AURO.it INCONTINENZA URINARIA 2003

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168 357. Norgaard J.P.,Hansen J.H.,Nielsen J.B.,Petersen B.S.,Knudsen N.: Simultaneous registration of sleep ‘stages and bladder activity in enuresis. Urology,26.316- 319,1985. 358. Kayada K.,Yamaguchi O.,Hashimoto T.,Nakamura T.,Kobayashi M.: Effect of diuresis on frequency-volume chart in volunteers and patiens with hyperactive detrusor. Neurourol.Urodyn.115:429-431,1996 359. Butler R.J.: Nocturnal enuresis- the child’s experience.Oxford: Butterworth Heinemann,1994 360. Butler R.J.: Annotation-nigth wetting in children-psychological aspects.J.Child Psychol.Psychiat.39:453-463,1998. 361. Lackgren G. et al.: Nocturnal enuresis : a suggestion for an European strategy. Acta Pediatr.Scand.88:679-690,1999. 362. Nevens T.,Helta J., Cuattingius S.,tuvesso T.,Olsson U.,Stemberg A.:Deph of sleep and sleep habits among enuretic and incontinent children. Acta Pediatr.88:748- 852,1999. 363. willw S.: Primary nocturnal enuresis in children-background and treatment. Scand.J.Urol.Nephrol.,Suppl.156,28:1-48,1994. 364. Norgaard J.P.,Pedrsen e.b.,DjurHuus J.C.:diurnal anti-diuretic-hormone levels in enuretics. J.Urol.,134:1029-1031,1985. 365. Etele-Hainz A.,Artens E.,Marberger M.: Therapy concept in enuretic children. Eur.Urol.suppl.3,33:49-52,1998. 366. von Gontard A. and Lehmkuhl G.: Drug therapy of enuresis. Z.Kinder Jugendpsychiatr.,24:18-33,1996. 367. Wagner W.,Johnson J.T.: Childhood nocturnal enuresis-the prediction of prematurewithdrawal from behavioural conditioning. J.Abnorm.Child Psychol.,16:687-692,1988. 368. Wagner W.,Mathews R.: The treatment of nocturnal enuresisi-a controlled comparison of two models of urine alarm.J.Developm.Behav.,Pediatr.,6:22- 26,1985. 369. Kawauchi a.,Watanabe H.,Miyoshi K.: Early morning urine osmolality in non enuretic and enuretic children. Pediatr.Nephrol.,110:696-698,1996. 370. Tingelstad J.B.: The cardiotoxicity of the tricyclics. J.Am .Acad.Child Psychol.Psychiat.,30:845-846,1991. 371. Vurgun N.,Yiditodlu M.R.,Ypcan A.,Ari Z.,Tarhan S., Balkan C.:Hypernatriuria and kaliuresis in enuretic children and the diurnal variation. J.Urol.,159:1333- 1337,1998 372. DeLancey JOL, Hurd WW. Size of the urogenital hiatus in the levator ani muscles in normal women and women with pelvic organ prolapse. Obstet Gynecol 1998;91:364-8. 373. Barber MD, Cundiff GW, Weidner AC, Coates KW, Bump RC, Addison WA. Accuracy of Clinical Assessment of Paravaginal Defect in Women with Anterior Vaginal Wall Prolapse. Am JObstet Gynecol 1999; 181:87-90.
374. Samuelsson EC, Victor FTA, Tibblin G, Svardsudd KF. Signs of genital prolapse in a Swedish population of women 20 to 59 years of age and possible related factors. Am J Obstet Gynecol 1999;180:299-305 375. Taskin O, Wheeler JM, Yalcinoglu AI, Coksenim S. The effects of episiotomy and Kegel exercises on postpartum pelvic relaxation: a prospective controlled study. J Gynecol Surg 1996;12:123-7 376. Swift SE. The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol 2000;183:L277- 85 377. Progetto Menopausa Italia Study Group. Risk factors for genital prolapse in nonhysterectomized women around menopause Ð results from a large cross-sectional study in menopausal clinics in Italy. Eur J Obstet Gynecol Reprod Biol 2000;93:125-40 378. Jackson SR, Avery NC, Tarlton JF, Eckford SD, Abrams P, Bailey AJ. Changes in metabolism of collagen in genitourinary pro-lapse. Lancet 1996;347:1658-61 379. Snooks SJ, Swash M, Henry MM, Setchel M. Risk factors in childbirth causing damage to the pelvic floor innervation. Int J Colorectal Dis 1986;1:20-4 380. Carley ME, Schaffer J. Urinary incontinence and pelvic organ prolapse in women with Marfan or Ehlers-Danlos syndrome. Am J Obstet Gynecol 2000;182:1021- 3 381. Jorgensen S, Hein HO, Gyntelberg F. Heavy lifting at work and risk of genital prolapse and herniated lumbar disc in assistant nurses. Occup Med 1994;44:47- 9 382. Lind LR, Lucente V, Kohn N. Thoracic kyphosis and the prevalence of advanced uterine prolapse. Obstet Gynecol 1996;87:605-9 383. Barber MD, Lambers AR, Visco AG, Bump RC. Effect of patient position on clinical evaluation of pelvic organ prolapse. Obstet Gynecol 2000;96:18-22. 384. Swift SE, Herring M. Comparison of pelvic organ prolapse in the dorsal lithotomy compared with the standing position. Obs-tet Gynecol 1998;91:961-4. 385. Shull BL. Clinical evaluation of women with pelvic support defects. Clinical Obstet Gynecol 1993;36:939-951 386. Baden WB, Walker TA, Lindsey JH. The vaginal profile. Tex Med 1968;64:56-8. 387. Hall AF, Theofrastous JP, Cundiff GC, Harris RL, Hamilton LF,Swift SE, Bump RC. Inter- and intra-observer reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system. Am J Obstet Gynecol 1996;175:1467-71. 388. Richardson DA, Bent AE, Ostergard DR. The effect of utero-vaginal prolapse on urethrovesical pressure dynamics. Am J Obstet Gynecol 1983; 146:901-5 389. Mattox TF, Bhatia NN. Urodynamic effects of reducing devices in women with genital prolapse. Int Urogynecol J 1994;5:283-6. 169
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AURO.it Associazione Urologi Italia
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PRESENTAZIONE Carissimi Colleghi e
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VI 3.3.6. Terapia: approccio conser
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VIII
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1.1. Introduzione Queste Linee Guid
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1.3. Metodologia E’ doveroso sott
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1.4. Guida al testo Il testo è com
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2. DIAGNOSI CLINICA, STRUMENTALE E
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12 2.2.1. Anamnesi. 2.2. Diagnosi C
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14 Tabella 2.-2 FARMACI E CONTINENZ
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16 2.2.4. Esame obiettivo E’ l’
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18 Q-TIP TEST: il test viene pratic
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20 Fig 2.-3 ti di 3cm di lunghezza.
