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Mette Tetsche - One of the best experts on this subject based on the ideXlab platform.
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sexual function in women before and after suburethral sling operation for stress urinary incontinence a retrospective Questionnaire Study
Acta Obstetricia et Gynecologica Scandinavica, 2004Co-Authors: Karin Glavind, Mette TetscheAbstract:Background. The aim of this Questionnaire Study dealing with women with stress urinary incontinence was to find out what influence incontinence and operation for incontinence in the form of tension-free vaginal tape (TVT) or intravaginal slingplasty operation (IVS) had on the patient's sexuality and if there were any adverse effects on sexuality after the operation. Methods. Eighty-four patients were operated on from April 1998 to September 2002. A Questionnaire was sent to all patients with questions concerning their sexuality before and after the operation. Results. Sixty-seven patients (81%) answered the Questionnaire . Before the operation 53 patients (79%) were sexually active and 26 patients (49%) experienced incontinence during intercourse. Only one patient (0.01%) stated the incontinence as the reason for not being sexually active. No patients developed de novo incontinence during intercourse after the operation. Half of the patients who were cured of their incontinence during intercourse experien...
Karin Glavind - One of the best experts on this subject based on the ideXlab platform.
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sexual function in women before and after suburethral sling operation for stress urinary incontinence a retrospective Questionnaire Study
Acta Obstetricia et Gynecologica Scandinavica, 2004Co-Authors: Karin Glavind, Mette TetscheAbstract:Background. The aim of this Questionnaire Study dealing with women with stress urinary incontinence was to find out what influence incontinence and operation for incontinence in the form of tension-free vaginal tape (TVT) or intravaginal slingplasty operation (IVS) had on the patient's sexuality and if there were any adverse effects on sexuality after the operation. Methods. Eighty-four patients were operated on from April 1998 to September 2002. A Questionnaire was sent to all patients with questions concerning their sexuality before and after the operation. Results. Sixty-seven patients (81%) answered the Questionnaire . Before the operation 53 patients (79%) were sexually active and 26 patients (49%) experienced incontinence during intercourse. Only one patient (0.01%) stated the incontinence as the reason for not being sexually active. No patients developed de novo incontinence during intercourse after the operation. Half of the patients who were cured of their incontinence during intercourse experien...
Stanton Newman - One of the best experts on this subject based on the ideXlab platform.
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The effect of Telehealth on disease-specific quality of life in patients with heart failure: the Whole Systems Demonstrator Telehealth Questionnaire Study
International Journal of Integrated Care, 2012Co-Authors: Martin Cartwright, Shashivadan P. Hirani, Lorna Rixon, Michelle Beynon, Helen Doll, Stanton NewmanAbstract:Introduction: Primary studies and systematic reviews that have examined the effect of Telehealth (TH) on Health-Related Quality of Life (HRQoL) typically conclude that TH leads to quality of life improvements. The evidence base on which such conclusions rest is characterised by methodologically weak studies that generate equivocal findings. The effectiveness of TH, in terms of quality of life benefits, has yet to be substantiated in high-quality trials. Aims: Using data from the WSD Telehealth Questionnaire Study we assessed the impact of TH on disease-specific HRQoL, generic HRQoL and psychological outcomes (anxiety and depression) in patients with heart failure, over a 12-month period. Design: The WSD Telehealth Questionnaire Study is pragmatic cluster-randomised controlled trial evaluating a broad range of patientreported outcome measures. Participants were recruited from three Sites in the UK (Cornwall, Kent and Newham). The current analyses focus on participants with heart failure. Methods: Over 500 participants with heart failure completed measures of disease-specific HRQoL (MLHFQ), generic HRQoL (UK SF-12; EQ5D), anxiety (Brief STAI) and depression (CESD-10) at baseline. Follow-up assessments were conducted at 4 and 12 months. Results: Primary and sensitivity analyses will be presented for the heart failure cohort and interpreted in light of existing WSD findings that examine generic HRQoL in a pooled clinical sample comprising participants with heart failure, COPD and diabetes. Specific findings from the WSD Telehealth Questionnaire Study are embargoed until these analyses have been peer-reviewed and accepted for publication. Conclusions: Conclusions cannot be released until the analyses have been peer-reviewed and accepted for publication.
Lukas Rob - One of the best experts on this subject based on the ideXlab platform.
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Abdominal hysterectomy--risk factor in development of urinary incontinence? Results of a Questionnaire Study
Ceska gynekologie, 2005Co-Authors: Chmel R, R. Vlk, Horcicka L, Z, Novácková M, Marek Pluta, Lukas RobAbstract:OBJECTIVE To evaluate the risk of urinary incontinence development after abdominal hysterectomy for benign gynecological disease. DESIGN Retrospective Questionnaire Study. SETTING Obstetrics and Gynecology Department, Charles University 2nd Medical Faculty and Teaching Hospital Motol, Prague. METHODS Questionnaire Study of women in which abdominal hysterectomy for benign gynecological disease was performed from January till December 2001 at our Department of Gynecology and Obstetrics. The Questionnaire included questions about symptoms of stress, urge and mixed urinary incontinence. They were evaluated in connection with age, parity, hormonal status and body mass index. Student t-test was used for the statistical analysis. RESULTS 114 (59.7%) from all sent-out Questionnaires were obtained. In 15.8% cases (18 from 114) de novo urinary incontinence after surgery developed. 77.8% (14 from 18) from these patients suffered from genuine stress incontinence. The rest (4 from 18) of the women had symptoms of mixed incontinence. Study results draw attention to 13.1% women (15 from 114) in which preoperative stress incontinence persisted even after hysterectomy. Preoperative stress incontinence was cured in 6.1% (7 from 114) cases after hysterectomy. Age, parity, hormonal status and body mass index were not statistically different in all groups after surgery. CONCLUSIONS The results of the Study show relatively high risk of urinary incontinence development after abdominal hysterectomy in previously continent women. The results also show high persistence of the stress incontinence symptoms in women who did not inform about their incontinence even if they were asked about it. Higher quality of further health education of the women with drawing their attention to both the possibility of surgical treatment of urinary incontinence simultaneously with hysterectomy are the most important aspects how to make the current gynecological surgical therapy more effective.
