1
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Rothfuss V, Reisenauer C, Bachmann C. Ogilvie syndrome after cesarean section. Arch Gynecol Obstet 2024; 309:721-722. [PMID: 37156907 PMCID: PMC10808183 DOI: 10.1007/s00404-023-07052-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 04/18/2023] [Indexed: 05/10/2023]
Affiliation(s)
- V Rothfuss
- Department of Women's Health Tübingen, Eberhard Karls University Tübingen, 72076, Tübingen, Germany
| | - C Reisenauer
- Department of Women's Health Tübingen, Eberhard Karls University Tübingen, 72076, Tübingen, Germany
| | - C Bachmann
- Department of Women's Health Tübingen, Eberhard Karls University Tübingen, 72076, Tübingen, Germany.
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2
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Tesfalidet S, Thompson S, Welch B, Frimpong R, Reisenauer C, Flemming C, Moynagh M, Schmit G, Atwell T, Takahashi E. Abstract No. 170 Bleeding Complications Requiring Therapeutic Trans-Arterial Embolization Following Percutaneous Cryoablation for cT1b and cT2 Renal Masses without and with Pre-ablation Prophylactic Trans-Arterial Embolization. J Vasc Interv Radiol 2023. [DOI: 10.1016/j.jvir.2022.12.225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
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3
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Wahoud W, Takahashi E, Stockland A, Reisenauer C, Misra S. Abstract No. 507 Contemporary Trends in Renal Artery Stenting for Patients with Renovascular Disease in the United States: Effect of Clinical Trials on Management. J Vasc Interv Radiol 2023. [DOI: 10.1016/j.jvir.2022.12.365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023] Open
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4
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Mittelstadt S, Stäbler A, Kolb M, Krämer B, Horvat H, Reisenauer C, Bachmann C. Acute endometriosis-related sigmoid perforation in pregnancy- case report. BMC Pregnancy Childbirth 2022; 22:647. [PMID: 35978302 PMCID: PMC9386915 DOI: 10.1186/s12884-022-04973-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 08/05/2022] [Indexed: 11/21/2022] Open
Abstract
Background An acute abdomen is an emergency that requires accurate diagnosis and prompt treatment. In pregnancy, the process is even more challenging and sometimes the radiological findings are unclear. Moreover, endometriosis- related complications are rare, especially in previously unknown endometriosis. Case presentation We report on a case of acute endometriosis-related sigmoid perforation during pregnancy (34 weeks of gestation) due to a previously unknown deep intestinal infiltrating endometriosis with focal ulceration of the affected colonic mucosa. Conclusions Despite the low relative risk, clinicians should be aware of possible endometriosis-associated complications in pregnancy with potentially life-threatening events, even in previously unknown endometriosis. Further studies should evaluate intestinal complications during pregnancy in relation to previous treatment of intestinal endometriosis (conservative vs. surgical).
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Affiliation(s)
- S Mittelstadt
- Department of Gynaecology and Obstetrics, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany
| | - A Stäbler
- Institute of Pathology and Neuropathology and Comprehensive Cancer Center Tübingen, University Hospital Tübingen, Eberhard-Karls-University, 72076, Tübingen, Germany
| | - M Kolb
- Diagnostic and Interventional Radiology, University of Tübingen, Tübingen, Germany
| | - B Krämer
- Department of Gynaecology and Obstetrics, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany
| | - H Horvat
- Department of Gynaecology and Obstetrics, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany
| | - C Reisenauer
- Department of Gynaecology and Obstetrics, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany
| | - C Bachmann
- Department of Gynaecology and Obstetrics, University Hospital Tuebingen, Calwerstrasse 7, 72076, Tuebingen, Germany.
