und deren Einsatz in der konservativen Therapie von weiblichen Beckenbodenfunktionsstörungen. (Thesis). Freie Universität Berlin. Retrieved from http://dx.doi.org/10.17169/refubium-25358

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Junginger, Bärbel. “Evaluation funktioneller Beckenbodenstrategien und deren Einsatz in der konservativen Therapie von weiblichen Beckenbodenfunktionsstörungen.” 2019. Thesis, Freie Universität Berlin. Accessed December 16, 2019. http://dx.doi.org/10.17169/refubium-25358.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Junginger, Bärbel. “Evaluation funktioneller Beckenbodenstrategien und deren Einsatz in der konservativen Therapie von weiblichen Beckenbodenfunktionsstörungen.” 2019. Web. 16 Dec 2019.

Vancouver:

Junginger B. Evaluation funktioneller Beckenbodenstrategien und deren Einsatz in der konservativen Therapie von weiblichen Beckenbodenfunktionsstörungen. [Internet] [Thesis]. Freie Universität Berlin; 2019. [cited 2019 Dec 16]. Available from: http://dx.doi.org/10.17169/refubium-25358.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Junginger B. Evaluation funktioneller Beckenbodenstrategien und deren Einsatz in der konservativen Therapie von weiblichen Beckenbodenfunktionsstörungen. [Thesis]. Freie Universität Berlin; 2019. Available from: http://dx.doi.org/10.17169/refubium-25358

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation


Aristotle University Of Thessaloniki (AUTH); Αριστοτέλειο Πανεπιστήμιο Θεσσαλονίκης (ΑΠΘ)

2. Παπαδόπουλος, Αθανάσιος. Αξιολόγηση της τεχνικής της διακοιλιακής κολποπηξίας με τοποθέτηση ταινίας ελεύθερης από τάση στο πλάγιο κοιλιακό τοίχωμα.

Degree: 2012, Aristotle University Of Thessaloniki (AUTH); Αριστοτέλειο Πανεπιστήμιο Θεσσαλονίκης (ΑΠΘ)

Subjects/Keywords: Κολποπηξία; Πρόπτωση κολπικού κολοβώματος; Ιεροκολποπηξία; Ουρογυναικολογία; Colpopexy; Vaginal vault prolapse; Sacrocolpopexy; Urogynaecology

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Παπαδόπουλος, . . (2012). Αξιολόγηση της τεχνικής της διακοιλιακής κολποπηξίας με τοποθέτηση ταινίας ελεύθερης από τάση στο πλάγιο κοιλιακό τοίχωμα. (Thesis). Aristotle University Of Thessaloniki (AUTH); Αριστοτέλειο Πανεπιστήμιο Θεσσαλονίκης (ΑΠΘ). Retrieved from http://hdl.handle.net/10442/hedi/30384

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Παπαδόπουλος, Αθανάσιος. “Αξιολόγηση της τεχνικής της διακοιλιακής κολποπηξίας με τοποθέτηση ταινίας ελεύθερης από τάση στο πλάγιο κοιλιακό τοίχωμα.” 2012. Thesis, Aristotle University Of Thessaloniki (AUTH); Αριστοτέλειο Πανεπιστήμιο Θεσσαλονίκης (ΑΠΘ). Accessed December 16, 2019. http://hdl.handle.net/10442/hedi/30384.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Παπαδόπουλος, Αθανάσιος. “Αξιολόγηση της τεχνικής της διακοιλιακής κολποπηξίας με τοποθέτηση ταινίας ελεύθερης από τάση στο πλάγιο κοιλιακό τοίχωμα.” 2012. Web. 16 Dec 2019.

Vancouver:

Παπαδόπουλος . Αξιολόγηση της τεχνικής της διακοιλιακής κολποπηξίας με τοποθέτηση ταινίας ελεύθερης από τάση στο πλάγιο κοιλιακό τοίχωμα. [Internet] [Thesis]. Aristotle University Of Thessaloniki (AUTH); Αριστοτέλειο Πανεπιστήμιο Θεσσαλονίκης (ΑΠΘ); 2012. [cited 2019 Dec 16]. Available from: http://hdl.handle.net/10442/hedi/30384.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Παπαδόπουλος . Αξιολόγηση της τεχνικής της διακοιλιακής κολποπηξίας με τοποθέτηση ταινίας ελεύθερης από τάση στο πλάγιο κοιλιακό τοίχωμα. [Thesis]. Aristotle University Of Thessaloniki (AUTH); Αριστοτέλειο Πανεπιστήμιο Θεσσαλονίκης (ΑΠΘ); 2012. Available from: http://hdl.handle.net/10442/hedi/30384

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation


University of Otago

3. Lin, Sylvia. The Relationship of Obstetric Factors to Aspects of Pelvic Floor Trauma And Dysfunction 20 Years Post-delivery .

