TY - JOUR A1 - Wuertz-Kozak, Karin A1 - Bleisch, Dominique A1 - Nadi, Najia A1 - Proemmel, Peter A1 - Hitzl, Wolfgang A1 - Kessler, Thomas M. M. A1 - Gautschi, Oliver P. A1 - Hausmann, Oliver N. T1 - Sexual and urinary function following anterior lumbar surgery in females JF - Neurourology and urodynamics N2 - Aims Anterior lumbar interbody fusion procedures (ALIF) and total disc replacement (TDR) with anterior exposure of the lumbar spine entail a risk of a vascular injury and dysfunction of the sympathetic and parasympathetic nerves due to disturbance of the inferior and superior hypogastric plexus. While retrograde ejaculation is a known complication of the anterior spinal approach in males, post-operative sexual as well as urinary function in females has not yet been thoroughly investigated and was hence the aim of this study. Methods Fifteen female patients documented their sexual and urinary function preoperatively, 3 months and 6 months postoperatively, using the validated questionnaires FSFI (Female Sexual Function Index) and ICIQ (International Consultation of Incontinence Questionnaire). Randomization tests were used to statistically analyze expectation values over time (two-sided, P < 0.05). Results While no statistically significant change in the total FSFI score occurred over time, a significant increase in FSFI desire score was noted between preoperative (2.95 +/- 0.8) and 6 months follow-up (3.51 +/- 0.6, P = 0.02). Urinary continence remained unchanged over time. Conclusion In summary, ALIF and lumbar TDR do not seem to negatively influence sexual and urinary function in females. In contrast, increased sexual desire was noted, likely secondary to post-surgical pain relief. KW - ALIF KW - dysfunction KW - FSFI KW - ICIQ KW - questionnaire KW - TDR KW - women Y1 - 2018 U6 - https://doi.org/10.1002/nau.23874 SN - 0733-2467 SN - 1520-6777 VL - 38 IS - 2 SP - 632 EP - 636 PB - Wiley CY - Hoboken ER - TY - GEN A1 - Keßler, Oliver T1 - Nichtwissen und die Etablierung von Governance-Regimen T1 - Ignorance and the establishment of governance regimes N2 - This article analyzes to what extend new knowledge and ignorance-structures within financial markets challenge basic assumptions in scientific discourse. ‘Ignorance’ is seen as an inherent part of governance-regimes. It is argued that the self-fulfilling prophecy of a bank run as the dominant metaphor for systemic risks is insufficient to capture today’s dynamics and categorical changes. Therefore, the paper seeks to show that ‘science’ has not sufficiently attempted to fully come to terms with issues of uncertainty and self-reference. KW - Finanzmärkte KW - Regulierung der Finanzmärkte KW - Finanzwesen KW - Financial markets KW - financial regulation KW - financial architecture Y1 - 2005 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:kobv:517-opus-47555 ER - TY - THES A1 - Lederer, Markus A1 - Kessler, Oliver T1 - Weber, S., (Hrsg.) Globalization and the European Political Economy; New York, Univ., 2001 BT - Globalization and the European Political Economy Y1 - 2008 ER -