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5
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Nedderman W, Thompson S, Takahashi E, Knavel E, Reisenauer C, Bendel E. Abstract No. 38 Intracardiac shunts among patients undergoing oil-based contrast lymphangiography: prevalence by echocardiography and rate of systemic arterial embolic complications. J Vasc Interv Radiol 2022. [DOI: 10.1016/j.jvir.2022.03.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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6
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Dieter B, Macias C, Sharpe T, Roberts B, Wille M, Young A, Reisenauer C, Cantrell B, Bayly W. Transdermal delivery of carnosine into equine skeletal muscle. Comparative Exercise Physiology 2021. [DOI: 10.3920/cep200077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The dipeptide carnosine consists of β-alanine and L-histidine. It plays a major role in skeletal muscle metabolism, especially as an intracellular buffer and antioxidant. Increasing intramuscular carnosine has been shown to improve recovery from exercise and increase anaerobic threshold and time-to-exhaustion. Dietary supplementation with carnosine does not effectively increase intramuscular carnosine due to the presence of carnosinase in the blood. However, an effective transdermal delivery process could expediently increase intramuscular concentrations of carnosine. This study’s objective was to examine the efficacy of a transdermal system for delivering carnosine into the skeletal muscle of horses, using a randomised, placebo controlled, crossover study. Carnosine plus a proprietary transdermal delivery agent or the agent alone (placebo) were applied to the middle gluteal muscles of 10 Thoroughbred racehorses, and muscle biopsies were taken before and 30, 60, and 120 min after application. Muscle carnosine concentration was measured using an enzyme-linked immunosorbent assay. A two-way repeated measures analysis of variance was used to test for the main effects of time and treatment (placebo or carnosine) as well as an interaction between time and treatment. Independent F-tests examined the change in intramuscular carnosine levels from baseline to each time point (30, 60, and 120 min). There was a significant main effect of treatment (P=0.004), no significant main effect for time (P=0.18), and a non-significant interaction of treatment with time (P=0.08). Mean intramuscular carnosine concentrations increased from baseline to 120 min. Compared to concentrations following placebo application, carnosine was greater by ~35% at 30 min (P=0.002) and ~46% after 60 min (P=0.044), but not at 120 min (P=0.20). The results indicated that intramuscular carnosine can be increased using a transdermal delivery system within 60 min of application which could have important implications for the health of horses, and their capacity to perform and recover from physical activity.
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Affiliation(s)
- B.P. Dieter
- Velocity Animal Sciences, #1915-1030 West Georgia St, Vancouver, BC V6E 2Y3, Canada
| | - C.J. Macias
- Institute for Human Kinetics, 11037 Via Livorno, San Diego, CA 92129, USA
| | - T.J. Sharpe
- University of Western States, 8000 NE Tillamook Street, Portland, OR 97213, USA
| | - B. Roberts
- University of Alabama Birmingham, 1720 University Blvd, Birmingham, AL 35294, USA
| | - M. Wille
- Washington State University, Department of Veterinary Clinical Sciences, Pullman, WA 99164-6610, USA
| | - A. Young
- Washington State University, Department of Veterinary Clinical Sciences, Pullman, WA 99164-6610, USA
| | - C. Reisenauer
- Washington State University, Department of Veterinary Clinical Sciences, Pullman, WA 99164-6610, USA
| | - B. Cantrell
- Washington State University, Department of Veterinary Clinical Sciences, Pullman, WA 99164-6610, USA
| | - W.M. Bayly
- Washington State University, Department of Veterinary Clinical Sciences, Pullman, WA 99164-6610, USA
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Linch F, Thompson S, Jin M, Frimpong R, Reisenauer C, Takahashi E. Abstract No. 185 Impact of anticoagulation and antiplatelet therapy on dialysis catheter fibrin sheath formation. J Vasc Interv Radiol 2021. [DOI: 10.1016/j.jvir.2021.03.191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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8
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Wilhelm P, Kirschniak A, Falch C, Reisenauer C. Combined therapy of pessary-induced rectovaginal fistula and pelvic organ prolapse in elderly by vaginal fistula closure and modified LeFort colpocleisis – a case series. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- P. Wilhelm
- Universitätsklinikum Tübingen, Universitätsklinik für Allgemeine, Viszeral- und Transplantationschirurgie
| | - A. Kirschniak
- Universitätsklinikum Tübingen, Universitätsklinik für Allgemeine, Viszeral- und Transplantationschirurgie
| | - C. Falch
- Universitätsklinikum Tübingen, Universitätsklinik für Allgemeine, Viszeral- und Transplantationschirurgie
| | - C. Reisenauer
- Universitätsklinikum Tübingen, Universitäts-Frauenklinik
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von Au A, Wallwiener S, Matthies L, Friedrich B, Keim S, Wallwiener M, Reisenauer C, Brugger S. The burden of incontinence in a real-world data environment – insights from a digital patient companion. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- A von Au
- Universitätsfrauenklinik Heidelberg
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10
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von Au A, Keim S, Matthies L, Wallwiener S, Friedrich B, Brugger S, Reisenauer C, Wallwiener M. The effectiveness of a digital pelvic floor training program in the treatment of urinary incontinence – a real-world evaluation. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- A von Au
