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::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:INTRODUCTION:Endometrial carcinoma is a common malignancy of the female genital tract. There is a strong correlation between myometrial invasion and clinical prognosis. Increasing myometrial penetration is associated with an increasing risk of pelvic and para-aortic lymph node metastasis, adnexal metastasis, positive p...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
abstract::Intrauterine growth retardation (IUGR) increases a risk of perinatal complications and may carry a negative influence on a later baby's mental and physical development. Poorer function revealed by many vital organs seems to be the effect of their lower mass and their relative immaturity. In the first part of a paper t...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2004-04-01 00:00:00
abstract::Subarachnoid haemorrhage (SAH) from an intracranial aneurysm or arteriovenous malformation is a grave complication of pregnancy. Authors critically analyzed 12 cases of verified SAH during pregnancy from an 11 identified and 1 unidentified cerebral vascular malformation. Aneurysms were responsible for SAH in 7, and ar...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::Bladder Pain Syndrome remains a great challenge for urologists, both in diagnostics and treatment. Etiopathogenesis of the disease is unknown. It is reported that the reason for Bladder Pain Syndrome is the urothelium dysfunction resulting in the destruction of the protective glycosaminoglycan layer/barrier protecting...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:In recent years, much attention has been given to infants born prematurely, at 34 0/7 to 36 6/7 weeks of gestation (WG), which have been classified as 'late preterm'. Neonates from that subgroup are less physiologically and metabolically mature than term infants. The aim of the study was to determine whether...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2016.0092
更新日期:2016-01-01 00:00:00
abstract::Hypoxic-ischemic encephalopathy (ENN) concerns neonates born after 35 completed weeks of gestation. The incidence rate has been shown to be 1-6/1000 births and can lead to significant permanent neurological damage, cerebral palsy and even death. Until the whole body cooling and selective brain cooling methods have bee...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-08-01 00:00:00
abstract::The group of 277 girls treated for vulvovaginitis was investigated. Any objective and subjective factors, which could effect on occurrence of this disease at girls were analysed. Over 2/3 of investigated girls were before menarche, 36.5% were 3-7 years old. Over 30% had urinary tract infections, 10%--tonsillitis. No e...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVE:The aim of the following study was to evaluate the impact of premature rupture of membranes (PROM) on neonatal outcome, particularly on the incidence of intrauterine infections (IUI). MATERIAL AND METHODS:The study included 428 newborns, born after PROM and hospitalized in the Department of Neonatology at Po...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:Ovarian reserve is the main factor influencing the efficacy of infertility treatment. Currently the anti- Müllerian hormone is the main indicator of the ovarian reserve and has a wide spectrum of clinical importance. It achieved a high clinical value right after the introduction of the first commercial AMH a...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2014-10-01 00:00:00
abstract::Some given sex hormones in patients treated due to marital infertility in this paper is analysed. Testosterone, prolactin, FSH and LH were examined. Males with sperm pattern showing evident pathology into our study were chosen: azoospermia, severe oligospermia, kryptozoospermia. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to determine the effect of hormone replacement therapy (oral and transdermal) on the erythrocyte antioxidant enzyme activity in postmenopausal women. DESIGN:Prospective clinical study. MATERIAL AND METHODS:The erythrocyte Cu/Zn superoxide dismutase activity was measured in 14 postme...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
abstract::We report two cases of pregnancy in patients with multiple sclerosis. Both of women were primigravidas. In both cases pregnancy were ended by cesarean section: in first case due to obstetric indications, in second due to neurological indications. Our experience and a review of current literature are presented. ...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract::Concentrations of iron, zinc and copper were determined in public hair of women with threatened abortion and in full-term pregnancy. The aim of the studies was to find differences between the levels of studied elements in public hair of women with threatened abortion and in full-term pregnancy and to test whether pari...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::Scientific journals are ranked and evaluated to measure their relative importance and influence on science within a specific field. One of the tools most widely used to evaluate and compare journals is the Thomson Reuters Impact Factor In Poland a specific value of a scientist's Impact Factor is required for academic ...
