- Pelvic floor disorders treatments
- Urinary Bladder and Prostate Research
- Pregnancy-related medical research
- Pelvic and Acetabular Injuries
- Gestational Diabetes Research and Management
- Hernia repair and management
- Anorectal Disease Treatments and Outcomes
- Urinary Tract Infections Management
- Clinical practice guidelines implementation
- Abdominal Surgery and Complications
- Muscle and Compartmental Disorders
- Insurance and Financial Risk Management
- Neurosurgical Procedures and Complications
- Environmental and Sediment Control
- Cardiovascular Issues in Pregnancy
- Endometriosis Research and Treatment
- Obstructive Sleep Apnea Research
- Infrared Thermography in Medicine
- Ultrasound and Hyperthermia Applications
- Bariatric Surgery and Outcomes
- Myofascial pain diagnosis and treatment
- Medical and Health Sciences Research
Charité - Universitätsmedizin Berlin
2015-2024
University of Ottawa
2022
Universidade Estadual Paulista (Unesp)
2020
National Health and Medical Research Council
2009
The University of Queensland
2009
Franklin University
2008
Aims: The aim was to establish an official interdisciplinary guideline, published and coordinated by the German Society of Gynecology Obstetrics (DGGG). guideline developed for use in German-speaking countries. In addition Germany Obstetrics, has also been approved Swiss (SGGG) Austrian (OEGGG). This is a DGGG. provide evidence-based recommendations obtained evaluating relevant literature diagnostic, conservative surgical treatment women with female pelvic organ prolapse or without stress...
Consortium for Urogynaecology and Pelvic Floor Plastic Reconstruction (AGUB) of the German Society Gynaecology Obstetrics
Hintergrund: Beckenboden-Funktionsstörungen können die Lebensqualität von Frauen stark beeinträchtigen. Das Ziel dieser Arbeit ist es, den validierten Deutschen Beckenboden-Fragebogen als Instrument zur Therapieevaluation weiterzuentwickeln und vor nach einer gezielten Beckenboden-Rehabilitation anzuwenden. Methoden: Der Fragebogen beinhaltet Domänen: Blasen-, Darm-, Prolaps- Sexualsymptome. selbstadministrierte Anamnesefragebogen wurde 55 Patientinnen der ausgefüllt. Ein...
Pelvic floor muscles (PFM) and rectus abdominis (RAM) of pregnant diabetic rats exhibit atrophy, co-localization fast slow fibers an increased collagen type I/III ratio. However, the role similar PFM or RAM hyperglycemic-related myopathy in women with gestational diabetes mellitus (GDM) remains poorly investigated. This study aims to assess frequency pelvic muscle disorders pregnancy-specific urinary incontinence (PS-UI) 12 months after Cesarean (C) section GDM. Specifically, differences...
Aims To assess the effects of Valsalva manoeuvre versus straining on bladder neck (BN) and puborectalis muscle (PR) position, BN stiffness pelvic floor (PFM) activation in urinary incontinent women healthy continent controls. Methods We recruited 17 85 women. A Microtip transducer measured urethral vesical/abdominal pressures. surface EMG electrode attached to a sponge was placed vaginally at level. PR movements were assessed with perineal ultrasound. Stiffness calculated as increase vesical...
Background and objective Pelvic floor muscles are involved in postural stability, maintenance intra-abdominal pressure, on mechanical support for pelvic organ. Gestational Diabetes Mellitus' (GDM) pregnancies complicated by fetal macrosomia, large placenta polyhydramnios contribute abrupt intense increase maternal pressure. Our was analyze the impact of GDM muscle (PFM) electromyography (EMG) activity progress from 24–30 to 36–38 weeks gestation. We conducted a prospective cohort study. PFM...
Abstract Aim To evaluate the pelvic floor (PF) biometry using three‐dimensional ultrasound (US) at two‐time points of gestational in pregnant women with diabetes mellitus (GDM). Methods A prospective cohort study conducted Perinatal Diabetes Research Center including 44 GDM and 66 without 24 to 28 weeks gestation. Three‐dimensional transperineal US was performed 34 38 gestation lithotomy position rest. The axial plane minimal Levator hiatal dimensions used determine ani muscle Hiatal area...
Abstract Aim This study aimed to assess, for the first time, dynamic morphometry of pelvic floor muscles (PFM) using three‐dimensional transperineal ultrasound (3D‐TPUS) and its progression at two‐time points gestation between women with without gestational diabetes mellitus (GDM), whether PFM dysfunction is connected GDM. Methods The comprised 83 consecutive pregnant ( n = 38) 45) GDM screened 24–30 38–40 weeks gestation. 3D‐TPUS a mobility test were used quantify during maximum contraction...
Gestational diabetes mellitus (GDM) plus rectus abdominis muscle (RAM) myopathy predicts long-term urinary incontinence (UI). Atrophic and stiff RAM are characteristics of diabetes-induced (DiM) in pregnant rats. This study aimed to determine whether swimming exercise (SE) has a therapeutic effect mild hyperglycemic rats model. We hypothesized that SE training might help reverse DiM. Mild model was obtained by unique subcutaneous injection 100 mg/kg streptozotocin (diabetic group) or citrate...
Abdominal movement patterns during coughing and forced expiration (FE) fall into two categories: abdominal inward (AIM) outward (AOM). These are thought to affect cranioventral (CV) bladder neck displacement differently. However, many studies have described an absent or altered PFM response coughing, assuming dysfunction, without considering the impact of pattern differences. The aim this study was observe FE compare associated patterns. Participants performed three maximal expulsive coughs,...
Involuntary pelvic floor muscle (PFM) contractions are thought to occur during an increase in intra-abdominal pressure (IAP). Although no studies have assessed their presence women with normal (PF) function, existing literature links the absence of involuntary PFM various PF dysfunctions. This study rectifies this lacuna by evaluating IAP healthy nulliparous dysfunction, using visual observation and vaginal palpation. Results were compared IUGA/ICS Terminology Reports.
Hintergrund: Der bereits auf deutsch validierte Beckenboden-Fragebogen zur Evaluation von Blasen-, Darm-, Deszensus- und sexuellen Problemen mit integrierten Schweregrad- Leidensdruck-Skalen sowie Erfassung Krankheits-spezifischer Lebensqualität wurde weiterentwickelt, um eine sichere Qualitätskontrolle Beckenboden-Therapien durchführen zu können.
Hintergrund In Deutschland ist Physiotherapie zur konservativen Therapie bei Inkontinenz etabliert, jedoch nicht gut evaluiert. Das Ziel dieser Studie war die prospektive Überprüfung der Effektivität eines spezialisierten Beckenboden-Rehabilitationsprogrammes. Fokus Koordination mit Wiedererlernen Präkontraktion nach motorischer Bewusstseinsschulung Co-Kontraktion tiefen Bauchmuskeln und Beckenboden-Einsatz individuellen Symptomen.