- Universitätsfrauenklinik Heidelberg
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11
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Andress J, Amend B, Falch C, Abele H, Brucker S, Reisenauer C. Evaluation und Management geburtsbedingter Genitalfisteln am Beckenbodenzentrum der Universitäts-Frauenklinik Tübingen. Geburtshilfe Frauenheilkd 2020. [DOI: 10.1055/s-0040-1718063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- J. Andress
- Universitätsklinikum Tübingen, Department für Frauengesundheit
| | - B. Amend
- Universitätsklinikum Tübingen, Klinik für Urologie
| | - C. Falch
- Universitätsklinikum Tübingen, Klinik für Allgemein-, Viszeral- und Transplantationchirurgie
| | - H. Abele
- Universitätsklinikum Tübingen, Department für Frauengesundheit
| | - S.Y. Brucker
- Universitätsklinikum Tübingen, Department für Frauengesundheit
| | - C. Reisenauer
- Universitätsklinikum Tübingen, Department für Frauengesundheit
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12
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Wagner P, Kommoss F, Kommoss S, Hartkopf A, Pasternak I, Oberlechner E, Greif K, Wallwiener M, Neis F, Abele H, Krämer B, Reisenauer C, Staebler A, Wallwiener D, Brucker S, Taran F. Unexpected malignant uterine pathology: Incidence, characteristics and outcome in a large single-center series of hysterectomies for presumed benign uterine disease. Gynecol Oncol 2019; 153:49-54. [DOI: 10.1016/j.ygyno.2018.12.026] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Revised: 12/23/2018] [Accepted: 12/28/2018] [Indexed: 02/06/2023]
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13
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Jahn J, Reisenauer C. Inkontinenz: Perioperative Komplikationen nach retropubischer TVT Einlage – eine retrospektive Analyse von 960 Fällen. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Jahn
- Eberhard Karls Universität, Universitäre Frauenklinik Tübingen, Tübingen, Deutschland
| | - C Reisenauer
- Universitäre Frauenklinik Tübingen, Urogynäkologie, Tübingen, Deutschland
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14
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Marschke J, Reisenauer C, Mikkola T, Schwab F, Tunn R, Hübner M. Intraoperative variations of the retropubic TVT-procedure and their immediate and mid-term effects on patients' outcome. A prospective randomized controlled multicenter trial. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Marschke
- Deutsches Beckenbodenzentrum, St. Hedwig-Krankenhaus, Urogynäkologie, Berlin, Deutschland
| | - C Reisenauer
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - T Mikkola
- Universitätsklinikum Helsinki, Gynäkologie und Geburtshilfe, Helsinki, Finnland
| | - F Schwab
- Charité – Universitätsmedizin Berlin, Institut für Hygiene und Umweltmedizin, Berlin, Deutschland
| | - R Tunn
- Deutsches Beckenbodenzentrum, St. Hedwig-Krankenhaus, Urogynäkologie, Berlin, Deutschland
| | - M Hübner
- Lindenhofgruppe, Frauenzentrum Bern, Bern, Schweiz
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15
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Bihler J, Tunn R, Reisenauer C, Kolenic G, Pauluschke-Fröhlich J, Wagner P, Abele H, Rall K, Naumann G, Wallwiener S, Wallwiener M, Brucker SY, Hübner M. The preferred mode of delivery of medical professionals and non-professional mothers-to-be and the interest in prevention measures for pelvic floor protection. A prospective, online-based survey. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- J Bihler
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - R Tunn
- Deutsches Beckenbodenzentrum, St. Hedwig-Krankenhaus, Urogynäkologie, Berlin, Deutschland
| | - C Reisenauer
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - G Kolenic
- University of Michigan, Pelvic Floor Research Group, Ann Arbor, Vereinigte Staaten von Amerika
| | - J Pauluschke-Fröhlich
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - P Wagner
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - H Abele
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - K Rall
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - G Naumann
- Helios Klinikum Erfurt, Frauenheilkunde und Geburtshilfe, Erfurt, Deutschland
| | - S Wallwiener
- Universitäts-Frauenklinik Heidelberg, Heidelberg, Deutschland
| | - M Wallwiener
- Universitäts-Frauenklinik Heidelberg, Heidelberg, Deutschland
| | - SY Brucker
- Universitätsklinikum Tübingen, Department für Frauengesundheit, Tübingen, Deutschland
| | - M Hübner
- Lindenhofgruppe, Frauenzentrum Bern, Bern, Schweiz
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16
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Wagner P, Kommoss F, Kommoss S, Hartkopf AD, Pasternak I, Oberlechner E, Wallwiener M, Neis F, Abele H, Krämer B, Reisenauer C, Staebler A, Wallwiener D, Brucker SY, Taran FA. Unexpected malignant uterine pathology: incidence, characteristics and outcome in a large single-center series of hysterectomies for presumed benign uterine disease. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- P Wagner
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - F Kommoss
- University of Heidelberg, Institute of Pathology, Heidelberg, Deutschland
| | - S Kommoss
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - AD Hartkopf
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - I Pasternak
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - E Oberlechner
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - M Wallwiener
- University of Heidelberg, Department of Obstetrics and Gynecology, Heidelberg, Deutschland
| | - F Neis
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - H Abele
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - B Krämer
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - C Reisenauer
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - A Staebler
