@article{KirschnerHermannsKlementzHaselhuhnetal.2011, author = {Kirschner-Hermanns, Ruth and Klementz, T. and Haselhuhn, Angelika and Jakse, Gerhard and Heidenreich, A. and Brehmer, Bernhard}, title = {Drangsymptomatik nach onkologisch erfolgreicher Prostatakarzinomtherapie : prospektive Studie zum Einfluss von Therapiemodalit{\"a}t, Morbidit{\"a}t und epidemiologischen Faktoren auf die Lebensqualit{\"a}t}, series = {Der Urologe}, volume = {Vol. 50}, journal = {Der Urologe}, number = {Iss. 11}, publisher = {Springer}, address = {Berlin}, issn = {1433-0563}, pages = {1412 -- 1419}, year = {2011}, language = {de} } @article{BoettcherHaselhuhnJakseetal.2012, author = {Boettcher, Martin and Haselhuhn, Angelika and Jakse, Gerhard and Brehmer, Bernhard and Kirschner-Hermanns, Ruth}, title = {Overactive bladder syndrome: an underestimated long-term problem after treatment of patients with localized prostate cancer?}, series = {BJU international}, volume = {109}, journal = {BJU international}, number = {12}, publisher = {Wiley-Blackwell}, address = {Oxford}, issn = {1365-2176 (E-Journal); 1464-410X (E-Journal); 0007-1331 (Print); 1464-4096 (Print)}, doi = {10.1111/j.1464-410X.2011.10623.x}, pages = {1824 -- 1830}, year = {2012}, abstract = {In this study we observed courses of micturition symptoms and differentiated degrees of symptoms for each point in time while also considering the impact of bothersomeness. Our data show that not only significantly more patients who have undergone BT suffer from OAB than those who have undergone RP, but also that those affected show significantly higher values for severity of OAB symptoms throughout the whole observation period of 36 months. Our data analysis further shows that variability of OAB symptoms as well as fluctuation of severity of OAB symptoms vary to a significantly higher degree after BT than after RP. Looking only at mean figures at a given point in time clearly underestimates the underlying problem. This fact is not reflected in the literature.}, language = {en} } @article{KohlerKirschnerHermannsStaatetal.2018, author = {Kohler, Annette and Kirschner-Hermanns, Ruth and Staat, Manfred and Brehmer, Bernhard}, title = {Pathogenese, funktionelle und anatomische Aspekte der weiblichen Belastungsinkontinenz}, series = {Aktuelle Urologie}, volume = {49}, journal = {Aktuelle Urologie}, number = {1}, publisher = {Thieme}, address = {Stuttgart}, issn = {1438-8820}, doi = {10.1055/s-0043-120616}, pages = {47 -- 51}, year = {2018}, abstract = {Der vorliegende Artikel fokussiert sich auf die weibliche Belastungsinkontinenz als Insuffizienz der Speicherfunktion der Blase, auch wenn im klinischen Alltag die Harninkontinenz der Frau h{\"a}ufig verschiedene Ursachen hat und insbesondere eine Belastungsinkontinenz im Alter und bei neurologischer Komorbidit{\"a}t nur selten isoliert vorkommt. Das kleine Becken der Frau ist sowohl als Funktions- als auch als strukturelle Einheit zu betrachten. Dabei unterliegen bei der Frau Blase, Harnr{\"o}hre, Geb{\"a}rmutter und Enddarm sowie die muskul{\"a}ren und ligament{\"o}sen Strukturen des kleinen Beckens durch Fertilit{\"a}tsphase, m{\"o}gliche Schwangerschaften, Geburten und Menopausen-Phase, {\"u}ber das „normale Altern" hinaus, gravierenden Ver{\"a}nderungen. This article focuses on female stress incontinence in the form of pelvic floor dysfunction and urethral sphincter deficiency, although isolated stress incontinence accounts for less than half of all incontinence cases. Especially in women of old age and those with neurological comorbidities, the causes of incontinence are mostly multifactorial. Also it has to be considered that the female bladder, urethra, uterus and rectum as well as the muscular and ligamentous structures of the female pelvis minor are affected by phases of fertility, possible pregnancies, births and menopause in addition to the normal ageing process.}, language = {de} }