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Prevalence of the female urinary incontinence. Results from a Questionnaire Study
Ceska gynekologie, 2004Co-Authors: Chmel R, Lukas Rob, R. Vlk, Horcicka L, Doucha J, Z, Novácková MAbstract:OBJECTIVE To evaluate the prevalence of urinary incontinence in patients of gynecological practise aged 31-60. DESIGN Prospective Questionnaire Study. SETTING Obstetric and Gynecologic Department, Charles University 2nd Medical Faculty and Teaching Hospital Motol, Prague. METHODS Questionnaire Study of 561 women aged 31-60 examined with gynecological problems (not for the symptoms of urinary incontinence) from November 2001 till October 2002 in standard gynecological practise. The Questionnaire included history, evaluation of urinary continence, lasting of the symptoms, body mass index, obesity, age, parity. Stress, urgent and mixed incontinence and influence on the sexual life were also evaluated. Cochran Mantel-Haenszel test and chi2 test were used for the statistical analysis. RESULTS The incontinence rate in the group of 533 evaluated patients (95% completed Questionnaires from 561) of gynecological practise was 23.8%. 81.1% of incontinent patients in the Study suffered from stress urinary incontinence. For an easy survey and analysis the patients were divided into three age groups (31-40, 41-50, 51-60). Prevalence of the urinary incontinence rised with age. Statistically significant lower prevalence of urinary incontinence was in the age group 31-40 (p
Novácková M - One of the best experts on this subject based on the ideXlab platform.
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Abdominal hysterectomy--risk factor in development of urinary incontinence? Results of a Questionnaire Study
Ceska gynekologie, 2005Co-Authors: Chmel R, R. Vlk, Horcicka L, Z, Novácková M, Marek Pluta, Lukas RobAbstract:OBJECTIVE To evaluate the risk of urinary incontinence development after abdominal hysterectomy for benign gynecological disease. DESIGN Retrospective Questionnaire Study. SETTING Obstetrics and Gynecology Department, Charles University 2nd Medical Faculty and Teaching Hospital Motol, Prague. METHODS Questionnaire Study of women in which abdominal hysterectomy for benign gynecological disease was performed from January till December 2001 at our Department of Gynecology and Obstetrics. The Questionnaire included questions about symptoms of stress, urge and mixed urinary incontinence. They were evaluated in connection with age, parity, hormonal status and body mass index. Student t-test was used for the statistical analysis. RESULTS 114 (59.7%) from all sent-out Questionnaires were obtained. In 15.8% cases (18 from 114) de novo urinary incontinence after surgery developed. 77.8% (14 from 18) from these patients suffered from genuine stress incontinence. The rest (4 from 18) of the women had symptoms of mixed incontinence. Study results draw attention to 13.1% women (15 from 114) in which preoperative stress incontinence persisted even after hysterectomy. Preoperative stress incontinence was cured in 6.1% (7 from 114) cases after hysterectomy. Age, parity, hormonal status and body mass index were not statistically different in all groups after surgery. CONCLUSIONS The results of the Study show relatively high risk of urinary incontinence development after abdominal hysterectomy in previously continent women. The results also show high persistence of the stress incontinence symptoms in women who did not inform about their incontinence even if they were asked about it. Higher quality of further health education of the women with drawing their attention to both the possibility of surgical treatment of urinary incontinence simultaneously with hysterectomy are the most important aspects how to make the current gynecological surgical therapy more effective.
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Prevalence of the female urinary incontinence. Results from a Questionnaire Study
Ceska gynekologie, 2004Co-Authors: Chmel R, Lukas Rob, R. Vlk, Horcicka L, Doucha J, Z, Novácková MAbstract:OBJECTIVE To evaluate the prevalence of urinary incontinence in patients of gynecological practise aged 31-60. DESIGN Prospective Questionnaire Study. SETTING Obstetric and Gynecologic Department, Charles University 2nd Medical Faculty and Teaching Hospital Motol, Prague. METHODS Questionnaire Study of 561 women aged 31-60 examined with gynecological problems (not for the symptoms of urinary incontinence) from November 2001 till October 2002 in standard gynecological practise. The Questionnaire included history, evaluation of urinary continence, lasting of the symptoms, body mass index, obesity, age, parity. Stress, urgent and mixed incontinence and influence on the sexual life were also evaluated. Cochran Mantel-Haenszel test and chi2 test were used for the statistical analysis. RESULTS The incontinence rate in the group of 533 evaluated patients (95% completed Questionnaires from 561) of gynecological practise was 23.8%. 81.1% of incontinent patients in the Study suffered from stress urinary incontinence. For an easy survey and analysis the patients were divided into three age groups (31-40, 41-50, 51-60). Prevalence of the urinary incontinence rised with age. Statistically significant lower prevalence of urinary incontinence was in the age group 31-40 (p
