12 results on '"Thomas Aigmueller"'
Search Results
2. Psychometric properties and validation of two global impression questionnaires (PGI-S, PGI-I) for stress incontinence in a German-speaking female population
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Evi Reinstadler, Daniela Ulrich, Vesna Bjelic-Radisic, Elfriede Greimel, Gerda Trutnovsky, Karl Tamussino, Susanne Hinterholzer, Thomas Aigmueller, and Ingrid Geiss
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Adult ,Stress incontinence ,Validation study ,medicine.medical_specialty ,Psychometrics ,Urology ,Urinary Incontinence, Stress ,030232 urology & nephrology ,Urinary incontinence ,Positive correlation ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,medicine ,Humans ,Translations ,Female population ,Aged ,Aged, 80 and over ,030219 obstetrics & reproductive medicine ,business.industry ,Middle Aged ,medicine.disease ,Treatment Outcome ,Austria ,Physical therapy ,Quality of Life ,lipids (amino acids, peptides, and proteins) ,Female ,Neurology (clinical) ,medicine.symptom ,Health questionnaire ,business - Abstract
Aims The Patient Global Index of Severity (PGI-S) and the Patient Global Index of Improvement (PGI-I) are global impression questionnaires developed in English and validated in women with stress urinary incontinence (SUI). This validation study tested the psychometric properties of German-language versions of the two questionnaires in German-speaking women with SUI. Methods The German-language PGI-S and PGI-I were psychometrically tested and validated using the SF-12 questionnaire, the Kinǵs Health Questionnaire (KHQ), clinical parameters, incontinence episode frequency and pad use in 311 patients before and 3 months after receiving a TVT-O or TVT tape for SUI. Results At baseline and 3 months postoperatively there was a positive correlation between PGI-S response categories and clinical parameters, IEF and pad use, and nearly all KHQ subscales. There were no correlations between response categories of PGI-S at baseline and PGI-I at 3 months and the SF-12 scales PCS-12 and MCS-12. Conclusion Our results demonstrated good psychometric properties of the German-language PGI-S and PGI in German-speaking women with SUI.
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- 2017
3. The 'bother' of urinary incontinence
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Daniela Ulrich, Kristy Mann, Hans Peter Dietz, Gerda Trutnovsky, Rodrigo Guzman Rojas, and Thomas Aigmueller
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medicine.medical_specialty ,Visual analogue scale ,Urge urinary incontinence ,Urinary Incontinence, Stress ,Urology ,Urinary incontinence ,Quality of life ,Lower urinary tract symptoms ,medicine ,Humans ,Nocturia ,Prospective Studies ,Prospective cohort study ,Ultrasonography ,medicine.diagnostic_test ,Urinary Bladder, Overactive ,business.industry ,Obstetrics and Gynecology ,Urinary Incontinence, Urge ,medicine.disease ,Urodynamics ,Quality of Life ,Urodynamic testing ,Female ,medicine.symptom ,business - Abstract
Introduction and hypothesis Patient reported measures are important for the evaluation of symptom-specific bother and the distinction between different types of urinary incontinence. The aim of the study was to assess the validity of physician administered visual analogue scales (VAS) for the botherfromstressurinaryincontinence(SUI)andurgeurinary incontinence (UUI). Methods In this prospective cohort study based at a tertiary urogynecological unit, women attending for investigation of lower urinary tract symptoms (n=504) were asked to indicate their subjective bother from SUI and UUI on a 10-cm VAS. Clinical assessment, including multichannel urodynamic testing and 4D translabial ultrasound was performed for clinical diagnosis. Linear regression was used to model the average increase in VAS bother score of SUI and UUI for each explanatory variable. Results 74 % (n=375) reported symptoms of SUI, with mean bother of 5.7 out of 10 (SD 2.8), and 73 % (n= 370) symptoms of UUI, with a mean bother of 6.5 out of 10 (SD 2.6). Bother from UUI was positively associated with the symptoms of nocturia (p
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- 2014
4. 59: Vaginal hysterectomy versus total laparoscopic hysterectomy for benign indications: A randomized trial
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Ralph George, Peter F. J. Lang, Thomas Aigmueller, Vesna Bjelic-Radisic, Helmar Bornemann-Cimenti, Arnim A. Bader, Rene Laky, N Taumberger, and Karl Tamussino
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medicine.medical_specialty ,Randomized controlled trial ,law ,business.industry ,Hysterectomy vaginal ,medicine ,Obstetrics and Gynecology ,Total laparoscopic hysterectomy ,business ,law.invention ,Surgery - Published
- 2017
5. Patient-reported outcomes and urinary continence five years after the tension-free vaginal tape operation
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Elfriede Greimel, Thomas Aigmueller, Gerda Trutnovsky, Karl Tamussino, Vesna Bjelic-Radisic, and Willibald Zeck