- University of Tübingen, Institute of Pathology, Tübingen, Deutschland
| | - D Wallwiener
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - SY Brucker
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
| | - FA Taran
- University of Tübingen, Department of Obstetrics and Gynecology, Tübingen, Deutschland
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17
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Hartlieb S, Reisenauer C, Schönfisch B. Intravaginale Laserbehandlung der leicht- und mittelgradigen Belastungsinkontinenz. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- S Hartlieb
- Universitätsklinikum Tübingen, Urogynäkologie, Tübingen, Deutschland
| | - C Reisenauer
- Universitätsklinikum Tübingen, Urogynäkologie, Tübingen, Deutschland
| | - B Schönfisch
- Universitätsklinikum Tübingen, Forschungsinstitut für Frauengesundheit, Tübingen, Deutschland
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18
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Haddad M, Reisenauer C, Parvinian A, Thompson S, Toskich B, Andrews J, Fleming C. 3:00 PM Abstract No. 361 ■ FEATURED ABSTRACT Comparison of bleeding complications between transplenic versus transhepatic access of the portal venous system. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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19
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Wagner P, Kommoss S, Hartkopf A, Neis F, Abele H, Krämer B, Reisenauer C, Wallwiener D, Brucker S, Taran FA. Das präoperativ nicht erkannte Endometriumkarzinom: Häufigkeit und Charakteristika nach Hysterektomie aus benigner Indikation. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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20
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Wolz-Beck M, Reisenauer C, Hahn S, Brucker S, Hübner M. Physio- und Verhaltenstherapie zur Behandlung der Überaktiven Blase (OAB). Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592800] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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21
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Liaci ALS, Stäbler A, Hübner M, Brucker S, Reisenauer C. Diagnostik und Management von paravaginalen benignen Raumforderungen am Beispiel von 69 Fällen. Was sollte ein (Uro) Gynäkologe wissen? Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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22
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Dettmeyer R, Reisenauer C. [Urogynecologycal surgery : Informed consent and other medicolegal aspects]. Urologe A 2016; 56:224-230. [PMID: 27525429 DOI: 10.1007/s00120-016-0209-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
With regard to jurisdiction, the Patients' Rights Act and the Medical Association's professional code of conduct in Germany, correct informed consent in a timely manner has to be assured by the physician. Omissions concerning informed consent may lead to conviction including compensation for damages and for pain and suffering if the patient is able to prove such omissions. Mistakes during treatment or gaps of the informed consent must not to be told to the patient, but facts must be correctly answered.
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Affiliation(s)
- R Dettmeyer
- Institut für Rechtsmedizin, Universitätsklinikum Gießen, Frankfurter Straße 58, 35392, Gießen, Deutschland
| | - C Reisenauer
- Universitäts-Frauenklinik, Calwerstraße 7, 72076, Tübingen, Deutschland.
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23
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Neis KJ, Zubke W, Römer T, Schwerdtfeger K, Schollmeyer T, Rimbach S, Holthaus B, Solomayer E, Bojahr B, Neis F, Reisenauer C, Gabriel B, Dieterich H, Runnenbaum IB, Kleine W, Strauss A, Menton M, Mylonas I, David M, Horn LC, Schmidt D, Gaß P, Teichmann AT, Brandner P, Stummvoll W, Kuhn A, Müller M, Fehr M, Tamussino K. Indications and Route of Hysterectomy for Benign Diseases. Guideline of the DGGG, OEGGG and SGGG (S3 Level, AWMF Registry No. 015/070, April 2015). Geburtshilfe Frauenheilkd 2016; 76:350-364. [PMID: 27667852 PMCID: PMC5031283 DOI: 10.1055/s-0042-104288] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Background: Official guideline "indications and methods of hysterectomy" to assign indications for the different methods published and coordinated by the German Society of Gynecology and Obstetrics (DGGG), the Austrian Society of Gynecology and Obstetrics (OEGGG) and the Swiss Society of Gynecology and Obstetrics (SGGG). Besides vaginal and abdominal hysterectomy, three additional techniques have been implemented due to the introduction of laparoscopy. Organ-sparing alternatives were also integrated. Methods: The guideline group consisted of 26 experts from Germany, Austria and Switzerland. Recommendations were developed using a structured consensus process and independent moderation. A systematic literature search and quality appraisal of benefits and harms of the therapeutic alternatives for symptomatic fibroids, dysfunctional bleeding and adenomyosis was done through MEDLINE up to 6/2014 focusing on systematic reviews and meta-analysis. Results: All types of hysterectomy led in studies to high rates of patient satisfaction. If possible, vaginal instead of abdominal hysterectomy should preferably be done. If a vaginal hysterectomy is not feasible, the possibility of a laparoscopic hysterectomy should be considered. An abdominal hysterectomy should only be done with a special indication. Organ-sparing interventions also led to high patient satisfaction rates, but contain the risk of symptom recurrence. Conclusion: As an aim, patients should be enabled to choose that therapeutic intervention for their benign disease of the uterus that convenes best to them and their personal life situation.