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22 Per forza di contrazione si inte
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24 Tabella 2.-9 Questionari per la
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26 2.3. Diagnosi strumentale 2.3.1.
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28 to pressorio addominale Per Inco
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30 Tabella 2.-10 Schema generale de
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3.1. La Terapia Riabilitativa La se
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3.2. Terapia Chirurgica dell’Inco
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successo ,sia se utilizzate per pat
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iono infatti ridotte, rispetto ad a
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Nella donna vengono iniettate per v
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A seguito dei successivi report di
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88% dei casi anche se la gran parte
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Tabella 3.-7 Risultati della tecnic
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Tabella3.-10 Risultati della tecnic
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STUDI CASO CONTROLLO. Sono report r
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Tab. 3.-12 Risultati sfintere artif
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Figura 3.-1 ALGORITMO DELLA TERAPIA
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Fig. 3.-2 Controllo neurologico del
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è il quadro di disreflessia autono
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Fig. 3.-7 Diagnostica opzionale 1)
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Farmaci utilizzati nell’iperattiv
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mediante cistoscopio e catetere con
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Fig. 3.-9 Incontinenza urinaria neu
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3.4. La vescica iperattiva non neur
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attraverso il quale non solo si ope
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ANTICOLINERGICI Gli anticolinergici
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delle afferenze inibitorie e eccita
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RACCOMANDAZIONI L'incontinenza urin
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Se da un lato appare ovvio che si d
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fibrotizzarsi aderendo alla parete
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zione della pressione vescicale, ad
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particolarmente la sua fissità in
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La riduzione del residuo post-minzi
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3.7. Incontinenza urinaria in età
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tivo piu’ ad una funzione anomala
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STACCATO VOIDING: Caratterizzato da
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iduzione del residuo post minzional
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dosaggio ottimale nei bambini tra i
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ESTROFIA VESCICALE. La chiusura del
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Mitrofanoff) puo’essere combinato
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opzione è limitata a ragazze dopo
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letto associata ad instabilita’ d
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occasioni un volume superiore a 20
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3.8.5.5. Antidepressivi triciclici
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4. TERAPIA DELL’ INCONTINENZA URI
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4.1. Incontinenza urinaria e Cistoc
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Anche l’esame endoscopico deve ra
Page 125 and 126: possono giungere fino al 75%, esist
Page 127 and 128: Una volta pianificato l’intervent
Page 129 and 130: defecazione ,non vi sono al momento
Page 131 and 132: La manometria anorettale può trova
Page 133 and 134: - defecazione ostruita di varia ent
Page 135 and 136: La sospensione alla fascia endopelv
Page 137 and 138: Fig. 4.-4 ALGORITMO DIAGNOSTICO - T
Page 139 and 140: molte classificazioni nessuna delle
Page 141 and 142: Fig 4.-6 ALGORITMO DIAGNOSTICO - TE
Page 143 and 144: privilegiare tecniche transvaginali
Page 145 and 146: Tabella 4.-2: RISULTATI CLINICI DEL
Page 147 and 148: 5. INCONTINENZA URINARIA E SESSUALI
Page 149 and 150: 5.1. Introduzione L’incontinenza
Page 151 and 152: 5.2. Valutazione della risposta ses
Page 153 and 154: 6. BIBLIOGRAFIA 145
Page 155 and 156: 1. “Grimshaw JM, Russel IT: “
Page 157 and 158: 38. Green TH. Development of a plan
Page 159 and 160: 75. Thuroff J., Abrams P., Artibani
Page 161 and 162: 108. Liu CY, Paek W.Laparoscopic re
Page 163 and 164: 144. Buckley,G.F. Scott,R., Medding
Page 165 and 166: 177. Amundsen, C.L., Visco, A.G., R
Page 167 and 168: 210. Lobel, R.W., Davis, G.D. Long-
Page 169 and 170: 242. Amarenco G, Ismael SS, Even-Sc
Page 171 and 172: 271. Jensen JK ,Nielsen FR ,Osterga
Page 173 and 174: 305. McDuffie RW, Litin RB, Blundon
Page 175: 339. Muller I.,Bergstrtins T.,Hells
Page 179 and 180: 406. Benson JT, Lucente V, McClella
Page 181 and 182: 439. Shumaker SA, Wyman JF, Uebersa
Page 183 and 184: 471. Planells Roig M, Sanahuja Sant
Page 185 and 186: 503. Goldstein I,Berman J.Vasculoge
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