{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:22:47Z","timestamp":1777890167840,"version":"3.51.4"},"reference-count":0,"publisher":"S. Karger AG","license":[{"start":{"date-parts":[[2009,12,23]],"date-time":"2009-12-23T00:00:00Z","timestamp":1261526400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2009,12,23]],"date-time":"2009-12-23T00:00:00Z","timestamp":1261526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gyn\u00e4kol Geburtshilfliche Rundsch"],"abstract":"<jats:p>Anhand von 5 typischen Fallbeispielen werden immer wiederkehrende Probleme in der operativen Strategie bei Harninkontinenz und Descensus uteri besprochen. Vor jeder Diaphragmaplastik sollte zur Abkl\u00e4rung des Inkontinenzrisikos eine urodynamische Untersuchung gemacht werden. Bei der Diaphragmaplastik achten wir darauf, die periurethralen Strukturen zu schonen. Bei der abdominalen Kolposuspension verwenden wir nicht resorbierbares Nahtmaterial. Breite Elevationen sollten vermieden werden. Kontinente Patientinnen mit einer Zystozele und einer urodynamisch nachgewiesenen, larvierten Stressinkontinenz brauchen zus\u00e4tzlich eine vaginale Kolposuspension. Bei Vaginalstumpfprolaps ziehen wir die organerhaltende Operation (vaginale Sakropexie) der Kolpektomie vor. Bei rezidivstressinkontinenten Patientinnen sollte pr\u00e4operativ eine intensive Lokaltherapie durchgef\u00fchrt werden, um die Elevation spannungsfrei zu erm\u00f6glichen.<\/jats:p>","DOI":"10.1159\/000272076","type":"journal-article","created":{"date-parts":[[2009,12,24]],"date-time":"2009-12-24T03:16:40Z","timestamp":1261624600000},"page":"94-102","source":"Crossref","is-referenced-by-count":0,"title":["Operative Strategie bei Inkontinenz und Deszensus"],"prefix":"10.1159","author":[{"given":"G.","family":"Sch\u00e4r","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.R.","family":"K\u00f6chli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Fink","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Haller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2009,12,23]]},"container-title":["Gyn\u00e4kologisch-geburtshilfliche Rundschau"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000272076","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:30:43Z","timestamp":1777613443000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000272076"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,12,23]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1159\/000272076","archive":["Portico"],"relation":{},"ISSN":["1018-8843","1423-0011"],"issn-type":[{"value":"1018-8843","type":"print"},{"value":"1423-0011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,12,23]]}}}