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Affiliation(s)
- K. J. Neis
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin der Universitätsklinik des Saarlandes
| | - W. Zubke
- Frauenklinik des Universitätsklinikum Tübingen
| | - T. Römer
- Evangelisches Krankenhaus Köln-Weyertal
| | | | - T. Schollmeyer
- Klinik für Gynäkologie und Geburtshilfe Universitätsklinikum Schleswig-Holstein
| | - S. Rimbach
- Klinik für Gynäkologie und Geburtshilfe Krankenhaus Agatharied GmbH
| | - B. Holthaus
- Klinik für Frauenheilkunde und Geburtshilfe St. Elisabeth Krankenhaus Damme
| | - E. Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin der Universitätsklinik des Saarlandes
| | - B. Bojahr
- Klinik für MIC Minimal Invasive Chirurgie am Ev. Krankenhaus Hubertus in Berlin
| | - F. Neis
- Frauenklinik des Universitätsklinikum Tübingen
| | | | - B. Gabriel
- Klinik für Gynäkologie und Geburtshilfe St. Josefs-Hospital Wiesbaden
| | | | - I. B. Runnenbaum
- Universitätsklinikum Jena Klinik für Frauenheilkunde und Geburtshilfe
| | - W. Kleine
- Universitätsklinikum Mannheim Klink für Frauenheilkunde und Geburtshilfe
| | - A. Strauss
- Klinik für Gynäkologie und Geburtshilfe Christian-Albrechts-Universität zu Kiel
| | | | - I. Mylonas
- Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe Klinikum der Universität München
| | - M. David
- Campus Virchow-Klinikum Charité Klinik für Gynäkologie
| | - L-C. Horn
- Institut für Pathologie Universitätsklinikum Leipzig
| | | | - P. Gaß
- Universitätsklinikum Erlangen Frauenklinik
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Neis K, Reisenauer C, Naumann G, Faridi A, Rimbach S. Einladung. Forum Operative Gynäkologie. Geburtshilfe Frauenheilkd 2015. [DOI: 10.1055/s-0035-1546090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Aigmueller T, Bader W, Beilecke K, Elenskaia K, Frudinger A, Hanzal E, Helmer H, Huemer H, van der Kleyn M, Koelle D, Kropshofer S, Pfeiffer J, Reisenauer C, Tammaa A, Tamussino K, Umek W. Management of 3rd and 4th Degree Perineal Tears after Vaginal Birth. German Guideline of the German Society of Gynecology and Obstetrics (AWMF Registry No. 015/079, October 2014). Geburtshilfe Frauenheilkd 2015; 75:137-144. [PMID: 26157195 PMCID: PMC4477621 DOI: 10.1055/s-0034-1396323] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Affiliation(s)
- T. Aigmueller
- Universitätsklinik für Frauenheilkunde und Geburtshilfe Graz, Österreich
| | | | - K. Beilecke
- Klinik St. Hedwig, KH Barmherzige Brüder, Regensburg
| | | | - A. Frudinger
- Universitätsklinik für Frauenheilkunde und Geburtshilfe Graz, Österreich
| | - E. Hanzal
- Medizinische Universität Wien, Wien, Österreich
| | - H. Helmer
- Medizinische Universität Wien, Wien, Österreich
| | - H. Huemer
- Klinikum Wels-Grieskirchen, Österreich
| | | | | | - S. Kropshofer
- Medizinische Universität Innsbruck, Innsbruck, Österreich
| | - J. Pfeiffer
- Universitätsklinik für Frauenheilkunde und Geburtshilfe Graz, Österreich
| | | | - A. Tammaa
- Wilhelminenspital Wien, Wien, Österreich
| | - K. Tamussino
- Universitätsklinik für Frauenheilkunde und Geburtshilfe Graz, Österreich
| | - W. Umek
- Medizinische Universität Wien, Wien, Österreich
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Tunn R, Albrich S, Beilecke K, Kociszewski J, Lindig-Knopke C, Reisenauer C, Schwertner-Tiepelmann N, Kuhn A, Viereck V, Bjelic Radisic V, Kölle D, Umek W, Bader W, Schwandner O, Lange R. Interdisciplinary S2k Guideline: Sonography in Urogynecology: Short Version - AWMF Registry Number: 015/055. Geburtshilfe Frauenheilkd 2014; 74:1093-1098. [PMID: 25568465 DOI: 10.1055/s-0034-1383044] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Affiliation(s)
- R Tunn
- Senior Consultant, Klinik für Urogynäkologie, Koordinator Deutsches Beckenbodenzentrum, St. Hedwig-Krankenhaus, Berlin