Degree: University of Otago

Background The pelvic floor (levator ani and covering endopelvic fascia) has an important role in supporting the bladder, vagina, uterus and rectum. Pelvic floor trauma in women may result in urinary and faecal incontinence, and also pelvic organ prolapse. It is a very common problem affecting around half of women having at least one type of pelvic floor dysfunction, particularly later in life. The aetiology of pelvic floor dysfunction is likely to be multifactorial, although childbearing is probably the most significant predisposing factor in women – vaginal delivery resulting in stretching and avulsion of levator ani muscles, damage to anal sphincter, along with nerve trauma are important factors.The development of functional imaging has revolutionised our understanding of the pelvic floor during and after birth. There is however a lack of information on the long-term relationship between obstetric factors with pelvic floor trauma and the relationship between these obstetric injuries and long-term pelvic floor function. Objectives To investigate the relationship between obstetric history and the clinical and ultrasound diagnosis of levator avulsion (LA) and damage to the anal sphincter 20 years after childbirth. We also aimed to examine the relationship of these obstetric injuries to symptoms and signs of pelvic floor dysfunction and to compare digital palpation of LA with ultrasound diagnosis. Design Twenty-year longitudinal study. Setting Maternity unit in Dunedin. Population Women dwelling in the community. Methods Data from women were collected 20 years after an index birth by postal questionnaire, and women were invited for examination and ultrasound assessment. Logistic regression investigated associations between ultrasound diagnoses and symptoms and signs of pelvic floor dysfunction. Main outcome measures Objective measures of prolapse (POP-Q) and ultrasound confirmation of LA and obstetric anal sphincter injuries (OASIS). Subjective report of pelvic floor dysfunction measured by the pelvic organ prolapse symptom score (POP-SS), Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) score, any urinary and faecal incontinence. Results Of 1248 women at initial recruitment, 1191 questionnaires were sent and 464 (39%) returned questionnaires at 20 years. 196 of these returned for clinical assessment. The mean age for the examined respondents was 50.8 years. The overall LA rate was 15.2% and OASIS rate was 12.5%. Agreement between palpation and transperineal ultrasound diagnosis of LA was 91% (kappa 0.32). Forceps delivery was associated with significantly greater LA rate compared with vaginal delivery (26% vs. 13%, OR 2.45, 95% CI 1.04-5.08, p=0.04); as well as higher OASIS rate but that did not reach significance (21% versus 11%, OR 2.2, 95% CI 0.87-5.59, p=0.098). LA was significantly associated with more objectively measured POP-Q, “bothersome” prolapse and faecal incontinence, but had no association with prolapse symptoms by POP-SS. LA was significantly associated with… Advisors/Committee Members: Wilson, Don (advisor).

Subjects/Keywords: urogynaecology; new zealand; Dunedin; ProLong study; pelvic floor; pelvic floor dysfunction; pelvic floor trauma; levator ani; levator avulsion; puborectalis avulsion; OASIS; obstetric anal sphincter injuries; pelvic organ prolapse; urinary incontinence; anal incontinence; faecal incontinence; POP-Q; translabial ultrasound; transperineal ultrasound; sexual dysfunction; PISQ-12; obstetric practice; forceps delivery; obstetric factors; delivery; childbirth; caesarean; instrumental delivery

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Lin, S. (n.d.). The Relationship of Obstetric Factors to Aspects of Pelvic Floor Trauma And Dysfunction 20 Years Post-delivery . (Masters Thesis). University of Otago. Retrieved from http://hdl.handle.net/10523/6707

Note: this citation may be lacking information needed for this citation format:
No year of publication.

Chicago Manual of Style (16th Edition):

Lin, Sylvia. “The Relationship of Obstetric Factors to Aspects of Pelvic Floor Trauma And Dysfunction 20 Years Post-delivery .” Masters Thesis, University of Otago. Accessed December 16, 2019. http://hdl.handle.net/10523/6707.

Note: this citation may be lacking information needed for this citation format:
No year of publication.

MLA Handbook (7th Edition):

Lin, Sylvia. “The Relationship of Obstetric Factors to Aspects of Pelvic Floor Trauma And Dysfunction 20 Years Post-delivery .” Web. 16 Dec 2019.

Note: this citation may be lacking information needed for this citation format:
No year of publication.

Vancouver:

Lin S. The Relationship of Obstetric Factors to Aspects of Pelvic Floor Trauma And Dysfunction 20 Years Post-delivery . [Internet] [Masters thesis]. University of Otago; [cited 2019 Dec 16]. Available from: http://hdl.handle.net/10523/6707.

Note: this citation may be lacking information needed for this citation format:
No year of publication.

Council of Science Editors:

Lin S. The Relationship of Obstetric Factors to Aspects of Pelvic Floor Trauma And Dysfunction 20 Years Post-delivery . [Masters Thesis]. University of Otago; Available from: http://hdl.handle.net/10523/6707

Note: this citation may be lacking information needed for this citation format:
No year of publication.

.