The Experts below are selected from a list of 20565 Experts worldwide ranked by ideXlab platform
Serena Schulz - One of the best experts on this subject based on the ideXlab platform.
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Urine flow rates and residual urine volumes in Urogynecology patients.
International Urogynecology Journal, 1999Co-Authors: Bernard T Haylen, M I Frazer, Serena SchulzAbstract:Two hundred and fifty consecutive women referred because of symptoms of lower urinary tract dysfunction underwent a full clinical and urodynamic assessment. Their urine flow rates and residual urine volumes were analyzed. The urine flow rates of the Urogynecology patients were found to be significantly less than those of an asymptomatic population. There were significant declines in urine flow rates in the presence of a previous hysterectomy and with increasing grades of prolapse, particularly uterine prolapse, cystocele and enterocele. Unlike the normal female population, there was also deterioration with increasing parity and age, the latter largely due to the increasing incidence of hysterectomy and prolapse with age. The 10th centile of the Liverpool Nomogram for the maximum urine flow rate was found to be the most useful discriminant for a final urodynamic diagnosis of voiding difficulties. Most Urogynecology patients have no or small residual urine volumes, 74%
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urine flow rates and residual urine volumes in Urogynecology patients
International Urogynecology Journal, 1999Co-Authors: Bernard T Haylen, M I Frazer, Serena SchulzAbstract:Two hundred and fifty consecutive women referred because of symptoms of lower urinary tract dysfunction underwent a full clinical and urodynamic assessment. Their urine flow rates and residual urine volumes were analyzed. The urine flow rates of the Urogynecology patients were found to be significantly less than those of an asymptomatic population. There were significant declines in urine flow rates in the presence of a previous hysterectomy and with increasing grades of prolapse, particularly uterine prolapse, cystocele and enterocele. Unlike the normal female population, there was also deterioration with increasing parity and age, the latter largely due to the increasing incidence of hysterectomy and prolapse with age. The 10th centile of the Liverpool Nomogram for the maximum urine flow rate was found to be the most useful discriminant for a final urodynamic diagnosis of voiding difficulties. Most Urogynecology patients have no or small residual urine volumes, 74% <10 ml and 81% <30 ml (vs 95% <30 ml in asymptomatic women). In Urogynecology patients residuals were larger where there had been a prior hysterectomy or with grade 2 or higher uterine prolapse, cystocele and enterocele. Mean residual was 14.8 ml (vs 4.8 ml in asymptomatic women). These data indicate a higher incidence of voiding difficulties (abnormally slow urine flow (under 10th centile) and/or abnormally high residual urine volume (over 30 ml) in Urogynecology patients, particularly those with higher grades of prolapse and with prior hysterectomy.
Bernard T Haylen - One of the best experts on this subject based on the ideXlab platform.
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immediate postvoid residual volumes in women with symptoms of pelvic floor dysfunction
Obstetrics & Gynecology, 2008Co-Authors: Bernard T Haylen, Vanessa Logan, Sue Husselbee, Jialun ZhouAbstract:OBJECTIVE:To estimate the prevalence and clinical and urodynamic associations of postvoid residual volumes (PVRs), measured immediately after micturition, in women with symptoms of pelvic floor dysfunction.METHODS:The patients were 1,140 women presenting consecutively for their initial urogynecologi
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Urine flow rates and residual urine volumes in Urogynecology patients.
