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  • 1
    Electronic Resource
    Electronic Resource
    Fulminant ulcerative colitis and parturition: a need to alter current management? (1994)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 101 (1994), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1994.tb13088.x
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  • 2
    Electronic Resource
    Electronic Resource
    Authors’ reply (1992)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 99 (1992), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1992.tb13772.x
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  • 3
    Electronic Resource
    Electronic Resource
    The Stamey endoscopic bladder neck suspension: a clinical and urodynamic investigation, including actuarial follow-up over four years (1991)
    Oxford, UK : Blackwell Publishing Ltd
    BJOG 98 (1991), S. 0 
    Details
    ISSN: 1471-0528
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Objective— To assess a modified Stamey endoscopic bladder neck suspension as a management for genuine stress incontinence in women unsuitable for colposuspension because of vaginal narrowing or inefficient voiding.Design— Uncontrolled observational study.Setting— Regional university gynaecological urology unit.Subjects— A hundred women, median age 58 years, with genuine stress incontinence confirmed by urodynamic investigation; 65 had had previous surgery for the same problem.Treatment— A Stamey procedure with monofilament nylon and short buffers of silastic tubing at each anchor site.Main outcome measures— Urodynamic reassessment 3 months after surgery and clinical follow-up for up to 4 years, using life table methods. The median follow-up was 27 months.Results— At 3 months the objective cure rate was 83%. Subjectively the cure rates at 4 years were 53% in patients under 65 years of age and 76% in those who were older. Overall mean bladder capacity decreased from 506 to 458 ml after surgery (P〈0.05) and, in those who were cured, mean peak flow rate fell from 25.5 to 19.6 ml/s (P〈0.05). The urethral functional length and the pressure transmission in the proximal three quarters were increased by successful surgery (P〈0.01) but the resting urethral profile, voiding pressure and the frequency of detrusor instability were unchanged.Conclusions— This modification of the Stamey operation has an important role in the management of elderly patients those with previous unsuccessful operations, and those with inefficient voiding pre-operatively.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1111/j.1471-0528.1991.tb15367.x
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  • 4
    Electronic Resource
    Electronic Resource
    Postoperative urinary tract infections (UTIs) following single-dose intraoperative antibiotic prophylaxis in colposuspension patients (1998)
    Springer
    International urogynecology journal 9 (1998), S. 132-135 
    Details
    ISSN: 1433-3023
    Keywords: Antibiotic prophylaxis ; Colposuspension ; Intermittent self-catheterization ; Suprapublic catheterization ; UTI
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The records of 196 women who underwent colposuspension for genuine stress incontinence at the Leicester General Hospital, England, between June 1991 and May 1996 were reviewed for evidence of urinary tract infection (UTI). Variables analyzed include age, type of anbibiotic, timing of a positive culture, organism(s) responsible and antibiotic sensitivity. Forty-six patients (23.47%) developed urinary infection; of these, 42 had received single-dose antibiotic prophylaxis with suprapubic catheterization. Thirty-two (76%) of those who developed UTI received augmentin (amoxycillin and clavulanic acid), whereas 10 (24%) were given cefuroxime and metronidazole. Positive cultures were obtained between postoperative days 3 and 28, with a mean of 9.6 days, and 81% occurred after the 7th day. Coliform organisms were responsible for nearly 70% of the infections. UTI is still common after colposuspension, despite single-dose antibiotic prophylaxis. Further studies looking at longer or alternative courses of antibiotics or clean intermittent self-catheterization are essential to establish the best way of curbing UTI in urogynecology patients.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02001080
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