Purpose: We tested the psychometric properties of the German version of the King’s Health questionnaire and describe the scoring procedure. Material and Methods: A total of 145 patients treated for stress incontinenc...Purpose: We tested the psychometric properties of the German version of the King’s Health questionnaire and describe the scoring procedure. Material and Methods: A total of 145 patients treated for stress incontinence completed the Germanl anguage King’sHealth Questionnaire and the SF-36 before and after treatment. A psychometric analysis of the instrument was performed, determining reliability, validity and responsiveness of the King’s Health questionnaire. Results: The subscales of the King’s Health Questionnaire showed a good internal consistency with Cronbach’s alpha coefficients between 0.76 and 0.86. For the German version we defined a new subscale for overactive bladder. This subscale also showed a good internal consistency. The criterion validity measured on clinical parameters showed statistically significant correlations between severity of incontinence and several King’s subscales: Incontinence Impact (r = 0.22, p = 0.013), Personal Relationships(r = 0.24, p = 0.006) and Physical Limitations (r = 0.22, p = 0.010). Regarding responsiveness statistically significant changes before and after therapy were found in the subscales: Incontinence Impact, Physical Limitations, Social Limitations, Personal Relationships, Emotional Problems, and Sleep and Energy Disturbances. Conclusion: The German version of the King’s Health Questionnaire showed good psychometric properties and can be used in clinical trials and in clinical practice for the evaluation of treatments and their impact on urinary incontinence.展开更多
The purpose of this study was to evaluate local anesthesia with sedation for vaginal surgery for advanced genital prolapse. Study design: Five sacrospinous ligament suspensions and 12 vaginal paravaginal defect repair...The purpose of this study was to evaluate local anesthesia with sedation for vaginal surgery for advanced genital prolapse. Study design: Five sacrospinous ligament suspensions and 12 vaginal paravaginal defect repairs performed under local anesthesia in 2004 were identified. Medical records and patient satisfaction questionnaire were reviewed. Patient demographics, degree of prolapse, duration of surgery, hospital stay, and responses to an anesthesia satisfaction questionnaires were recorded. Results: All repairs incorporated placement of dermal allograft. Concomitant procedures included: 6 tension-free vaginal tape (TVTs), 12 posterior and 4 enterocele repairs. Mean patient age was 66.1 years. All patients had prolapse of apex or anterior wall ≥ grade 3. Mean OR time was 132 minutes. Average hospital stay was 1.2 days. No patient was converted to general anesthesia. All 17 patients were “ very satisfied” with their surgical experience. Conclusion: Local anesthesia with sedation can be successfully employed for most vaginal reconstructive surgeries with advanced genital prolapse. Patients report a high level of satisfaction.展开更多
文摘Purpose: We tested the psychometric properties of the German version of the King’s Health questionnaire and describe the scoring procedure. Material and Methods: A total of 145 patients treated for stress incontinence completed the Germanl anguage King’sHealth Questionnaire and the SF-36 before and after treatment. A psychometric analysis of the instrument was performed, determining reliability, validity and responsiveness of the King’s Health questionnaire. Results: The subscales of the King’s Health Questionnaire showed a good internal consistency with Cronbach’s alpha coefficients between 0.76 and 0.86. For the German version we defined a new subscale for overactive bladder. This subscale also showed a good internal consistency. The criterion validity measured on clinical parameters showed statistically significant correlations between severity of incontinence and several King’s subscales: Incontinence Impact (r = 0.22, p = 0.013), Personal Relationships(r = 0.24, p = 0.006) and Physical Limitations (r = 0.22, p = 0.010). Regarding responsiveness statistically significant changes before and after therapy were found in the subscales: Incontinence Impact, Physical Limitations, Social Limitations, Personal Relationships, Emotional Problems, and Sleep and Energy Disturbances. Conclusion: The German version of the King’s Health Questionnaire showed good psychometric properties and can be used in clinical trials and in clinical practice for the evaluation of treatments and their impact on urinary incontinence.
文摘The purpose of this study was to evaluate local anesthesia with sedation for vaginal surgery for advanced genital prolapse. Study design: Five sacrospinous ligament suspensions and 12 vaginal paravaginal defect repairs performed under local anesthesia in 2004 were identified. Medical records and patient satisfaction questionnaire were reviewed. Patient demographics, degree of prolapse, duration of surgery, hospital stay, and responses to an anesthesia satisfaction questionnaires were recorded. Results: All repairs incorporated placement of dermal allograft. Concomitant procedures included: 6 tension-free vaginal tape (TVTs), 12 posterior and 4 enterocele repairs. Mean patient age was 66.1 years. All patients had prolapse of apex or anterior wall ≥ grade 3. Mean OR time was 132 minutes. Average hospital stay was 1.2 days. No patient was converted to general anesthesia. All 17 patients were “ very satisfied” with their surgical experience. Conclusion: Local anesthesia with sedation can be successfully employed for most vaginal reconstructive surgeries with advanced genital prolapse. Patients report a high level of satisfaction.
