Acta Obstetricia et Gynecologica Scandinavica, 2013
To evaluate the relation between overactive bladder (OAB) and sexual dysfunction in sexually acti... more To evaluate the relation between overactive bladder (OAB) and sexual dysfunction in sexually active nurses without stress urinary incontinence and pelvic organ prolapse. Prospective, observational study. Tertiary care center. 200 nurses, under 49 years of age. Data were obtained with Turkish language-validated questionnaires between January 2011 and June 2011. OAB was diagnosed using the Overactive Bladder Awareness Tool (OAB AT). Scores on the Overactive Bladder Symptom and Health-related Quality of Life Questionnaire Short Form (OABq-SF), the Health-related Quality of Life Questionnaire Short Form (HRQOL), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire Short Form (PISQ-12). Of the 127 enrolled volunteers, 51 were diagnosed with OAB. The mean age of the participants was 37.8 ± 7.3 years. After controlling for age, body mass index, and parity, OAB did not significantly affect PISQ-12 scores, but significantly worsened OABq-SF scores. No strong correlation was noted between the parts of the OABq-SF and the domains of the PISQ-12. OAB is a common problem among sexually active young women and significantly affects their quality of life. However, OAB-related sexual dysfunction plays a limited role among sexually active nurses.
ABSTRACT Physiologische Vorgange in der Peri- und Postmenopause fuhren zu morphologischen und fun... more ABSTRACT Physiologische Vorgange in der Peri- und Postmenopause fuhren zu morphologischen und funktionellen Veranderungen der Urogenitalorgane. 50% der Frauen uber 60 Jahren haben Symptome der vaginalen Atrophie und Dysfunktionen der ableitenden Harnwege (Tab.1). Belastungsinkontinenz, uberaktive Blase, rezidivierende Harnwegsinfekte und interstitielle Zystitis treten bei Frauen deutlich haufiger auf als bei Mannern. Diese Storungen sind durch reduzierte Durchblutung, Ischamie, Hypoxie und oxidativen Stress verursacht. Lipidperoxidation, Proteinoxidation und die Schadigung der DNA sind fur Alterungsprozesse und Lebenserwartung mitverantwortlich 1,2. Daran lasst sich nichts andern, doch welche Manahmen kann man dennoch treffen?
A flood of papers on the surgical treatment of female stress incontinence, the availability of mo... more A flood of papers on the surgical treatment of female stress incontinence, the availability of more than 200 different techniques, variations and submodifications, and the many paramedical reasons for the selection of one particular procedure over another, all tend to leave us with feelings of confusion, rather than of clarification. Interestingly enough, the best results are always described by the inventor of the 'new' modification, always approaching the 100% margin. In recent decades, the historical and ideological aspects have also played too much of a role.
If physical therapy and drugs remain unsuccessful in the treatment of the neurogenic bladder, con... more If physical therapy and drugs remain unsuccessful in the treatment of the neurogenic bladder, conservative-operative interventions should be performed prior to urinary diversion. Bladder neck incision, supraselective neurectomy and implantation of a bladder pacemaker in highly selected patients offer a good chance of avoiding diversion. In 64 cases of bladder neck incision, 80% improved or were cured. Experience with the neurectomy in patients with hyperactive detrusor is still limited. The preliminary results, however, proved that this technique should be included in the treatment of neurogenic bladder. 8 of 11 patients in whom a bladder pacemaker was implanted showed voiding following implantation. 7 patients displayed reflex evacuation.
A bladder carcinoma developed in a 40-year-old man who was being treated with trofosfamide (Ixote... more A bladder carcinoma developed in a 40-year-old man who was being treated with trofosfamide (Ixoten), a cyclophosphamide derivative, for Hodgkin's disease. The case suggests the need for differentiated replacement of this group of cytostatics.