journal_title:Ginekologia polska
pub_type: 社论
doi:
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:Recent studies have demonstrated that disorders of bone metabolism, which is regulated by RANK/RANKL/OPG signaling pathway, are the cause of osteoporosis. The aim of the study was to investigate the distribution of genotypes of the RANK 575C>T and RANKL -643C>T polymorphisms and to analyze their relationship...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2016.0014
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Pregnancy induced hypertension is believed to be a state of neutrophil overactivity, however all previous studies were done on isolated cells. DESIGN:To study neutrophil activity in whole blood of PIH women. MATERIALS AND METHODS:Neutrophil activity was estimated without isolation, in peripheral whole bloo...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVES:Hypertension remains a very serious obstetric problem and a severe pregnancy complication. Hypertension in pregnancy influences the intrauterine fetal growth. Proper monitoring of antihypertensive therapy effects enables us to make suitable modifications of the treatment. The aim of the study was to evaluate...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract::The aim of study was the evaluation of generating the IL-10 by peripheral blood lymphocytes in women with endometriosis according to the stage of of the disease. Cytokine was estimated by immunoenzymatic method Elisa. The generation of IL-10 by peripheral blood lymphocytes was lower in patients with all stages of endo...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-05-01 00:00:00
abstract:OBJECTIVES:To examine the effect of lymphadenectomy on survival in patients with squamous cell vulvar carcinoma. MATERIAL AND METHODS:Patients with squamous cell vulvar cancer who underwent surgery were retrospectively analyzed. All procedures were performed according to current recommendations/standard of treatment. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2020.0018
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION:Ectopic pregnancy (EP) is usually located in the Fallopian tube and it has a significant adverse effect on womens fertility Three types of EP treatment include: expectant, medical, and surgical radical (salpingectomy) or conservative (salpingotomy) management. OBJECTIVES:The aim of the study was to compar...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1675
更新日期:2013-12-01 00:00:00
abstract::Higher rate of morbidity and mortality has been noted in tween pregnancies comparing to singleton pregnancies. Early ultrasound investigation between 6 and 12 week of gestation is useful in determining time of gestation, amniocity and chorionicity (adequacy of diagnosis ranged from 95 to 100%). Determining of chorioni...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2000-11-01 00:00:00
abstract::Uterine arteriovenous malformations are uncommon but potentially life-threatening conditions. They can be congenital or acquired and should be suspected in cases of severe or persistent uterine bleeding. In recent years, there has been an in-creasing number of reports of acquired vascular lesions of the uterus followi...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.5603/GP.a2018.0047
更新日期:2018-01-01 00:00:00
abstract:INTRODUCTION:Perinatal hysterectomy (PH) is usually a life-saving procedure, which is performed after all conservative treatment options fail. The PH frequency rate ranges from 0.04 to 0.23%. The most frequent indications for this procedure include: abnormal placental implantation, placenta previa, uterine rupture and ...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:10.17772/gp/1712
更新日期:2014-03-01 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::The group of 100 men, divided into two groups according to WHO criteria concerning the spermatozoa content was evaluated. The group of 44 oligospermic and azoospermic men was compared with the control group consisting of 56 normospermic men by means of Mann-Whitney U. The statistically significant differences were est...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVE:Clinical application of minimally invasive surgical techniques in gynecology continuous to increase steadily. Laparoscopic surgery has widely replaced open surgical technique in many routine cases. This method is obviously less traumatic and painful, requires a shorter hospital stay and recovery time. The aim...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-02-01 00:00:00
abstract::The authors report a case of anorexia nervosa in woman with Turner's syndrome (45, X). In this case there was a low blood concentration of LH and FSH, and there was a lack of reaction to intravenous administration of 100 micrograms of GnRH. Partial syndrome of "empty sella" was found in a presented case by use of magn...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVES:Ki67 and PCNA proteins are characteristic for cells in mitotic cycle and represent unfavourable prognostic indices. Intensity of the proteins expression directly correlates with grade of tumour differentiation. They belong to the second category of prognostic factors in breast cancer according to the College...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract:UNLABELLED:The aim of the study was to evaluate antioxidant system activity and lipid peroxidations products as markers of oxidative stress in the cord blood of newborns delivered to mothers with diabetes type G1 in comparison to healthy pregnant women. MATERIALS AND METHODS:We examined 10 healthy and 10 diabetic moth...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00