The effect of patient position on proximal urethral mobility.

Abstract:

OBJECTIVE:To determine the effect of patient position on the mobility of the urethrovesical junction. METHODS:Q-tip tests in the supine and standing positions were performed on forty-six consecutive female patients with a variety of urogynecologic complaints. Wilcoxon signed-rank test and McNemar test were used to compare urethral mobility in the supine and standing positions. RESULTS:Both the maximum straining Q-tip angle and the difference between the resting and straining angles were significantly greater in the supine position than in the standing position (P < .01). Thirty-four subjects had a positive Q-tip test in the supine position (defined as a maximal straining angle of at least 30 degrees), but only 24 (71%) of these women had a positive Q-tip test in the standing position. CONCLUSION:Patient position has a significant effect on mobility of the urethrovesical junction, in that the female urethra is more mobile in the supine than in the standing position. Because the selection of a surgical procedure for a woman with genuine stress incontinence depends in part on the presence or absence of urethral hypermobility, this observation has important implications for the evaluation of women with genuine stress incontinence.

journal_name

Obstet Gynecol

authors

Handa VL,Jensen JK,Ostergard DR

doi

10.1016/0029-7844(95)93705-5

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

273-6

issue

2

eissn

0029-7844

issn

1873-233X

pii

0029784495937055

journal_volume

86

pub_type

杂志文章
  • Evaluation of amniotic fluid alpha-fetoprotein using an enzyme-linked immunosorbent assay.

    abstract::A simple, inexpensive enzyme-linked immunosorbent assay using commercially available supplies is described. An examination of amniotic fluid alpha-fetoprotein (AFP) values for 15 to 20 weeks' gestation is presented. The interassay coefficient of variation was 12% (N = 40) at a level of 4.75 micrograms/mL. Repeat freez...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Bogart MH,Winkelbauer D,Jones OW

    更新日期:1985-09-01 00:00:00

  • Disability and litigation from urinary tract injuries at benign gynecologic surgery in Canada.

    abstract:OBJECTIVES:To estimate the prevalence of urinary tract injury and the relative risk of litigation from an injury for benign gynecologic surgery in Canada and to analyze a subset of cases of litigation, determining independent risk factors that predicted medical and legal outcomes. METHODS:The prevalence of urinary tra...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000144127.78481.8c

    authors: Gilmour DT,Baskett TF

    更新日期:2005-01-01 00:00:00

  • The effect of L-dopa and clomiphene citrate on peripheral plasma levels of luteinizing hormone-releasing factor.

    abstract::Response of luteinizing hormone-releasing factor (LRF) and gonadotropin levels to orally administered L-dopa and clomiphene citrate were measured in 13 healthy female volunteers. Testing was carried out during the early follicular phase of the menstrual cycle. The results indicated a suggestive but statistically nonsi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Polansky S,Muechler E,Sorrentino S Jr

    更新日期:1976-07-01 00:00:00

  • Uterine leiomyosarcoma metastatic to the thyroid.

    abstract:BACKGROUND:Uterine leiomyosarcoma is an aggressive tumor that has a propensity for distant metastasis. Distant sites of spread include the lung, liver, brain, and bone. CASE:A woman in her 5th decade was diagnosed with stage IV leiomyosarcoma of the uterus. Distant metastasis in the chest was confirmed by thoracotomy ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(02)02191-9

    authors: Leath CA 3rd,Huh WK,Straughn JM Jr,Conner MG

    更新日期:2002-11-01 00:00:00

  • Predictors of antibiotic prophylactic failure in post-cesarean endometritis.

    abstract::Despite the use of prophylactic antibiotics, endometritis occurs in 1-31% of patients after cesarean delivery. We sought to identify predictors of prophylactic antibiotic failure. In a retrospective review of 1800 cesarean deliveries, 766 patients had either ampicillin or cefazolin prophylaxis; 240 (31.3%) developed e...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chang PL,Newton ER

    更新日期:1992-07-01 00:00:00

  • Influence of acupuncture on maternal serum levels of interleukin-8, prostaglandin F2alpha, and beta-endorphin: a matched pair study.

