
Jörgen QuaghebeurUniversity of Antwerp | UA · Antwerp surgical training, anatomy and research centre
Jörgen Quaghebeur
PhD. Med. Sci.
Visiting Professor at the University of Antwerp, and
Associated Researcher Warsaw Medical Academy, Poland
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53
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Publications
Publications (53)
Aims:
Comparison of questionnaires for the evaluation of symptoms and QoL in patients with CPPS.
Methods:
The MPQ-DLV, PDI, NIH-CPSI, ICSI, and PUF, were compared for: pain, bladder complaints, and for QoL.
Results:
The studied group N = 26 (male: 16; female: 10) showed a good distribution in gender for the age (MW-U: P = 0.6) and BMI (MW-U: P...
The traditional model of cerebrospinal fluid (CSF) hydrodynamics is being increasingly challenged in view of recent scientific evidences. The established model presumes that CSF is primarily produced in the choroid plexuses (CP), then flows from the ventricles to the subarachnoid spaces, and is mainly reabsorbed into arachnoid villi (AV). This mode...
Chronic pelvic pain syndrome (CPPS) presents with a variety of symptoms affecting multiple systems. There is no universal treatment that can be given to all patients with CPPS. The results of treatment depend greatly on an accurate diagnosis. A thorough clinical assessment, including a "four-step plan", should include paying special attention to th...
Objectives:
The aim of this study was to evaluate the prevalence of lower urinary tract symptoms and quality of life in patients with chronic pelvic pain syndrome (CPPS).
Materials and methods:
The McGill Pain Questionnaire, Dutch Leiden/Leuven Version (MPQ-DLV), Pain Disability Index (PDI), National Institutes of Health Chronic Prostatitis Symp...
The pelvic floor biomechanics and sphincter functioning are essential for understanding pelvic floor dysfunction and the pathophysiology of the pelvic organs. The pelvic floor consists of muscles, fascial connections and ligaments. The Integral Theory Paradigm (ITP) explains the musculoskeletal entity of the sphincter mechanism and the pathophysiol...
To critically analyse the relationship of bladder pain syndrome (BPS/IC), as defined, to the posterior fornix syndrome, "PFS" predictably co-occurring bladder urgency, frequency, nocturia, chronic pelvic pain, emptying symptoms/retention, caused by uterosacral ligament (USL) laxity and cured by USL repair. The starting and end points of this paper...
The remit of this review is confined to experimental works and publications relevant to the integral theory of female urinary incontinence (IT). Since its first publication in 1990, the IT has challenged the general view that the pathogenesis of overactive bladder (OAB) (urge, frequency, nocturia) is unknown and there is no cure. According to the I...
Bladder control is not from the bladder itself but from muscles and ligaments outside of it. Bladder control is binary, either closed or open. Control is exerted cortically, directly and via a peripheral pelvic mechanism comprising three reflex pelvic muscles which contract (variously) against pubourethral ligaments (PULs) anteriorly and uterosacra...
In BPS/IC, comorbid conditions are common complications. This study describes BPS/IC comorbidity and explains the neuropathological association and clinical significance in the literature.
Thesis and aims
In 45 years, the definitions and practice of the urodynamically based overactive bladder (OAB)/detrusor overactivity (DO) system have failed to adequately address pathogenesis and cure of urinary urge incontinence, frequency and nocturia.
Methods
We analysed the OAB syndrome with reference to the Integral Theory paradigm’s (ITS) bi...
Background:
Parallel with the demographic ageing crisis, is a disabling overactive bladder (OAB) crisis (urgency/frequency/nocturia), 30% prevalence in older women, pathogenesis stated as unknown and, according to some learned societies, incurable.
Hypothesis/aims:
To review International Continence Society and Integral System paradigms to test...
Aim:
To present an anatomical pathogenesis parallel with the 2002 International Continence Society Lower Urinary Tract (LUTS) definitions standardization Report 2002.
Methods:
Each LUTS section is discussed using the same numbers as the Report.