Sling operation have long occupied an established position in the treatment of severe female urin... more Sling operation have long occupied an established position in the treatment of severe female urinary incontinence and recidivous incontinence. The inguino vaginal sling operation as modified by Narik and Palmrich is described and the operation results for 73 female patients are differentially evaluated. A precise preoperative urodynamic clarification and a previous or simultaneous hysterectomy are prerequisites for satisfactory operation results. In certain instances, this surgical procedure represents a possible method for the restoration of continence even in the case of neurogenic bladder dysfunction.
The effect of Flavoxate on hyperactive detrusor contraction was studied in 37 patients, including... more The effect of Flavoxate on hyperactive detrusor contraction was studied in 37 patients, including 11 patients in whom the drug was administered intravenously during the urodynamic study. Beside the evaluation of frequency, nocturia and enuresis, the amplitude and the onset of uninhibited detrusor contraction (in correlation to bladder volume) was registered. The results showed subjective improvement in 61.3%. The complaints mentioned above improved in approximately 50%. The urodynamic data showed diminishing of the mean pressure during uninhibited detrusor contraction by almost 50% and the delay of the onset by 80% of bladder capacity. However, average bladder capacity increase was only 19%. It finally became obvious that the effect of Flavoxate was markedly worse in the neurogenic bladder group in comparison to the motoric urge patients.
Retrospective evaluation of sonographic diagnoses showed 14 false interpretations, proven by oper... more Retrospective evaluation of sonographic diagnoses showed 14 false interpretations, proven by operation or renal angiogram. A classification of errors and pitfalls in renal sonography is attempted and the place of this method in the diagnostic plan in kidney diseases is discussed.
Annals of Agricultural and Environmental Medicine, 2015
Burch colposuspension is still estimated as a 'gold standard&... more Burch colposuspension is still estimated as a 'gold standard' by the Cochrane Collaboration Group in the treatment of operative stress urinary incontinence (SUI) Some urogynecologists agree with this statement, some argue that Burch colposuspension should no longer be used. The aim of this study was to evaluate mid-term effects and patient's satisfaction with standardized modified colposuspension performed in one centre. Modified colposuspension was performed after standardization by 2 trained gynaecologists in 354 women. Data collected from 227 women were added to the final analysis of mid-term results. Average time from the operation to mid-term visit was 19 months (range 9-36 months). At mid-term visit, 86.3% of patients were cured. There was no case of post-void urine residual over 100 ml. Pain near the operated region was reported by 1 woman from agricultural region. No one reported negative impact of modified colposuspension on sexual activity or dyspareunia. Modified colposuspension according to the E. Petri technique seems to be an operation that is safe and well-tolerated by women with preoperative stress urinary incontinence and paravaginal defect without urodynamic signs of ISD in mid-term observation.
Urodynamic and morphologic findings in 82 patients with stress urinary incontinence were analysed... more Urodynamic and morphologic findings in 82 patients with stress urinary incontinence were analysed. All patients had undergone vaginal respectively abdominal hysterectomy with anterior colporrhaphy respectively urethrovesicopexy. Whereas in the abdominal group the urodynamic and morphologic findings improved significantly, this did not occur in the vaginal group (Colp. ant. group). Although a comparison of the postoperatively continent patients with the recurrent incontinence patients showed no significant difference, it seemed, however, that the recurrent incontinence patients frequently showed lower urodynamic and morphologic values.
Colposuspension has emerged as the "golden standard" for the surgical treatment... more Colposuspension has emerged as the "golden standard" for the surgical treatment of female urinary incontinence. With a lateral and tangential approach for the placement of the sutures, the rate of obstructed micturition and de novo urgency is low. Success rates of 85% for primary and 70-75% for recurrent incontinence can be achieved. In competition with the tension-free vaginal tape (TVT) procedure, colposuspension will remain the first choice for all laparotomies necessitated by other pathologies, in cases of paravaginal herniation as the cause of prolapse, and in women with unstable bladders caused by anatomical defects. The endoscopic approach has not yet gained general acceptance.