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High rate ,medicine.medical_specialty ,medicine.diagnostic_test ,Urinary continence ,business.industry ,Urology ,Tension free vaginal tape ,Cystometry ,Geriatric assessment ,Surgery ,Quality of life ,Physical therapy ,Medicine ,Neurology (clinical) ,Patient report ,business ,Residual volume - Abstract
Aims To evaluate patient-reported outcomes and continence rates 5 years after the tension-free vaginal tape (TVT) operation and to compare these with subjective and objective cure rates. Methods A total of 101 patients underwent clinical and urodynamic assessment and completed the Incontinence Outcome Questionnaire (IOQ) 5 years after the retropubic TVT operation. The IOQ results were compared with the subjective and objective cure rates. Results At 5 years 85% of patients had a negative clinical stress test. Based on clinical stress test, stable cystometry to ≥300 ml and residual volume ≤100 ml, the physician assessment of cure was 80%. Patient-reported outcome showed improvement in incontinence symptoms in 86% of patients. Eighty-three percent of patients were satisfied with the results and 92% would recommend the operation to others. The results of the IOQ correlated more with patient-reported than with physician-assessed cure rates. Conclusion Patient report high rates of satisfaction 5 years after the TVT operation. Neurourol. Urodynam. Neurourol. Urodynam. 30: 1512–1517, 2011. © 2011 Wiley Periodicals, Inc.
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- 2011
6. An estimation of the frequency of surgery for posthysterectomy vault prolapse
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Susanne Hinterholzer, Ingrid Geiss, Paul Riss, Andrea Dungl, and Thomas Aigmueller
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medicine.medical_specialty ,Hysterectomy ,business.industry ,Urology ,medicine.medical_treatment ,Obstetrics and Gynecology ,Pelvic floor surgery ,Pelvic Organ Prolapse ,Surgery ,Gynecologic Surgical Procedures ,Austria ,medicine ,Humans ,Female ,business ,Vault (organelle) - Abstract
We tried to estimate the frequency of surgery for posthysterectomy vault prolapse. We contacted all 86 departments of gynecology in Austria and asked them about total number of hysterectomies and total number of operations for vault prolapse. We then calculated a percentage of patients undergoing surgery for posthysterectomy vault prolapse. Sixty-five of 86 public hospitals replied (response rate 76%) and reported a total of 7,645 hysterectomies and 577 operations for vault prolapse for the year 2005, giving a percentage of 7.16 for surgery for posthysterectomy vault prolapse. On the assumption that vault prolapse takes on the average 10 years to develop and that the number of hysterectomies decreased by 10% over 10 years, we calculated a modified frequency of 6.52%. We were able to calculate an estimation of the frequency for posthysterectomy vault prolapse requiring surgical repair between 6% and 8%.
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- 2009
7. Reasons for dissatisfaction ten years after TVT procedure
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Rene Laky, Vesna Bjelic-Radisic, Gerda Trutnovsky, Karl Tamussino, Thomas Aigmueller, Vassiliki Kolovetsiou-Kreiner, Susanne Hinterholzer, and Julia Kargl
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Adult ,medicine.medical_specialty ,Long term follow up ,Urology ,Urinary Incontinence, Stress ,Urinary incontinence ,Gynecologic Surgical Procedures ,Recurrence ,medicine ,Humans ,Longitudinal Studies ,Treatment Failure ,Aged ,Gynecology ,Aged, 80 and over ,Mixed urinary incontinence ,Suburethral Slings ,business.industry ,Urinary Bladder, Overactive ,General surgery ,Incidence ,Composite outcomes ,Obstetrics and Gynecology ,Middle Aged ,medicine.disease ,Tvt procedure ,Treatment Outcome ,Overactive bladder ,Patient Satisfaction ,Female ,medicine.symptom ,business ,Follow-Up Studies - Abstract
The aim of the study was to assess the reasons for dissatisfaction 10 years after TVT placement. Patients who underwent TVT surgery between 1999 and 2001 at two participating units were included. All patients who did not consider themselves to be cured were asked for their reasons. 141 out of 210 patients (81 %) were available for follow-up (median 116 months). In the group of 56 patients who did not consider themselves cured, the reasons were OAB symptoms in 29 patients (52 %), stress urinary incontinence in 13 patients (23 %), and complaints of mixed urinary incontinence in 8 patients (14 %). 85 % of all patients reporting urgency complaints at the time of follow-up and 66 % of patients with SUI at the time of follow-up did not consider themselves cured. In most cases overactive bladder symptoms were the reason for dissatisfaction. The results of this study support using composite outcomes to assess the results of surgery for urinary incontinence.