Results:
Normal function Bladder control is binary, with two reflexes alternating, either closure (d...
Study design:
This is a retrospective cohort study.
Objective:
To highlight some issues about the clinical meaning of a negative bulbocavernosus reflex (BCR) in spinal cord injury (SCI) patients.
Settings:
Research group University Antwerp Belgium.
Methods:
The study included 170 patients in whom the BCR was examined at a mean of 7 years pos...
The innervation of the pelvic region is complex and includes extensive neurologic pathways. The higher centres' organisation determining the pelvic floor and organs' function remains a challenge understanding the physiological and pain mechanisms. Psychological and emotional factors have a profound influence on the pelvic floor and organ dysfunctio...
The pelvic floor functions as a holistic entity. The organs, bladder, bowel, smooth and striated muscles, nerves, ligaments and other connective tissues are directed cortically and reflexly from various levels of the nervous system. Such holistic integration is essential for the system’s multiple functions, for example, pelvic girdle stability, con...
Hardback ISBN-13: 978-1-5275-6450-3 The book “Diagnosis and Management in Patients with Chronic Pelvic Pain Syndrome” results from years of research summarising these patients’ diagnostic approaches and treatments. It is an update for therapists based on actual knowledge explaining how to deal with the problem.
Chronic pelvic pain (CPP) involves a...
Objectives: There is confusion about the terms of bladder pain syndrome (BPS) and Interstitial Cystitis (IC). The European Society for the Study of IC (ESSIC) classified these according to objective findings [9 van de Merwe JP, Nordling J, Bouchelouche P, et al. Diagnostic criteria, classification, and nomenclature for painful bladder syndrome/inte...
The term ‘interstitial cystitis’ has been replaced by BPS introducing a new nomenclature, based on diagnostic and classification criteria [1, 2].
Special diagnostic and conservative treatment techniques. Jörgen Quaghebeur. University Hospital Antwerp and University Antwerp. INTRODUCTION AND AIM OF THE STUDY: A thorough clinical assessment including physical examination has been suggested as being valuable in a diagnostic workout, also in CPPS patients 1, 2. Neurodynamic tests are manual appl...
Objective:
A thorough clinical assessment including physical examination is crucial in a diagnostic work-up, including in patients with chronic pelvic pain syndrome (CPPS). This study investigated the prevalence of pain areas and the mechanosensitivity of peripheral nerves in patients with CPPS and compared the findings with a healthy control grou...
The primo vascular system has a specific anatomical and immunohistochemical signature that sets it apart from the arteriovenous and lymphatic systems. With immune and endocrine functions, the primo vascular system has been found to play a large role in biological processes, including tissue regeneration, inflammation, and cancer metastases. Althoug...
Normative current perception thresholds (CPTs) are used for the evaluation of sensory function in a variety of diseases.
To evaluate the reproducibility of CPT measurements with sinusoidal current in healthy volunteers.
Neuroselective CPT evaluations of the median and pudendal nerve in healthy volunteers were repeated with 1 week interval (T1 and T...
Although the prevalence of CPPS is somewhat uncertain, the cost to society in order to manage it is huge. CPPS presents itself with a variety of symptoms attaining multiple systems. The symptoms and discomfort have been evaluated using questionnaires (e.g. MPQ-DLV, PDI, NIH-CPSI, ICSI, and PUF). Very different results have been found. This indicate...
Although the prevalence of CPPS is somewhat uncertain, the cost to society in order to manage it is huge. CPPS presents itself with a variety of symptoms attaining multiple systems. The symptoms and discomfort have been evaluated using questionnaires (e.g. MPQ-DLV, PDI, NIH-CPSI, ICSI, and PUF). Very different results have been found. This indicate...
Background: Trained practitioners claim to identify the specific direction of superficial or deep lymphatic circulation using a non-invasive technique called Manual Lymphatic Mapping (MLM). MLM is a recent advance in manual therapy, a component of Lymph Drainage Therapy (LDT)/Osteopathic Lymphatic Technique (OLT). Objective: Assess the potential of...