    abstract:OBJECTIVE:To measure the serum levels of interleukin (IL)-8, prostaglandin (PG) F2alpha, and beta-endorphin in parturients with acupuncture treatment and in controls to clarify the effect of acupuncture and duration of labor on the serum levels of substances active in cervical ripening and dilatation. METHODS:A matche...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0029-7844(98)00200-2

    authors: Tempfer C,Zeisler H,Heinzl H,Hefler L,Husslein P,Kainz C

    更新日期:1998-08-01 00:00:00

  • Acute respiratory distress syndrome in pregnancy and the puerperium: causes, courses, and outcomes.

    abstract:OBJECTIVE:To describe causes, courses, complications, and outcomes of patients with pregnancy-associated acute respiratory distress syndrome (RDS). METHODS:Twenty-eight women with ARDS during pregnancy or within a week postpartum formed the study population. Eight cases had been reported previously. Charts were abstra...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01231-x

    authors: Catanzarite V,Willms D,Wong D,Landers C,Cousins L,Schrimmer D

    更新日期:2001-05-01 00:00:00

  • Recurrent obstetric management mistakes identified by simulation.

    abstract:OBJECTIVE:To develop a simulation-based curricular unit for labor and delivery teams involved in obstetric emergencies to detect and address common mistakes. METHODS:A simulation-based curricular unit for hands-on training of four obstetric emergency scenarios was developed using high-tech mannequins and low-tech simu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000265208.16659.c9

    authors: Maslovitz S,Barkai G,Lessing JB,Ziv A,Many A

    更新日期:2007-06-01 00:00:00

  • A comparative evaluation of collaborative prenatal care.

    abstract:OBJECTIVE:To evaluate the effectiveness of an advanced-practice nurse-obstetrician collaborative prenatal practice. METHODS:A group of 194 consecutively enrolled medically low-risk obstetric patients was identified between January 1, 1994 and December 31, 1994 at Neighborhood Pregnancy Care, a collaborative-practice s...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00649-2

    authors: Mvula MM,Miller JM Jr

    更新日期:1998-02-01 00:00:00

  • Balloon cervical ripening with extra-amniotic infusion of saline or prostaglandin E2: a double-blind, randomized controlled study.

    abstract:OBJECTIVE:To compare extra-amniotic infusion of diluted prostaglandin (PG) E2 solution with saline infusion in balloon cervical ripening and labor induction. METHODS:Women with pregnancy complications and Bishop scores of 3 or lower (n = 116) were assigned randomly to receive extra-amniotic infusion (1 mL/minute) of n...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0029-7844(00)01168-6

    authors: Sherman DJ,Frenkel E,Pansky M,Caspi E,Bukovsky I,Langer R

    更新日期:2001-03-01 00:00:00

  • Differences in postpartum weight retention between black and white mothers.

    abstract:OBJECTIVE:To determine whether the overall retention of weight gained during pregnancy and the factors affecting postpartum weight retention differ by race. METHODS:Data from the 1988 National Maternal and Infant Health Survey were analyzed to examine postpartum weight retention of 20 lb or more among 990 black and 11...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Parker JD,Abrams B

    更新日期:1993-05-01 00:00:00

  • Immunoblotting and enzyme-linked immunosorbent assay for the diagnosis of pemphigoid gestationis.

    abstract:OBJECTIVES:To investigate the sensitivity of immunoblotting and enzyme-linked immunosorbent assay (ELISA) to detect autoantibodies to bullous pemphigoid antigen 180 in patients with pemphigoid gestationis and to correlate autoantibody serum levels with disease activity. METHODS:In serum samples obtained from 44 pregna...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000115506.76104.ad

    authors: Sitaru C,Powell J,Messer G,Bröcker EB,Wojnarowska F,Zillikens D

    更新日期:2004-04-01 00:00:00

  • The implications of a false positive second-trimester serum screen for Down syndrome.

    abstract:OBJECTIVE:To investigate the genetic and obstetric implications of false positive Down syndrome serum screening results. METHODS:The study population comprised 162774 women underwent triple marker screening in the Ontario Maternal Serum Screening program between October 1995 and September 1998, with outcomes obtained ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00235-7

    authors: Summers AM,Huang T,Meier C,Wyatt PR

    更新日期:2003-06-01 00:00:00

  • Placental abruption remote from term associated with Q Fever infection.