Acta Obstetricia et Gynecologica Scandinavica, 2013
To evaluate the relation between overactive bladder (OAB) and sexual dysfunction in sexually acti... more To evaluate the relation between overactive bladder (OAB) and sexual dysfunction in sexually active nurses without stress urinary incontinence and pelvic organ prolapse. Prospective, observational study. Tertiary care center. 200 nurses, under 49 years of age. Data were obtained with Turkish language-validated questionnaires between January 2011 and June 2011. OAB was diagnosed using the Overactive Bladder Awareness Tool (OAB AT). Scores on the Overactive Bladder Symptom and Health-related Quality of Life Questionnaire Short Form (OABq-SF), the Health-related Quality of Life Questionnaire Short Form (HRQOL), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire Short Form (PISQ-12). Of the 127 enrolled volunteers, 51 were diagnosed with OAB. The mean age of the participants was 37.8 ± 7.3 years. After controlling for age, body mass index, and parity, OAB did not significantly affect PISQ-12 scores, but significantly worsened OABq-SF scores. No strong correlation was noted between the parts of the OABq-SF and the domains of the PISQ-12. OAB is a common problem among sexually active young women and significantly affects their quality of life. However, OAB-related sexual dysfunction plays a limited role among sexually active nurses.
ABSTRACT Physiologische Vorgange in der Peri- und Postmenopause fuhren zu morphologischen und fun... more ABSTRACT Physiologische Vorgange in der Peri- und Postmenopause fuhren zu morphologischen und funktionellen Veranderungen der Urogenitalorgane. 50% der Frauen uber 60 Jahren haben Symptome der vaginalen Atrophie und Dysfunktionen der ableitenden Harnwege (Tab.1). Belastungsinkontinenz, uberaktive Blase, rezidivierende Harnwegsinfekte und interstitielle Zystitis treten bei Frauen deutlich haufiger auf als bei Mannern. Diese Storungen sind durch reduzierte Durchblutung, Ischamie, Hypoxie und oxidativen Stress verursacht. Lipidperoxidation, Proteinoxidation und die Schadigung der DNA sind fur Alterungsprozesse und Lebenserwartung mitverantwortlich 1,2. Daran lasst sich nichts andern, doch welche Manahmen kann man dennoch treffen?
A flood of papers on the surgical treatment of female stress incontinence, the availability of mo... more A flood of papers on the surgical treatment of female stress incontinence, the availability of more than 200 different techniques, variations and submodifications, and the many paramedical reasons for the selection of one particular procedure over another, all tend to leave us with feelings of confusion, rather than of clarification. Interestingly enough, the best results are always described by the inventor of the 'new' modification, always approaching the 100% margin. In recent decades, the historical and ideological aspects have also played too much of a role.
If physical therapy and drugs remain unsuccessful in the treatment of the neurogenic bladder, con... more If physical therapy and drugs remain unsuccessful in the treatment of the neurogenic bladder, conservative-operative interventions should be performed prior to urinary diversion. Bladder neck incision, supraselective neurectomy and implantation of a bladder pacemaker in highly selected patients offer a good chance of avoiding diversion. In 64 cases of bladder neck incision, 80% improved or were cured. Experience with the neurectomy in patients with hyperactive detrusor is still limited. The preliminary results, however, proved that this technique should be included in the treatment of neurogenic bladder. 8 of 11 patients in whom a bladder pacemaker was implanted showed voiding following implantation. 7 patients displayed reflex evacuation.
A bladder carcinoma developed in a 40-year-old man who was being treated with trofosfamide (Ixote... more A bladder carcinoma developed in a 40-year-old man who was being treated with trofosfamide (Ixoten), a cyclophosphamide derivative, for Hodgkin's disease. The case suggests the need for differentiated replacement of this group of cytostatics.