| | | | | | | | | | | | | | - A Kuhn
- Inselspital Bern, Bern, Switzerland
| | - V Viereck
- Kantonsspital Frauenfeld, Frauenfeld, Switzerland
| | | | | | - W Umek
- Medizinische Universität Wien, Vienna, Austria
| | - W Bader
- Klinikum Bielefeld, Bielefeld
| | | | - R Lange
- Praxis Schweppenhausen, Schweppenhausen
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Rall K, Henninger V, Brucker S, Reisenauer C. Prolaps nach verschiedenen Arten der Neovaginaanlage: individuelle operative Therapie und Outcome. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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28
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Brucker S, Ortmann O, Kainer F, Neis K, Möller C, Faridi A, Reisenauer C, deWilde R. Kongressbericht. „Wir haben Europa eingeladen – und die Welt ist gekommen!“ - 22. ESGE-Kongress zusammen mit dem 6. FOG- und 3. DAGG-Kongress vom 16.–19. Oktober 2013 in Berlin. Geburtshilfe Frauenheilkd 2013. [DOI: 10.1055/s-0033-1360240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Reisenauer C, Muche-Borowski C, Anthuber C, Finas D, Fink T, Gabriel B, Hübner M, Lobodasch K, Naumann G, Peschers U, Petri E, Schwertner-Tiepelmann N, Soeder S, Steigerwald U, Strauss A, Tunn R, Viereck V, Aigmüller T, Kölle D, Kropshofer S, Tamussino K, Kuhn A, Höfner PDK, Kirschner-Hermanns R, Oelke M, Schultz-Lampel D, Klingler C, Henscher U, Köwing A, Junginger B. Interdisciplinary S2e Guideline for the Diagnosis and Treatment of Stress Urinary Incontinence in Women: Short version - AWMF Registry No. 015-005, July 2013. Geburtshilfe Frauenheilkd 2013; 73:899-903. [PMID: 24771939 DOI: 10.1055/s-0033-1350871] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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Mischinger J, Amend B, Reisenauer C, Bedke J, Naumann G, Germann M, Kruck S, Arenas Desilva LF, Wallwiener H, Koelbl H, Nitti V, Sievert KD. Different surgical approaches for stress urinary incontinence in women. Minerva Ginecol 2013; 65:21-28. [PMID: 23412017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Stress urinary incontinence (SUI) constitutes involuntary voiding as a consequence of rising intra-abdominal pressure caused by sphincter weakness. In recent years studies were published according to surgical SUI management evaluating and comparing therapy options and outcomes. Therapy options were evaluated using a Medline search, including only publications in English between 2000-2012. Key words used were: SUI, conservative and surgical treatment, midurethral sling, colposuspension. Surgical treatment options demonstrate significantly better results than conservative treatment. MUS demonstrate better subjective and objective cure rates than colposuspension; it is less invasive and more cost-effective. First line SUI therapy such as RP MUS and TVT seem to be favored when compared to transobturator techniques. Retropubic and transobturator MUS showed equivalent objective and subjective success rates. Open colposuspension is an effective treatment possibility for recurrent SUI after failed MUS. TVT, compared with other MUS, seems to show slightly better cure rates. but perioperative complications appear to be similar. Long-term results (>10 years) of repeated SUI surgery showed that the Burch procedure had the lowest 9-year cumulative incidence of repeat SUI surgery. Mini-sling techniques may be underestimated but long-time results are pending and closer monitoring of the adverse event profile must be carried out. MUS are first choice in the treatment of SUI, of which TVT, has the best cure rate. Colpussupension continues to have its place in recurrent SUI. The new mini-MUS needs a longer follow-up for final evaluation.
