NDLI: Aktuelle Entwicklungen und Perspektiven in der Diagnostik und Therapie von Harninkontinenz und Genitalsenkung der Frau.

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Year: 2013 Volume: 44 Issue: 2

Year: 2013 Volume: 44 Issue: 1

Year: 2012 Volume: 43

Year: 2011 Volume: 42

Year: 2010 Volume: 41

Year: 2009 Volume: 40

Year: 2008 Volume: 39

Aktuelle Entwicklungen und Perspektiven in der Diagnostik und Therapie von Harninkontinenz und Genitalsenkung der Frau.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Naumann, G. Kölbl, H.
Spatial Coverage	Germany
Description	Country affiliation: Germany Author Affiliation: Naumann G ( Johannes Gutenberg-University Mainz, Department of Obstetrics and Gynecology, Mainz, Germany. gnaumann@uni-mainz.de)
Abstract	As a key area of gynaecology, urogynaecology has undergone impressive changes in the past few years. Together with the high prevalence of functional pelvic floor disorders, modern anaesthesia procedures and the introduction of new, innovative minimally invasive operation techniques have led to a dramatic increase in the number of operations for incontinence and prolapses. The increasingly subtle diagnostic options, such as, e. g., 2D and 3D sonography of the pelvic floor provide unambiguous findings and facilitate decision making. Tension-free vaginal slings in retro-pubic, trans-obturator or single-incision techniques show a high success rate with few complications and have almost completely replaced the more invasive abdominal surgical techniques for the operative management of stress incontinence. Especially for recurrent prolapse the use of alloplastic nets leads to a markedly improved anatomic and functional outcome. In spite of the euphoria about modern operation techniques and novel net materials, in-depth knowledge of pelvic floor anatomy, sufficient surgical experience and unequivocal guideline-conform indications are mandatory for satisfactory treatment outcomes. The afflicted women must be informed in detail about alternative procedures and more emphasis should be placed on conservative therapy. Novel surgical techniques should be monitored by registers or clinical trials. The professional society is called upon to improve the training curricula for pelvic floor surgery.
File Format	HTM / HTML
ISSN	00017868
Issue Number	3
Volume Number	44
e-ISSN	14388820
Journal	Aktuelle Urologie
Language	German
Publisher	Thieme
Publisher Date	2013-05-01
Publisher Place	Germany
Access Restriction	Subscribed
Subject Keyword	Discipline Urology Pelvic Floor Disorders Surgery Urinary Incontinence, Stress Uterine Prolapse Clinical Competence Curriculum Female Germany Humans Image Interpretation, Computer-assisted Imaging, Three-dimensional Minimally Invasive Surgical Procedures Education Postoperative Complications Etiology Recurrence Reoperation Suburethral Slings Surgical Mesh Ultrasonography Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Urology

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