Sling operation have long occupied an established position in the treatment of severe female urin... more Sling operation have long occupied an established position in the treatment of severe female urinary incontinence and recidivous incontinence. The inguino vaginal sling operation as modified by Narik and Palmrich is described and the operation results for 73 female patients are differentially evaluated. A precise preoperative urodynamic clarification and a previous or simultaneous hysterectomy are prerequisites for satisfactory operation results. In certain instances, this surgical procedure represents a possible method for the restoration of continence even in the case of neurogenic bladder dysfunction.
The effect of Flavoxate on hyperactive detrusor contraction was studied in 37 patients, including... more The effect of Flavoxate on hyperactive detrusor contraction was studied in 37 patients, including 11 patients in whom the drug was administered intravenously during the urodynamic study. Beside the evaluation of frequency, nocturia and enuresis, the amplitude and the onset of uninhibited detrusor contraction (in correlation to bladder volume) was registered. The results showed subjective improvement in 61.3%. The complaints mentioned above improved in approximately 50%. The urodynamic data showed diminishing of the mean pressure during uninhibited detrusor contraction by almost 50% and the delay of the onset by 80% of bladder capacity. However, average bladder capacity increase was only 19%. It finally became obvious that the effect of Flavoxate was markedly worse in the neurogenic bladder group in comparison to the motoric urge patients.
Retrospective evaluation of sonographic diagnoses showed 14 false interpretations, proven by oper... more Retrospective evaluation of sonographic diagnoses showed 14 false interpretations, proven by operation or renal angiogram. A classification of errors and pitfalls in renal sonography is attempted and the place of this method in the diagnostic plan in kidney diseases is discussed.
Annals of Agricultural and Environmental Medicine, 2015
Burch colposuspension is still estimated as a 'gold standard&... more Burch colposuspension is still estimated as a 'gold standard' by the Cochrane Collaboration Group in the treatment of operative stress urinary incontinence (SUI) Some urogynecologists agree with this statement, some argue that Burch colposuspension should no longer be used. The aim of this study was to evaluate mid-term effects and patient's satisfaction with standardized modified colposuspension performed in one centre. Modified colposuspension was performed after standardization by 2 trained gynaecologists in 354 women. Data collected from 227 women were added to the final analysis of mid-term results. Average time from the operation to mid-term visit was 19 months (range 9-36 months). At mid-term visit, 86.3% of patients were cured. There was no case of post-void urine residual over 100 ml. Pain near the operated region was reported by 1 woman from agricultural region. No one reported negative impact of modified colposuspension on sexual activity or dyspareunia. Modified colposuspension according to the E. Petri technique seems to be an operation that is safe and well-tolerated by women with preoperative stress urinary incontinence and paravaginal defect without urodynamic signs of ISD in mid-term observation.
Urodynamic and morphologic findings in 82 patients with stress urinary incontinence were analysed... more Urodynamic and morphologic findings in 82 patients with stress urinary incontinence were analysed. All patients had undergone vaginal respectively abdominal hysterectomy with anterior colporrhaphy respectively urethrovesicopexy. Whereas in the abdominal group the urodynamic and morphologic findings improved significantly, this did not occur in the vaginal group (Colp. ant. group). Although a comparison of the postoperatively continent patients with the recurrent incontinence patients showed no significant difference, it seemed, however, that the recurrent incontinence patients frequently showed lower urodynamic and morphologic values.
Colposuspension has emerged as the "golden standard" for the surgical treatment... more Colposuspension has emerged as the "golden standard" for the surgical treatment of female urinary incontinence. With a lateral and tangential approach for the placement of the sutures, the rate of obstructed micturition and de novo urgency is low. Success rates of 85% for primary and 70-75% for recurrent incontinence can be achieved. In competition with the tension-free vaginal tape (TVT) procedure, colposuspension will remain the first choice for all laparotomies necessitated by other pathologies, in cases of paravaginal herniation as the cause of prolapse, and in women with unstable bladders caused by anatomical defects. The endoscopic approach has not yet gained general acceptance.
Uploads
Papers by Eckhard Petri