Abstract:
:The expert panel recommendations are issued in order to increase the number of patients with urinary incontinence and overactive bladder receiving appropriate care. The expert panel recommends that urologists, gynecologists and other physicians interested in the field of incontinence should Incontinence question should be actively asked during each physician visit and if the answer is positive it should be followed by detailed questionnaire aiming at disclosing at which occasion patient is loosing urine. The next step should be urogynecological examination and cough stress test. The panel recommends urine dipstick in all women and post void residual urine measurement only in women with voiding difficulties. Other tests, such as ultrasound, cystoscopy urodynamics are not recommended during initial diagnostic procedure. The indications for referral are significant pelvic organ prolapse, haematuria, pain during micturition, recurrent incontinence and infections, suspicion of fistula. The initial management of stress urinary incontinence should include lifestyle interventions, and physiotherapy Use of pessaries is acceptable in women who are not fit or do not want surgical therapy Local estrogen therapy should only be used in women with urogenital atrophy Duloxetin is an option in the pharmacological therapy of stress incontinence, but it doesn't cure the disease. The ineffectiveness of initial procedure should be indication to surgery Alphaadrenomimetic drugs are not recommended in the therapy of urinary incontinence. The initial management of overactive bladder and urgency incontinence should include lifestyle interventions, however fluid restrictions (if fluid load is less than 3000 ml) are not recommended. The cornerstone of overactive bladder and urgency incontinence therapy remains the treatment with anticholinergic drugs. Drugs are only effective when used accordingly to the registered doses. The new generation anticholinergics are recommended over the old ones, especially in frail elderly patients and in patients with concomitant diseases, due to their better safety profile. The evaluation of anticholinergics efficacy should be performed after 2-3 months, then after 6 months.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Radziszewski P,Baranowski W,Nowak-Markwitz E,Rechbeger T,Suzin J,Witek A,Expert Panel.subject
Has Abstractpub_date
2010-10-01 00:00:00pages
789-93issue
10eissn
0017-0011issn
2543-6767journal_volume
81pub_type
杂志文章,实务指引abstract:AIM:To assess the correlation between homocysteine concentrations and gestational age, gender Apgar score, complications in pregnancy delivery modalities and levels of vitamin B12 and foliate. MATERIAL AND METHODS:Concentration of homocysteine, vitamins-B12, foliate were measured in cord blood and mother blood. There ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2011-10-01 00:00:00
abstract::9.98% of all gynecological surgical interventions made at the Clinic in Zabrez from 1965 to 1971 were for ectopic pregnancy. 157 cases of ectopic pregnancy were chosen at random for clinical analysis. Microscopic examinations of the excised oviduct were made in order to establish the cause of tubular implantation. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1975-06-01 00:00:00
abstract::Hypothermia is one of the most important factors having an influence on morbidity of the newborns. Physiology of neonatal thermoregulation and thermogenesis is described as well as range of methods used for preventing heat loss and maintaining neutral temperature. An article presents the main reasons of limited thermo...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2003-11-01 00:00:00
abstract::Maldevelopment of the müllerian ducts occurs in a variety of forms, and each anomaly is distinctive. Nevertheless, some generalizations can be made. A comprehensive preoperative evaluation of patients with suspected uterovaginal malformations is essential, but a clear understanding of the particular anomaly may not be...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:The aim of the study is to present data concerning Neugebauer-Le Fort operations performed at the Gynecologic Oncology Clinic, Polish Mother's Health Center Research Institute in Lodz between 2000-2009, including the effects of the surgeries on improving quality of life. MATERIAL AND METHODS:Our research in...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/2063
更新日期:2015-03-01 00:00:00
abstract::We report a case of a 6-week cervical pregnancy successfully treated with systemic methotrexate and gestational sac biopsy with 15%-calcium chloride solution injection. Serial monitoring of human chorionic gonadotropin levels, combined with ultrasound examinations, confirmed spontaneous miscarriage. Applied treatment ...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2011-05-01 00:00:00
abstract::The expression of c-MYC gene has been detected by using the method of in situ hybridization. It has been detected mainly in glandular cells but also in stromal cells in atypical endometrial hyperplasia in women after menopause regardless of their age. A similar expression has been found to occur in nonatypical case of...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract:UNLABELLED:THE OBJECTIVES: The aim of this study was to evaluate the clinical value of blood flow indicies for differentiating between benign and malignant ovarian tumours. MATERIALS AND METHODS:Realisation of the aim was based on the analysis of examinations' results of 686 ovarian tumors. For each recorded blood flo...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to assess the level of knowledge of problems referring to breastfeeding among women in childbirth. MATERIALS AND METHODS:The study was based on a questionnaire, which consisted of 20 questions with multiple choice answers. 108 women in puerperium were surveyed-54 in the Obstetrical...
journal_title:Ginekologia polska
pub_type: 杂志文章,多中心研究
doi:
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to compare caffeine and paraxanthine concentrations in venous blood of pregnant women and in the umbilical cord blood of their newborns. MATERIALS AND METHODS:Pregnant women who gave birth at the Clinic of Obstetrics, Gynecology and Oncology 2nd Faculty of Medicine, Medical Universit...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1760
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:The role of angiogenesis in leiomyosarcomas still remains unclear. The aim of this study was to evaluate the NRP1 expression in the leiomyosarcoma tissues and to find the relations between its expression and the clinical features. MATERIAL AND METHODS:The study group consisted of 50 patients with diagnosis ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2018.0002
更新日期:2018-01-01 00:00:00
abstract::We report an unusual case of adenomyosis with asymptomatic thoracic endometriosis. A 30-year old woman had a history of nephroblastoma, two missed abortions and one childbirth by caesarean section. The pregnancy was complicated with asymmetric fetus hipotrophy. Two years after delivery she had assessments for dysmenor...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:The ultrasound-guided transversus abdominis plane (TAP) block is a supporting method of pain relief after different types of surgical and gynecological procedures. The aim of the present study was to evaluate the analgesic effects of the TAP-block in patients undergoing caesarean section. MATERIAL AND METHO...