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Affiliation(s)
- J Mischinger
- Department of Urology, University of Tuebingen, Tuebingen, Germany
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31
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Reisenauer C, Hübner M. Allgemeine Gynäkologie. Optimierung der Beckenbodennetze – wie geht es weiter? Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0031-1280305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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32
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Hübner M, Taran FA, Fehm T, Heuer H, Reisenauer C, Rothmund R. Endokrinologie. Lokale Hormonsubstitution zur Behandlung der urogenitalen Atrophie bei Malignompatientinnen. Geburtshilfe Frauenheilkd 2011. [DOI: 10.1055/s-0030-1271004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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33
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Hübner M, Reisenauer C, Abele H. Beckenbodenprotektive Geburtshilfe. Welchen Stellenwert hat die primäre Sectio caesarea? Geburtshilfe Frauenheilkd 2010. [DOI: 10.1055/s-0030-1250623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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34
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Reisenauer C, Huebner M. Allgemeine Gynäkologie. Belastungsinkontinenz: Therapieoptionen im Wandel der Zeit. Geburtshilfe Frauenheilkd 2010. [DOI: 10.1055/s-0030-1250226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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35
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Hübner M, Reisenauer C. Urogynäkologie. Trainingsmöglichkeiten zum Erlernen von Harninkontinenz-Operationsmethoden. Geburtshilfe Frauenheilkd 2009. [DOI: 10.1055/s-0029-1186042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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36
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Shiozawa T, Reisenauer C. [Sciatic neuropathy after pelvic floor repair]. Urologe A 2009; 48:901-3. [PMID: 19458931 DOI: 10.1007/s00120-009-2020-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
After the surgical treatment of a recurrent enterocele and rectocele using a polypropylene implant, a patient developed a reversible paralysis. Haematoma was excluded. To search for the cause of the paralysis, polypropylene implants were inserted in four ethanol-preserved cadavers. Their dissection showed a safe distance at all points between the implant and the sciatic nerve. The patient's paralysis was most likely due to the lithotomy position, with an overstretching of the sciatic nerve during the intraoperative flexion of the hip joint.
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Affiliation(s)
- T Shiozawa
- Abteilung für experimentelle Embryologie und Tissue Engineering, Anatomisches Institut, Universität Tübingen, Deutschland
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37
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Reisenauer C, Shiozawa T, Busch C, Wallwiener D, Drews U. Die glatte Muskulatur des Beckenbodens bei Pevic Organ Prolapse (POP)–eine zukünftige konservative Therapieansatzmöglichkeit? – Eine in vitro pharmakologische Untersuchung an Proben aus dem Lig. Sacrouterinum. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1089218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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38
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Reisenauer C, Riegel K, Hübner M, Hinninghofen H, Wallwiener D, Tunn R. Die Wirksamkeit des Beckenbodentrainings bei Patientinnen mit Stressharninkontinenz – Eine prospektiv-randomisierte dreiarmige Vergleichsstudie. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-0028-1088646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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39
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Reisenauer C, Hübner M, Wallwiener D. Allgemeine Gynäkologie. Die vesikovaginale Fistel - eine diagnostische und therapeutische Herausforderung. Geburtshilfe Frauenheilkd 2008. [DOI: 10.1055/s-2008-1038342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
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40
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Zubke W, Reisenauer C, Gardanis K, Wallwiener D. Deszensus: Diagnostik und Therapie. Teil 2. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-955937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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41
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Zubke W, Reisenauer C, Gardanis K, Wallwiener D. Deszensus: Diagnostik und Therapie. Teil 1. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-924618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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42
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Reisenauer C, Sievert KD, Leonard J, Wallwiener D. Stuhlinkoninetnz-Fragebogen zur Lebensqualität (SILQ). Ergänzendes diagnostisches Werkzeug zur Beurteilung des therapeutischen Ansatzes. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Reisenauer C, Kirschniak A, Drews U, Wallwiener D. Anatomische Grundlagen für die Beckenbodenrekonstruktion mit Polypropyleneimplantaten (Prolift* Gynecare). Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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44