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- 2013
8. Reoperation for pelvic organ prolapse within 10 years of primary surgery for prolapse
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Thomas Aigmueller, Peter F. J. Lang, Philipp T. Gotthart, Ralph George, Vesna Bjelic-Radisic, and Karl Tamussino
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Adult ,Reoperation ,medicine.medical_specialty ,Time Factors ,Urology ,medicine.medical_treatment ,MEDLINE ,Pelvic Organ Prolapse ,medicine ,Hysterectomy, Vaginal ,Humans ,Aged ,Retrospective Studies ,Aged, 80 and over ,Pelvic organ ,Surgical approach ,Hysterectomy ,business.industry ,Prolapse surgery ,Obstetrics and Gynecology ,Retrospective cohort study ,Middle Aged ,Surgery ,Vagina ,Female ,business - Abstract
A presumed high failure rate of conventional procedures for prolapse has been part of the rationale for new surgical approaches. The aim of the present retrospective cohort study was to estimate the reoperation rate for prolapse within 10 years of primary surgery for prolapse.We identified all patients who underwent primary surgery for prolapse at four large regional centers in Austria in 1997 and 1998. Hospital databases were searched to determine whether patients had been reoperated for prolapse through 2008.A total of 456 patients underwent a primary operation for prolapse in 1997 and 1998. The most common primary operation was vaginal hysterectomy with colporrhaphy (89 %). We identified 13 reoperations for prolapse, for a 10-year reoperation rate of (at least) 2.9 %. The median interval between primary and secondary surgery was 5.5 years (range 1.5-10 years).The reoperation rate for prolapse after primary vaginal hysterectomy and colporrhaphy appears to be modest in this series of patients.
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- 2011
9. Patient-reported outcomes and urinary continence five years after the tension-free vaginal tape operation
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Vesna, Bjelic-Radisic, Elfriede, Greimel, Gerda, Trutnovsky, Willibald, Zeck, Thomas, Aigmueller, and Karl, Tamussino
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Suburethral Slings ,Time Factors ,Urinary Incontinence, Stress ,Urinary Bladder ,Recovery of Function ,Middle Aged ,Prosthesis Design ,Urodynamics ,Treatment Outcome ,Patient Satisfaction ,Austria ,Surveys and Questionnaires ,Quality of Life ,Humans ,Urologic Surgical Procedures ,Female ,Aged - Abstract
To evaluate patient-reported outcomes and continence rates 5 years after the tension-free vaginal tape (TVT) operation and to compare these with subjective and objective cure rates.A total of 101 patients underwent clinical and urodynamic assessment and completed the Incontinence Outcome Questionnaire (IOQ) 5 years after the retropubic TVT operation. The IOQ results were compared with the subjective and objective cure rates.At 5 years 85% of patients had a negative clinical stress test. Based on clinical stress test, stable cystometry to ≥300 ml and residual volume ≤100 ml, the physician assessment of cure was 80%. Patient-reported outcome showed improvement in incontinence symptoms in 86% of patients. Eighty-three percent of patients were satisfied with the results and 92% would recommend the operation to others. The results of the IOQ correlated more with patient-reported than with physician-assessed cure rates.Patient report high rates of satisfaction 5 years after the TVT operation.
