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Title of Journal: Int Urogynecol J

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Abbravation: International Urogynecology Journal

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Springer-Verlag

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DOI

10.1002/tt.3020100202

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1433-3023

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The now and the not yet of pelvic floor dysfunctio

Authors: James L Whiteside
Publish Date: 2004/09/22
Volume: 15, Issue: 6, Pages: 367-368
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Abstract

“I do not know what I may appear to the world but to myself I seem to have been only like a boy playing on the seashore and diverting myself in now and then finding a smoother pebble or a prettier shell than ordinary whilst the great ocean of truth lay all undiscovered before me” Sir Isaac Newton Remark 1727Newton’s remarks could be applied to all of the myriad questions that remain or are as yet not even imagined with regard to women’s health and urogynecology in particular To be sure we understand today more than we did 10 years ago but some of what we thought we understood has been refuted leaving behind glaring ignorance In other instances we accept a level of understanding that is far too simplistic to be adequately representative of the problems Pelvic floor dysfunction to include at least urinary and fecal incontinence as well as pelvic organ prolapse is complicated Everyone admits this but just how much do we really believe it How many of us model our thinking

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Other Papers In This Journal:
  1. Reply to: The Gräfenberg spot (G-spot) does not exist – a rebuttal of Dwyer PL: Skene’s gland revisited: function, dysfunction and the G spot
  2. Durability of Success after Rectocele Repair
  3. A validated self-administered female pelvic floor questionnaire
  4. A validated self-administered female pelvic floor questionnaire
  5. Risk of postoperative urinary tract infections following midurethral sling operations in women undergoing hysterectomy
  6. Assessment of TVT efficacy in the management of patients with genuine stress incontinence with the use of epidural vs intravenous anesthesia
  7. TVT: On Midurethral Tape Positioning and its Influence on Continence
  8. Duloxetine 1 year on: the long-term outcome of a cohort of women prescribed duloxetine
  9. Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc™ and Monarc™ slings
  10. Office Assessment of Patient Outcome of Pharmacologic Therapy for Urge Incontinence
  11. Laser welding of vesicovaginal fistula—outcome analysis and long-term outcome: single-centre experience
  12. Outcomes and follow-up after obstetric anal sphincter injuries
  13. Laparoscopic sacral colpoperineopexy: abdominal versus abdominal–vaginal posterior graft attachment
  14. Intrasphincteric injections of autologous muscular cells in women with refractory stress urinary incontinence: a prospective study
  15. Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse
  16. Urinary nerve growth factor correlates with the severity of urgency and pain
  17. Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age womenin Tabriz, Iran : a cross-sectional study
  18. Recurrent pelvic organ prolapse in a woman with bladder exstrophy: a case report of surgical management and review of the literature
  19. The impact of simulated birth trauma and ovariectomy on the gene expression of detrusor muscarinic receptors in female rats
  20. Classification of mesh fiber exposure: comment
  21. The clinical characteristics of female patients with Fournier’s gangrene
  22. Large vesicovaginal fistula in women with pelvic organ prolapse: the role of colpocleisis revisited
  23. Collagen scaffold: a treatment for large mesh exposure following vaginal prolapse repair
  24. Shoulder dystocia and associated manoeuvres as risk factors for perineal trauma
  25. Fibroblasts from women with pelvic organ prolapse show differential mechanoresponses depending on surface substrates
  26. Important Clinical Outcomes in Urogynecology: Views of Patients, Nurses and Medical Staff
  27. The effect of sacral neuromodulation on pregnancy: a systematic review
  28. Incontinence medication response relates to the female urinary microbiota
  29. Short-term natural history in women with symptoms indicative of pelvic organ prolapse
  30. Mixed urinary incontinence—time to uncouple urgency from stress?
  31. Polypropylene mesh slings and cancer: An incidental finding or association?
  32. The Role of the Levator Ani Muscle in Evacuation, Sexual Performance and Pelvic Floor Disorders
  33. Repair of complete urethral disruption due to synthetic sling complication
  34. The Prevalence of Urinary Tract Infections in Patients with Gestational Diabetes Mellitus
  35. Foreword: Sacral nerve stimulation now and in the future
  36. Long-term anatomical and functional assessment of trans-vaginal cystocele repair using a tension-free polypropylene mesh
  37. Incontinence during intercourse: myths unravelled
  38. Fecal incontinence: a review of prevalence and obstetric risk factors
  39. Risk factors for painful bladder syndrome in women seeking gynecologic care
  40. Can 3D power Doppler identify levator ani vascularization at its pubic insertion?
  41. Predictors of outcomes in the treatment of urge urinary incontinence in women
  42. Natural orifice hysterectomy
  43. Transvaginal uterosacral ligament hysteropexy: a video tutorial
  44. Laser vaginal rejuvenation: not ready for prime time—response to comments by Maggiore et al.
  45. Effectiveness of intravesical hyaluronic acid/chondroitin sulfate in recurrent bacterial cystitis: a randomized study
  46. Laparoscopic removal of intravesical mesh following pelvic organ prolapse mesh surgery
  47. The effectiveness of the sacrospinous hysteropexy for the primary treatment of uterovaginal prolapse
  48. Choice of pelvic organ prolapse surgery: vaginal or abdominal, native tissue or synthetic grafts, open abdominal versus laparoscopic or robotic
  49. Long-term outcomes of modified high uterosacral ligament vault suspension (HUSLS) at vaginal hysterectomy
  50. The uterosacral complex: ligament or neurovascular pathway? Anatomical and histological study of fetuses and adults
  51. Anorectal symptoms after various modes of vaginal delivery
  52. Caldesmon expression is decreased in women with anterior vaginal wall prolapse: a pilot study
  53. Effects of a modified technique for TVT-O positioning on postoperative pain: single-blind randomized study
  54. Apical sling: an approach to posthysterectomy vault prolapse
  55. Comparative histological analysis of anterior vaginal wall in women with pelvic organ prolapse or control subjects. A pilot study
  56. Laparoscopic repair of vesicouterine fistula—a case report
  57. Psychometric validation of the Italian version of the I-QoL questionnaire: clinical and urodynamic findings
  58. Ureterovaginal fistula: a case series
  59. Is there an association between depressive and urinary symptoms during and after pregnancy?
  60. The state of residency training in female pelvic medicine and reconstructive surgery
  61. Assessment of pelvic floor movement using transabdominal and transperineal ultrasound
  62. Postoperative bowel function, symptoms, and habits in women after vaginal reconstructive surgery
  63. Pelvic floor muscle training in female stress urinary incontinence: comparison between group training and individual treatment using PERFECT assessment scheme
  64. Symptomatic urinary problems in female genital tract anomalies
  65. Small bowel obstruction after vaginal vault suspension: a series of three cases
  66. Resident education and training in urogynecology and pelvic reconstructive surgery: a survey
  67. Reliability testing of urodynamics, pressure flow studies and cough leak point pressure in women with urodynamic stress incontinence with and without detrusor overactivity
  68. What do we do when a midurethral tape fails? Rediscovery of open colposuspension as a salvage continence operation
  69. Two cases of female urethral reconstruction with acellular porcine urinary bladder matrix
  70. Surgery for cystocele III: do all cystoceles involve apical descent?
  71. Evaluation of the local carcinogenic potential of mesh used in the treatment of female stress urinary incontinence
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