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Biomedical subjects

G Cundiff

Publications and source records attributed to G Cundiff.

5 recordsLinked to original sources
PubMed2001

The standardization of terminology for researchers in female pelvic floor disorders.

The lack of standardized terminology in pelvic floor disorders (pelvic organ prolapse, urinary incontinence, and fecal incontinence) is a major obstacle to performing and interpreting research. The National Institutes of Health convened the Terminology Workshop for Researchers in Female Pelvic Floor Disorders to: (1) agree on standard terms for defining conditions and outcomes; (2) make recommendations for minimum data collection for research; and (3) identify high priority issues for future research. Pelvic organ prolapse was defined by physical examination staging using the International Continence Society system. Stress urinary incontinence was defined by symptoms and testing; 'cure' was defined as no stress incontinence symptoms, negative testing, and no new problems due to intervention. Overactive bladder was defined as urinary frequency and urgency, with and without urge incontinence. Detrusor instability was defined by cystometry. For all urinary symptoms, defining 'improvement' after intervention was identified as a high priority. For fecal incontinence, more research is needed before recommendations can be made. A standard terminology for research on pelvic floor disorders is presented and areas of high priority for future research are identified.

Fecal Incontinence↗
PubMed1995

Infertile couples with a normal hysterosalpingogram. Reproductive outcome and its relationship to clinical and laparoscopic findings.

The purpose of this study was to retrospectively investigate the clinical course of infertile couples following a normal hysterosalpingogram (HSG) to determine the reproductive outcome and assess the diagnostic value of subsequent laparoscopy (LSC). The infertile couples (N = 132) were aged 29 +/- 0.5 SD years, with 3.2 +/- 0.4 years of infertility, and were followed for an average of 17 +/- 1.5 months after the HSG. Twenty-nine percent of patients became pregnant after a normal HSG performed with water-soluble contrast medium. There was a fourfold greater rate of pregnancy during the first three months after a normal HSG than during any other three-month interval up to one year. Thirty-four of the initial 132 patients required laparoscopy because of failure to conceive or suspected pelvic disease based on symptoms or the results of a pelvic examination. Among the 34 patients receiving LSC, pelvic pathology was found in 19 (56%). Corrective surgery and/or a change in therapy occurred in 60% of cases after LSC. There was an increased proportion of abnormal findings with increasing time intervals between HSG and LSC but not with increasing intervals of infertility before HSG. Abnormal uterine bleeding was predictive of abnormalities at LSC, while prior use of oral contraceptives correlated negatively with pelvic pathology. In women in infertile couples who have a normal HSG: (1) LSC should not be performed before three months after a normal HSG because of the potential therapeutic effect of HSG, (2) LSC should be performed after a normal HSG if pregnancy has not occurred by at least one year because of the high incidence of pelvic pathology, and (3) HSG using water-soluble contrast media has a therapeutic effect comparable to that described for oil-soluble contrast media.

Adult↗
PubMed1994

Laparoscopic procedures for incontinence and prolapse.

Laparoscopic surgery for genuine stress incontinence (GSI) and vaginal vault prolapse is in an early stage of development. There is a great deal of talk about the subject at meetings and postgraduate courses; however, very little has been written on the subject and there are virtually no controlled studies to compare outcomes with the conventional surgical methods that will be mentioned in this review. Most laparoscopic surgeons will emphasize that laparoscopic repairs are performed either 'exactly like' or in a similar fashion to open abdominal techniques, but there is still a need for data to prove that outcomes are equivalent.

Female↗
PubMed1979

Daydreaming: a measurable concept.

Research has been reported which supports the psychometric properties of the Imaginal Processes Inventory. The purpose was to confirm and extend this research as well as investigate the interrelationships between daydreaming and depression, locus of control, and visual imagery. This inventory (7 scales), Beck Depression Inventory, Rotter Locus of Control Scale (I-E), and Gordon's Test of Visual Imagery Control were administered to 100 female undergraduates. A sample of 39 subjects were retested on the scales an average of 6.8 wk. after the first administration. Correlations with Imaginal Processes Inventory and test-retest data were consistent with Giambra's (1977) findings for males and support the reliability and generalizability of the scores. Other results include significant intercorrelations between the various scales of this inventory and the others. Implications for an understanding of the process of depression are discussed.

Adolescent↗