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- 2011
10. Laparoscopic sacrocolpopexy
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Gabriel N. Schaer, Thomas Aigmueller, Heimo Magg, and Dimitri Sarlos
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medicine.medical_specialty ,business.industry ,Pelvic pain ,media_common.quotation_subject ,Obstetrics and Gynecology ,Urination ,Surgery ,Hypogastric nerve ,medicine.nerve ,Dissection ,medicine.anatomical_structure ,Vagina ,medicine ,Superior hypogastric plexus ,Ligament ,medicine.symptom ,business ,Vaginal Vault Prolapse ,media_common - Abstract
Laparoscopic sacrocolpopexy is a well-established technique to treat apical vaginal prolapse. De novo micturition disorders, pelvic pain, and defecation disorders have been reported and may be due to intraoperative compromise of the superior hypogastric plexus. The video demonstrates our technique for nerve-sparing laparoscopic sacrocolpopexy. The patient is a 62-year-old woman with symptomatic stage III posthysterectomy vaginal vault prolapse. Key steps of the procedure are opening the peritoneum at the level of the promontory, identification of the fibers of the superior hypogastric plexus, deep anterior and posterior dissection with attachment of the mesh to the vagina, displacement of the nerve fibers to the left side during suturing of the mesh to the longitudinal ligament, and complete peritonealization. This technique of the identification and protection of relevant nerve structures appears to be reproducible and can be considered by surgeons who perform laparoscopic sacrocolpopexy.
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- 2015
11. A technique of laparoscopic mesh excision from the bladder after sacrocolpopexy
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Dimitri Sarlos, Gabriel N. Schaer, and Thomas Aigmueller
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medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Urinary Bladder ,Bladder flap ,Obstetrics and Gynecology ,Surgical Mesh ,Partial resection ,Laparoscopic excision ,Surgery ,Urogynecology ,Foreign-Body Migration ,Vagina ,medicine ,Humans ,Mesh erosion ,Female ,Laparoscopy ,Laparoscopic sacrocolpopexy ,business ,Partial excision - Abstract
Several series have demonstrated the feasibility, safety, and efficacy of laparoscopic sacrocolpopexy. Nonetheless, complications such as mesh erosion into the bladder can occur years after primary surgery, with accidental cystotomy during the primary operation appearing to be a risk factor for later mesh erosion. Over the last 10 years, we have treated 7 patients with mesh erosion into the bladder after laparoscopic sacrocolpopexy using a technique of transvesical laparoscopic partial excision of the eroded mesh. None of these 7 patients developed recurrent erosions, fistulas, or recurrent prolapse. The video demonstrates laparoscopic excision of intravesical mesh in a patient 5 years after laparoscopic sacrocolpopexy. Key steps are opening the bladder to grasp and dissect the eroded mesh; partial resection of the mesh with formation of a bladder flap; and closure of the bladder. Laparoscopy appears to be a useful tool for the treatment of this problem. Because many urogynecology units around the world have now begun to perform laparoscopic sacrocolpopexy, urogynecologists should be aware of these complications and how to treat them. The video is intended to help and encourage centers performing laparoscopic transvesical excision of mesh eroded into the bladder after sacrocolpopexy.
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- 2015
12. Ten-year follow-up after the tension-free vaginal tape procedure
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Gerda Trutnovsky, Karl Tamussino, Julia Kargl, Paul Riss, Andrea Frudinger, Vesna Bjelic-Radisic, Petra Kern, Milana Surtov, Thomas Aigmueller, and Anna Wittmann
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Adult ,medicine.medical_specialty ,Long term follow up ,Urinary Incontinence, Stress ,Physical examination ,Interview data ,Clinical investigation ,medicine ,Humans ,Risk factor ,Aged ,Aged, 80 and over ,Suburethral Slings ,medicine.diagnostic_test ,business.industry ,Tension free vaginal tape ,Obstetrics and Gynecology ,Cystoscopy ,Middle Aged ,Surgery ,Urodynamics ,Treatment Outcome ,Patient Satisfaction ,Female ,business ,Follow-Up Studies - Abstract
Objective The current study aimed to evaluate objective and subjective results 10 years after the tension-free vaginal tape procedure. Study Design Two hundred ten patients who underwent a tension-free vaginal tape procedure at the 2 participating units between 1999 and 2001 were invited for follow-up. Evaluation at 10 years included history, clinical examination, cystoscopy, urodynamics, a cough stress test, and the Incontinence Outcome Questionnaire. Results Interview data were available for 67%; full clinical investigation was performed in 56% of patients. At 10 years, the clinical stress test was negative in 84%, slightly positive in 8.5%, and strongly positive in 4.3%. Subjectively, 57% of patients considered themselves "cured," 23% "improved," 6.4% "unchanged," and 11% "worse." Eleven of 141 (7.8%) had been reoperated in the interim. The rate of de novo urgency was 20%. Obesity seemed to be a risk factor for failure. Conclusion These data indicate satisfactory objective and subjective cure rates 10 years after tension-free vaginal tape procedure placement.
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- 2011
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