Pain is among the foremost complaints of women seeking gynecological consultation, yet the diagnosis is often limited to endometriosis. Chronic Pelvic Pain discusses how to diagnose a broad scope of underlying conditions presenting in relation to pelvic pain in women and their treatment. Starting with an anatomical review from a pain point of view,...
Background: Trained practitioners claim to identify the specific direction of superficial or deep lymphatic circulation using a non-invasive technique called Manual Lymphatic Mapping (MLM). MLM is a recent advance in manual therapy, a component of Lymph Drainage Therapy (LDT)/Osteopathic Lymphatic Technique (OLT). Objective: Assess the potential of...
The prevalence of CPPS is important and includes an enormous cost for the society.
CPPS presents with a variety of symptoms attaining multiple systems. There exists no universal treatment to be given to all CPPS patients. The result of treatment, will greatly depend on an accurate diagnosis.
We emphasise the importance of a thorough clinical assess...
This talk presented by Jörgen Quaghebeur was based on non-invasive methods, for example questionnaires. A problem in their literature search was that so many different terms and classifications were used in the different articles that much of the material was unusable. They found that IC and BPS represent a heterogeneous population that presents wi...
Constant or recurrent pain, perceived in structures related to the pelvis that is present for at least 6 months (IBS: ≥3 months) has been defined as chronic pelvic pain syndrome (CPPS). In CPPS the pain is often accompanied with symptoms related to organs in the pelvis, without a proven infection or other obvious pathology (e.g. lower urinary tract...
Background:
For the evaluation of sensory innervation, normative data are necessary as a comparison.
Aims:
To compare our current perception thresholds (CPTs) with normative data from other research.
Methods:
Healthy volunteers were assessed for 2000, 250, and 5 Hz CPTs of the median and pudendal nerve and data were compared with other studies...
Die bisher geläufige Modellvorstellung vom Liquor cerebrospinalis (LCS) wird angesichts neuerer wissenschaftlicher Erkenntnisse zunehmend infrage gestellt. Diesem Modell zufolge bildet sich LCS vorrangig in den Plexus choroidei (PC), fließt dann aus den Ventrikeln in die Subarachnoidalräume und wird hauptsächlich in den Arachnoidalzotten (AV) reabs...
AIMS: Comparison of questionnaires for the evaluation of symptoms and QoL in patient with CPPS. METHODS: The MPQ-DLV, PDI, NIH-CPSI, ICSPQ, and PUF, were used to analyze the symptoms and show the impact on the QoL. RESULTS: The studied group N=26 (male: 16; female: 10) showed a good distribution in gender for the age (MW-U: P= 0,6) and BMI (MW-U: P...
BACKGROUND: Urinary incontinence has an important prevalence and impact on the quality of life. A thorough clinical assessment and medical diagnosis are indicated. Structural and functional factors must be considered in the osteopathic approach. The effect of visceral manipulation for incontinence remains unclear. OBJECTIVE: Evaluate the effect of...
AIMS: Comparison of questionnaires for the evaluation of symptoms and QoL in patients with CPPS. METHODS: The MPQ-DLV, PDI, NIH-CPSI, ICSI, and PUF, were compared for: pain, bladder complaints, and for QoL. RESULTS: The studied group N = 26 (male: 16; female: 10) showed a good distribution in gender for the age (MW-U: P = 0.6) and BMI (MW-U: P = 0....
This review explains the osteopathic approach in patients with chronic pain.
Gebaseerd op de guidelines van CPPS, kunnen de pelvische pijn syndromen een indicatie zijn voor osteopathische behandeling. Daarentegen zijn de ‘gedefinieerde aandoeningen die pijn veroorzaken’ een absolute of relatieve contra indicatie voor behandeling door een osteopaat. Zowel musculoskeletale, viscerale, neurogene, vasculaire en pathologische fa...