    abstract:BACKGROUND:It has been suggested that Q fever infection in pregnancy is associated with various maternal and neonatal adverse outcomes, including intrauterine growth restriction, stillbirth, preterm delivery, intrauterine fetal death, and oligohydramnios. CASE:We describe the cases of two pregnant women remote from te...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e318260590f

    authors: Shinar S,Skornick-Rapaport A,Rimon E

    更新日期:2012-08-01 00:00:00

  • Abdominal wall repair with polypropylene mesh in pregnancy.

    abstract::A woman in her 34th week of gestation required emergency appendectomy for perforation, with postoperative wound dehiscence secondary to fasciitis and tension on the suture line. Polypropylene mesh was used to repair the abdominal wall. Fetal distress necessitated a cesarean section. The mother and child both survived ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Martin LF,Barry MG,Peeno DO,Fry DE

    更新日期:1985-07-01 00:00:00

  • Use of a whole blood substitute, Fluosol-DA 20%, after massive postpartum hemorrhage.

    abstract::Two patients with severe postpartum hemorrhage refused blood product transfusion for religious reasons. The patients' hemoglobin level had dropped to 3.0% or less after operative intervention, and the cardiac indexes on transfer to the tertiary care center were 8.0 and 7.3 L/minute per m2, respectively. Each received ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Karn KE,Ogburn PL Jr,Julian T,Cerra FB,Hammerschmidt DE,Vercellotti G

    更新日期:1985-01-01 00:00:00

  • Racial Disparities in Mental Health Outcomes Among Women With Early Pregnancy Loss.

    abstract:OBJECTIVE:To explore the relationship between race and depression symptoms among participants in an early pregnancy loss clinical trial. METHODS:We performed a planned secondary analysis of a randomized trial by comparing treatments for medical management of early pregnancy loss. We hypothesized that Black participant...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000004212

    authors: Shorter JM,Koelper N,Sonalkar S,Oquendo MA,Sammel MD,Schreiber CA

    更新日期:2021-01-01 00:00:00

  • Sacral Nerve Stimulation as a Therapy for Patients With Refractory Voiding and Bowel Dysfunction.

    abstract::Sacral nerve stimulation delivers nonpainful electrical pulses to the sacral nerves that modulate the reflexes that control the bladder, bowels, and pelvic floor musculature. This relatively simple procedure was generated to improve and restore function in patients with a variety of pelvic floor disorders. Currently t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000002968

    authors: Noblett KL,Buono K

    更新日期:2018-12-01 00:00:00

  • Short bowel syndrome causing bleeding diathesis and profound vitamin deficiency in pregnancy.

    abstract:BACKGROUND:Extensive bowel resection may lead to a state of inadequate nutrient absorption and malnutrition known as short bowel syndrome. Deficiencies in fat-soluble vitamins may occur from this condition, with sequelae such as a bleeding diathesis. Maternal vitamin deficiencies also have been associated with fetal an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/aog.0b013e31827e5ab3

    authors: Grabosch S,Pennycook J,Pakravan A,Mostello D

    更新日期:2013-02-01 00:00:00

  • Perioperative antibiotic prophylaxis is cesarean section.

    abstract::The effect of an 8-hour, 3-dose perioperative regimen of cefazolin or placebo was evaluated in 97 patients. Postoperative morbidity occurred in 13 patients (27.1%) in the cefazolin group and in 17 patients (34.7%) who received placebo. The clinical sites of infection were similar in both groups except that wound infec...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Kreutner AK,del Bene VE,Delamar D,Huguley V,Harmon PM,Mitchell KS

    更新日期:1978-09-01 00:00:00

  • Clostridium perfringens septicemia following cesarean section.

    abstract::A Clostridium perfringens infection is described in an 18-year-old primigravida following cesarean section at 43 weeks' gestation. Despite the ubiquitous distribution of these organisms, such infections are rarely encountered in obstetrics. Characteristics of these bacteria and appropriate diagnostic and therapeutic p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mariona FG,Ismail MA

    更新日期:1980-10-01 00:00:00

  • Management of interstitial ectopic pregnancies with a combined intra-amniotic and systemic approach.