journal_title:Ginekologia polska
pub_type: 杂志文章,随机对照试验
doi:10.5603/GP.a2018.0072
更新日期:2018-01-01 00:00:00
abstract::14 patients suffered from endometriosis and retroflected uterus were presented. They were treated with laparoscopic ante-fixation of the uterus and Danazol-therapy. Combined treatment was successful, the pain had ceased. ...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2001-05-01 00:00:00
abstract::The article presents general information about activin A, a glycoprotein that belongs to the transforming growth factor beta superfamily. Structure, mechanism and role of activin as a possible marker of hypoxia and intraventricular haemorrhage were described. ...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2009-06-01 00:00:00
abstract::The position of intrauterine devices (IUDs) was determined by means of ultrasonography in 68 women using Combison 200 Compound Soan ultrasonography 2 to 3 days after insertion of the IUD, after the next menstruation, and during examinations after 3 to 24 months. Pain, prolonged menstruation, and spotting between mens...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract::Since testes and adrenal cortex derive from the same urogenital ridge, adrenal tissue with descending gonads may migrate in early embryonic period. Although most often ectopic tissue undergoes atrophy in some cases, when adrenocorticotrophic (ACTH) overstimulation occurs, the adrenal remnants in the testes may become ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract::Multiple pregnancies are considered high risk. This qualification is associated with the multitude of conditions which are known to complicated these pregnancies. Early diagnosis of these complications is the fundamental element of clinical managements. In numerous cases therapeutic protocols are widely known and in m...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2000-11-01 00:00:00
abstract::Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age. It is manifested by hyperandrogenism, polycystic ovaries on ultrasound, oligomenorrhoea and anovulation. PCOS patients are more vulnerable to metabolic disorders: insulin resistance, obesity endothelium dysfunction, athero...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2015-04-01 00:00:00
abstract::Cyclopia is a deformation of the facial skeleton with one eye orbit formed in the place where both eyes should be present. As a result of hypoplasia there is absence (hypothesized loss) of central nervous system structures. Teratogenic factors leading to the occurrence of this anomaly may include irregular cholesterol...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to verify clinical diagnosis of cervical incompetence by the use of transvaginal sonography. MATERIAL AND METHODS:101 pregnant women hospitalized at the Pathological Pregnancy Department, Medical University of Lodz in years 2000-2002 because of suspicion of cervical incompetence wer...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract::Irradiation of cancer diseases with intracavitary applicator makes impossible visual control of applicator's position during the process of irradiation. In this paper example applicator moves during the treatment are presented and their influence to dose distribution especially in reference points is discussed. Verifi...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-08-01 00:00:00
abstract:UNLABELLED:Labour induction is frequently indicated in women with an unfavourable cervix. Oxytocin and prostaglandins are the most common drugs used for labour induction. Induction of labour with prostaglandins offers the advantage of promoting both cervical ripening and myometrial contractility. The purpose of the stu...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract::12 male rabbits were administered cyproterone acetate in a dose of 20 mg/kg every 24 hours for the course of 28 days. Typochemical investigations were then carried out on the relative contents of histone and DNA, using the cytophotometric method. The spermatozoid content of DNA was analyzed using the Feulgen stainin...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1975-09-01 00:00:00
abstract::39 normal fetal heart examinations were evaluated since 20 week of gestation to term, and Doppler blood flow was analysed for mitral and tricuspid valves. The measurements were done always in good 4 chamber view and qualitative and quantitative analysis were performed, in terms of describing E and A waves and maximal ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract::The population of 49 young, secondary amenorrheic women aged 17 to 20 was divided according to reaction on i.m. injection of progesterone in oil. The positive category was subdivided into I--polycystic ovarian disease with elevated serum LH and II--hypothalamic-pituitary dysfunction (HPD) with normal (or decreased) le...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract:BACKGROUND:The ultrasound, serum beta-HCG and progesterone titres are widely used to assess the risk of miscarriage at the early stages of pregnancy. Though very useful, they are not considered as satisfactorily accurate predictors of imminent abortion during the first three months of pregnancy. AIM OF STUDY:Prospecti...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVES:Osteoporosis is a multifactoral disease with aetiology depending from the hormonal, environmental, and genetic factors. One of the suggested candidate gene involved in the pathogenesis is the polymorphic gene encoding for vitamin D receptor (VDR). VDR polymorphism was connected with bone mineral density (BMD...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVES:The goal of this study was to evaluate the frequency of Sp1 +1245G>T (rs 1800012) and -199 7G>T (rs 1107946) COL1A1 gene polymorphisms in postmenopausal women with osteoporosis and osteopenia as well as assessing their relations with the clinical parameters and parameters of bone turnover. STUDY DESIGN:The ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/60550
更新日期:2015-12-01 00:00:00
abstract::Authors present methods of treatments at the Clinic of Urology Medical University of Lódź in patients after gynecological tumors with ureteral strictures caused by radiotherapy or progression of cancer. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00