International Urogynecology Journal, 1999Co-Authors: Bernard T Haylen, M I Frazer, Serena SchulzAbstract:Two hundred and fifty consecutive women referred because of symptoms of lower urinary tract dysfunction underwent a full clinical and urodynamic assessment. Their urine flow rates and residual urine volumes were analyzed. The urine flow rates of the Urogynecology patients were found to be significantly less than those of an asymptomatic population. There were significant declines in urine flow rates in the presence of a previous hysterectomy and with increasing grades of prolapse, particularly uterine prolapse, cystocele and enterocele. Unlike the normal female population, there was also deterioration with increasing parity and age, the latter largely due to the increasing incidence of hysterectomy and prolapse with age. The 10th centile of the Liverpool Nomogram for the maximum urine flow rate was found to be the most useful discriminant for a final urodynamic diagnosis of voiding difficulties. Most Urogynecology patients have no or small residual urine volumes, 74%
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urine flow rates and residual urine volumes in Urogynecology patients
International Urogynecology Journal, 1999Co-Authors: Bernard T Haylen, M I Frazer, Serena SchulzAbstract:Two hundred and fifty consecutive women referred because of symptoms of lower urinary tract dysfunction underwent a full clinical and urodynamic assessment. Their urine flow rates and residual urine volumes were analyzed. The urine flow rates of the Urogynecology patients were found to be significantly less than those of an asymptomatic population. There were significant declines in urine flow rates in the presence of a previous hysterectomy and with increasing grades of prolapse, particularly uterine prolapse, cystocele and enterocele. Unlike the normal female population, there was also deterioration with increasing parity and age, the latter largely due to the increasing incidence of hysterectomy and prolapse with age. The 10th centile of the Liverpool Nomogram for the maximum urine flow rate was found to be the most useful discriminant for a final urodynamic diagnosis of voiding difficulties. Most Urogynecology patients have no or small residual urine volumes, 74% <10 ml and 81% <30 ml (vs 95% <30 ml in asymptomatic women). In Urogynecology patients residuals were larger where there had been a prior hysterectomy or with grade 2 or higher uterine prolapse, cystocele and enterocele. Mean residual was 14.8 ml (vs 4.8 ml in asymptomatic women). These data indicate a higher incidence of voiding difficulties (abnormally slow urine flow (under 10th centile) and/or abnormally high residual urine volume (over 30 ml) in Urogynecology patients, particularly those with higher grades of prolapse and with prior hysterectomy.
Harold P. Drutz - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of obstructive sleep apnea detected by the Berlin Questionnaire in patients with nocturia attending a Urogynecology unit.
International urogynecology journal, 2015Co-Authors: Salomon Zebede, Danny Lovatsis, May Alarab, Harold P. DrutzAbstract:Introduction and hypothesis Nocturia has been associated with several chronic conditions including obstructive sleep apnea (OSA). The pathophysiological link between nocturia and OSA has been well delineated, but the prevalence of this condition in patients with nocturia is unknown. The aim of this study was to determine the prevalence of sleep apnea in patients with nocturia compared with patients without nocturia in a group of women referred to a Urogynecology unit.
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effect of childhood dysfunctional voiding on urinary incontinence in adult women
Obstetrics & Gynecology, 2006Co-Authors: Vatche A. Minassian, Danny Lovatsis, Dante Pascali, May Alarab, Harold P. DrutzAbstract:OBJECTIVE:To determine whether a history of childhood dysfunctional voiding is associated with urinary incontinence in adulthood.METHODS:Using a case-control study, we surveyed patients presenting with or without urinary incontinence. Cases were patients referred to a tertiary Urogynecology clinic,
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Urogynecology experience in Canada's obstetrics and gynecology residency programs.
International urogynecology journal and pelvic floor dysfunction, 2004Co-Authors: Vatche A. Minassian, Sue Ross, Danny Lovatsis, Ahmed Al-badr, Harold P. DrutzAbstract:This study aimed to evaluate the exposure of obstetrics and gynecology residents to urogynecologic training and to compare this to the program directors’ expectations. A cross-sectional questionnaire study was performed surveying the 60 final-year residents and their program directors at all 16 Canadian residency programs. Questions covered areas of knowledge and skills in basic and advanced Urogynecology. Thirty-two (53%) residents and nine (56%) program directors responded. Twenty-six (81%) residents had a formal Urogynecology rotation with training in incontinence, prolapse, pessary-fitting, and urodynamics. Residents performed a median of: 50 vaginal hysterectomies, 30 anterior repairs, 30 posterior repairs, 35 retropubic urethropexies, and 15 cystoscopies. All other procedures had a median of 6 or less. Responses of residents and program directors correlated well. Although residents in Canada have adequate exposure to simple urogynecologic procedures, they perform few complex cases. Such procedures should be performed by physicians with additional Urogynecology fellowship training.
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Urogynecology and Reconstructive Pelvic Surgery: Past, Present and Future
Female Pelvic Medicine and Reconstructive Pelvic Surgery, 1Co-Authors: Harold P. Drutz, J. Edwin MorganAbstract:Urogynecology, gynecological urology, or female urology is probably as old as medicine itself. The ancient Egyptians, who laid the foundation of medical knowledge, appreciated the close relationship between diseases of the female genital and urinary systems.
M I Frazer - One of the best experts on this subject based on the ideXlab platform.
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Urine flow rates and residual urine volumes in Urogynecology patients.