    abstract:BACKGROUND:Approximately 2% of all pregnancies are ectopic; of these, 4% are interstitial or cervical. There exists no clear consensus as to whether surgical or medical management is superior. CASE:We present three cases of advanced nonfallopian tube ectopic pregnancies from 6 to 8 weeks of gestation. Our first two ca...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31828d58ee

    authors: Swank ML,Harken TR,Porto M

    更新日期:2013-08-01 00:00:00

  • Counterregulatory hormonal responses to hypoglycemia during pregnancy.

    abstract:OBJECTIVE:To evaluate the counterregulatory responses to insulin-induced hypoglycemia in healthy women and in women with insulin-dependent diabetes during pregnancy and in the nonpregnant state. METHODS:Hypoglycemia was induced using the hypoglycemic clamp technique in 17 women with insulin-dependent diabetes and in t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00495-5

    authors: Rosenn BM,Miodovnik M,Khoury JC,Siddiqi TA

    更新日期:1996-04-01 00:00:00

  • Virilizing paraovarian tumors: a consequence of Nelson's syndrome?

    abstract::In a patient with Nelson's syndrome, elevated peripheral concentrations of androgens usually associated with neoplasm prompted ovarian vein catheterization. Androgen excess was limited to the right ovary. However, laparotomy revealed bilateral multiple paraovarian nodules with histologic appearance of adrenocortical t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wild RA,Albert RD,Zaino RJ,Abrams CS

    更新日期:1988-06-01 00:00:00

  • Ovarian and extraovarian endometriosis-associated cancer.

    abstract:OBJECTIVE:To determine clinical characteristics of women with endometriosis-associated intraperitoneal cancers, to assess differences based on the relationship of the cancer to the endometriosis, and to assess factors associated with survival. METHODS:A search of medical records at The University of Texas M. D. Anders...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(02)02149-x

    authors: Modesitt SC,Tortolero-Luna G,Robinson JB,Gershenson DM,Wolf JK

    更新日期:2002-10-01 00:00:00

  • Transumbilical placement of the vaginal probe in obese pregnant women.

    abstract::Transabdominal ultrasonography in obese pregnant women is often unsatisfactory because of the poor transmission of ultrasound through a thickened abdominal wall. We report our experience with the placement of a transvaginal probe in the umbilicus to improve resolution in obese pregnant patients. The technique, which i...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0029-7844(94)00342-b

    authors: Rosenberg JC,Guzman ER,Vintzileos AM,Knuppel RA

    更新日期:1995-01-01 00:00:00

  • Unconjugated estriol and cortisol in maternal and cord serum and amniotic fluid in normal and abnormal pregnancy.

    abstract::This study investigated unconjugated E3 and cortisol in normal and abnormal (diabetes and chronic stress) pregnancies and the compartmental (maternal, fetoplacental, amniotic fluid) concentrations and relationships in simultaneous samples. It was demonstrated that in labor both steriods are higher in all compartments ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Goldkrand JW

    更新日期:1978-09-01 00:00:00

  • Single-probe spectrophotometry in the assessment of fetal oxygenation.

    abstract::Six sheep fetuses were monitored with a single-probe tissue spectrophotometer. This spectrophotometer provides continuous digital output of the index of hemoglobin that is saturated with oxygen. To vary the fetal pO2, each maternal ewe was given room air, 100% oxygen, 12% oxygen, and 100% nitrogen via rebreathing bag....

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Egley CC,Seeds JW,Cefalo RC

    更新日期:1987-11-01 00:00:00

  • Pelvic exenteration, University of Michigan: 100 patients at 5 years.

    abstract::One hundred patients undergoing pelvic exenteration (total 69, anterior 13, posterior 18) at the University of Michigan Medical Center from 1964-1984 are reported. All patients were followed for at least 5 years or until time of death. The overall cumulative survival was 66% at 3 years and 61% at 5 years. The age of t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Morley GW,Hopkins MP,Lindenauer SM,Roberts JA

    更新日期:1989-12-01 00:00:00

  • Management of the selected term breech presentation: assessment of the risks of selected vaginal delivery versus cesarean section for all cases.

    abstract::In this study, the concepts of decision theory have been applied to a clinical obstetric controversy--the management of the selected mature breech presentation. We have reviewed in detail the literature published since 1974 and estimated the probabilities of various outcomes after different treatment strategies. We co...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Bingham P,Lilford RJ

    更新日期:1987-06-01 00:00:00