- Pelvic floor disorders treatments
- Urinary Bladder and Prostate Research
- Pelvic and Acetabular Injuries
- Anorectal Disease Treatments and Outcomes
- Hernia repair and management
- Urinary Tract Infections Management
- Diverticular Disease and Complications
- Ethics in Clinical Research
- Maternal and Perinatal Health Interventions
- Ureteral procedures and complications
- Minimally Invasive Surgical Techniques
- Menopause: Health Impacts and Treatments
- Diversity and Career in Medicine
- Cardiac, Anesthesia and Surgical Outcomes
St. Hedwig-Krankenhaus
2012-2022
Deutsche Gesellschaft für Gefäßchirurgie und Gefäßmedizin
2018
Croydon University Hospital
2011-2014
University Children's Hospital Tübingen
2013
Objective To establish the relationship between postpartum levator ani muscle ( LAM ) avulsion and signs and/or symptoms of pelvic floor dysfunction PFD ). Design Observational longitudinal cohort study. Setting District General University Hospital, UK . Population or sample Primigravida at 36 weeks' gestation 3 months postpartum. Methods Pelvic strength PFMS organ prolapse were assessed clinically using validated methods. Transperineal ultrasound was performed to identify measure hiatus...
Objective To establish the incidence of levator ani muscle ( LAM ) avulsion in primiparous women and to develop a clinically applicable risk prediction model. Design Observational longitudinal cohort study. Setting District General University Hospital, United Kingdom. Sample Nulliparous at 36 weeks gestation 3 months postpartum. Methods Four‐dimensional transperineal ultrasound was performed during both visits. Tomographic imaging maximum contraction used diagnose no, minor or major...
Pelvic floor sonography is currently the gold standard in gynecology for morphological diagnosis of incontinence and functional disorders pelvic floor. X-ray examinations MRI are much less common nowadays, these usually only done to investigate more complex issues which cannot be adequately evaluated with ultrasonography.
Consortium for Urogynaecology and Pelvic Floor Plastic Reconstruction (AGUB) of the German Society Gynaecology Obstetrics
To test intra- and interobserver reliability of assessment levator ani muscle (LAM) biometry avulsion using antenatal postnatal three-dimensional (3D) endovaginal ultrasonography (EVUS), to determine levator-urethra gap (LUG) values on EVUS.Primigravid women were scanned prior delivery, early postpartum 3 months postpartum, with EVUS performed at rest a standardized protocol. During post-processing, measurements taken in the plane minimal hiatal dimensions by two independent investigators...
The aim was to identify factors that could influence recruitment in a prospective longitudinal study involving pregnant women. A total of 269 nulliparous women were enrolled for study, establish the prevalence levator ani muscle defects during childbirth. project explained verbally and potential participants given an information leaflet. When eligible interested, they provided their contact details enquire if willing participate. Out 1,473 approached, (18.3%) agreed participate 1,043 (70.8%)...
The modified Oxford scale (MOS) has been found previously to have poor inter-rater reliability, whereas digital assessment of levator ani muscle (LAM) attachment the pubic bone shown acceptable reliability. Our aim was evaluate reliability validated MOS and develop a reliable classification system for LAM attachment, correlating this findings on transperineal ultrasound (TPUS) examination.Evaluation by palpation performed in nulliparous women two investigators. evaluated using palpation,...
Zielsetzung: Die Notwendigkeit neurophysiologischer Untersuchungen bei Frauen mit Harnblasenentleerungsstörung ohne urogynäkologische Ursache zu hinterfragen, Prävalenz von Pudendusschäden sowie Korrelationen zwischen Anamnese und neurogenem Schaden erfassen sofern möglich EMG oder Pudenduslatenszeitmessung als Standardverfahren etablieren therapeutische Konsequenzen beleuchten.
Zielsetzung: Im Falle von Komplikationen nach vaginaler Netzeinlage empfehlen wir zur Therapieplanung ein standardisiertes diagnostisches Vorgehen unter Einbeziehung der Introitussonografie. Wir präsentieren minimal-invasives defektorientiertes Korrektur einer Rezidivzystozele anteriorer Netzinterposition.
Zielsetzung: Die vaginale Prolapshysterektomie ± vaginaler Rekonstruktion ist ein häufiger, aber wenig standardisierter Eingriff. Wir stellen anatomische, funktionelle und subjektive Ergebnisse eines homogenen Patientinnenkollektivs vor.
Verletzungen des Sphinkterkomplexes betrafen in Deutschland 2015 > 4000 Frauen und damit 0,85% aller vaginalen Entbindungen, während international Dammmissraten von 3 – 5% angegeben werden. Bekannt ist, dass mit Implementierung Schulungsmaßnahmen das Wissen um Nomenklatur Diagnostik die Detektionsraten ansteigen, dieses Phänomen konnte den letzten Jahren auch Berlin beobachtet Unklar ob eine Assoziation höhergradigen Dammrissen (DR) Levatortraumata (13 36% der Erstgebärenden), existiert. Es...