International Urogynecology Journal, 1999Co-Authors: Bernard T Haylen, M I Frazer, Serena SchulzAbstract:Two hundred and fifty consecutive women referred because of symptoms of lower urinary tract dysfunction underwent a full clinical and urodynamic assessment. Their urine flow rates and residual urine volumes were analyzed. The urine flow rates of the Urogynecology patients were found to be significantly less than those of an asymptomatic population. There were significant declines in urine flow rates in the presence of a previous hysterectomy and with increasing grades of prolapse, particularly uterine prolapse, cystocele and enterocele. Unlike the normal female population, there was also deterioration with increasing parity and age, the latter largely due to the increasing incidence of hysterectomy and prolapse with age. The 10th centile of the Liverpool Nomogram for the maximum urine flow rate was found to be the most useful discriminant for a final urodynamic diagnosis of voiding difficulties. Most Urogynecology patients have no or small residual urine volumes, 74%
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urine flow rates and residual urine volumes in Urogynecology patients
International Urogynecology Journal, 1999Co-Authors: Bernard T Haylen, M I Frazer, Serena SchulzAbstract:Two hundred and fifty consecutive women referred because of symptoms of lower urinary tract dysfunction underwent a full clinical and urodynamic assessment. Their urine flow rates and residual urine volumes were analyzed. The urine flow rates of the Urogynecology patients were found to be significantly less than those of an asymptomatic population. There were significant declines in urine flow rates in the presence of a previous hysterectomy and with increasing grades of prolapse, particularly uterine prolapse, cystocele and enterocele. Unlike the normal female population, there was also deterioration with increasing parity and age, the latter largely due to the increasing incidence of hysterectomy and prolapse with age. The 10th centile of the Liverpool Nomogram for the maximum urine flow rate was found to be the most useful discriminant for a final urodynamic diagnosis of voiding difficulties. Most Urogynecology patients have no or small residual urine volumes, 74% <10 ml and 81% <30 ml (vs 95% <30 ml in asymptomatic women). In Urogynecology patients residuals were larger where there had been a prior hysterectomy or with grade 2 or higher uterine prolapse, cystocele and enterocele. Mean residual was 14.8 ml (vs 4.8 ml in asymptomatic women). These data indicate a higher incidence of voiding difficulties (abnormally slow urine flow (under 10th centile) and/or abnormally high residual urine volume (over 30 ml) in Urogynecology patients, particularly those with higher grades of prolapse and with prior hysterectomy.
Danny Lovatsis - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of obstructive sleep apnea detected by the Berlin Questionnaire in patients with nocturia attending a Urogynecology unit.
International urogynecology journal, 2015Co-Authors: Salomon Zebede, Danny Lovatsis, May Alarab, Harold P. DrutzAbstract:Introduction and hypothesis Nocturia has been associated with several chronic conditions including obstructive sleep apnea (OSA). The pathophysiological link between nocturia and OSA has been well delineated, but the prevalence of this condition in patients with nocturia is unknown. The aim of this study was to determine the prevalence of sleep apnea in patients with nocturia compared with patients without nocturia in a group of women referred to a Urogynecology unit.
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effect of childhood dysfunctional voiding on urinary incontinence in adult women
Obstetrics & Gynecology, 2006Co-Authors: Vatche A. Minassian, Danny Lovatsis, Dante Pascali, May Alarab, Harold P. DrutzAbstract:OBJECTIVE:To determine whether a history of childhood dysfunctional voiding is associated with urinary incontinence in adulthood.METHODS:Using a case-control study, we surveyed patients presenting with or without urinary incontinence. Cases were patients referred to a tertiary Urogynecology clinic,
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Urogynecology experience in Canada's obstetrics and gynecology residency programs.
International urogynecology journal and pelvic floor dysfunction, 2004Co-Authors: Vatche A. Minassian, Sue Ross, Danny Lovatsis, Ahmed Al-badr, Harold P. DrutzAbstract:This study aimed to evaluate the exposure of obstetrics and gynecology residents to urogynecologic training and to compare this to the program directors’ expectations. A cross-sectional questionnaire study was performed surveying the 60 final-year residents and their program directors at all 16 Canadian residency programs. Questions covered areas of knowledge and skills in basic and advanced Urogynecology. Thirty-two (53%) residents and nine (56%) program directors responded. Twenty-six (81%) residents had a formal Urogynecology rotation with training in incontinence, prolapse, pessary-fitting, and urodynamics. Residents performed a median of: 50 vaginal hysterectomies, 30 anterior repairs, 30 posterior repairs, 35 retropubic urethropexies, and 15 cystoscopies. All other procedures had a median of 6 or less. Responses of residents and program directors correlated well. Although residents in Canada have adequate exposure to simple urogynecologic procedures, they perform few complex cases. Such procedures should be performed by physicians with additional Urogynecology fellowship training.