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Reisenauer C, Oppitz M, Shiozawa T, Busch C, Kirschniak A, Drews U, Wallwiener D. Die Rolle der glatten Muskulaturkomponente in der Pathogenese des Genitalprolapses am Beispiel der Ligamenta sacrouterina. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Reisenauer C, DiGangi Herms AMR, Veit R, Herms A, Grodd W, Enck P, Stenzl A, Birbaumer N, Wallwiener D. Neuroplastische kortikale Veränderungen nach konservativer Therapie der Belastungsinkontinenz. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Reisenauer C, Kirschniak A, Drews U, Wallwiener D. Transobturatorielle inside-out suburethrale spannungsfreie Schlingeneinlage (TVT-O): Anatomische Grundlagen. Geburtshilfe Frauenheilkd 2006. [DOI: 10.1055/s-2006-952190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Di Gangi Herms AMR, Veit R, Reisenauer C, Herms A, Grodd W, Enck P, Stenzl A, Birbaumer N. Functional imaging of stress urinary incontinence. Neuroimage 2006; 29:267-75. [PMID: 16150613 DOI: 10.1016/j.neuroimage.2005.07.018] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2005] [Revised: 07/05/2005] [Accepted: 07/06/2005] [Indexed: 11/25/2022] Open
Abstract
Stress urinary incontinence (SUI) is defined as an involuntary loss of urine during increases in intraabdominal pressure such as coughing or laughing. It is often a consequence of weakness of the pelvic floor. Treatment of SUI consists of pelvic floor muscle training with EMG-biofeedback (PFMT) or contraction-exercises, with voluntary pelvic contractions in order to strengthen the pelvic floor. We investigated neuroplastic changes comparing PFMT with EMG-biofeedback before and after training in ten female patients with SUI using event-related functional Magnetic Resonance Imaging (fMRI). After a 12-week training a more focused activation in the primary motor and somatosensory cortical representation sites of the lower urogenital tract was found. In addition, reductions in brain activation in the insula, right frontal operculum and the anterior cingulate cortex suggest changes in emotional arousal in micturition after treatment. These changes are related to clinical improvement documented by decreased number of incontinence episodes and increased EMG-activity of the pelvic floor muscles after training. The changes in EMG-activity were correlated with heightened BOLD responses in the primary motor and primary sensory cortical representation sites of the lower urogenital tract.
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Affiliation(s)
- A M R Di Gangi Herms
- Institute of Medical Psychology and Behavioral Neurobiology, University of Tübingen, Gartenstrasse 29 D-72074 Tübingen, Germany
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Reisenauer C, Kirschniak A, Drews U, Wallwiener D. Anatomische Grundlagen für Beckenbodenrekonstruktionen mit Polypropyleneimplantaten (Prolift*Gynecare). Geburtshilfe Frauenheilkd 2005. [DOI: 10.1055/s-2005-920809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Reisenauer C, Gardanis K, Wallwiener D. Pharmakologie. Neue konservative Therapieoption der Belastungsinkontinenz. Geburtshilfe Frauenheilkd 2005. [DOI: 10.1055/s-2005-837588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Parlesak A, Reisenauer C, Biermann J, Ratge D, Bode JC, Bode C. Reversibility of increased formation of catecholamines in patients with alcoholic liver disease. Scand J Gastroenterol 2004; 39:60-6. [PMID: 14992563 DOI: 10.1080/00365520310007738] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND While chronic alcohol abuse has been shown to be associated with increased production of catecholamines, little is known about the reversibility of this increased sympathetic activity and the influence of severity of alcoholic liver disease (ALD). The aim of the present study was to investigate whether the increase in urinary excretion rates and plasma levels of catecholamines in alcohol-abusing patients are reversible during prolonged abstinence, especially with respect to the severity of ALD. METHODS Urinary excretion rates and plasma levels of noradrenaline (NA), adrenaline (A) and dopamine (DA) were determined in 15 subjects with mild to moderate ALD (ALD1) and in 7 alcoholic cirrhotics (ALD2) on admission and after 2 and 12 weeks of abstinence. Eight healthy males, age-matched to ALD1, served as controls (HC). RESULTS Urinary excretion rates (24 h) and resting plasma concentrations of NA and A were increased in ALD1 and ALD2 about 2-fold, while those of DA were elevated only moderately compared to HC. During exercise under a load of 100 watts, the increases in plasma levels of NA and A with reference to the resting values were nearly identical in all three groups. Already after 2 weeks of abstinence, the urinary excretion rate of NA had nearly normalized in ALD1 but remained unchanged in ALD2. CONCLUSION The marked enhancement of catecholamine production, especially that of NA, observed in actively drinking alcoholics is reversible under abstinence within a few weeks in subjects with mild to moderate ALD but only partially reversible in alcoholic cirrhosis.
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Affiliation(s)
- A Parlesak
- Dept. of Physiology of Nutrition, Hohenheim University, Stuttgart, Germany.
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