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Neurourology and Urodynamics

Jérôme Gas, Aline Liaigre-Ramos, Natacha Caubet-Kamar, Jean Baptiste Beauval, Marine Lesourd, Thomas Prudhomme, Eric Huyghe, Michel Soulié, Sandrine Charpentier, Xavier Gamé
AIMS: The management of acute urinary retention (AUR) revolves around trial without catheter (TWOC) after prescription of an alpha-blocker. This study evaluates the implementation of a clinical pathway for AUR. METHODS: Specific clinical pathways for AUR was established between the Emergency Department and the Department of Urology in order to reduce the duration of bladder drainage that included standard prescriptions, an information sheet, and a note to be faxed to scheduling nurses to organize the trial without catheter (TWOC)...
November 12, 2018: Neurourology and Urodynamics
Antonio Macedo, Marcela Leal da Cruz
No abstract text is available yet for this article.
November 9, 2018: Neurourology and Urodynamics
Akinori Minami, Tomoaki Tanaka, Taiyo Otoshi, Katsuyuki Kuratsukuri, Tatsuya Nakatani
AIM: To investigate whether hyperbaric oxygen (HBO) is effective for the pathophysiological findings in an IC/PBS-like mouse model induced by intravesical hydrogen peroxide (H2 O2 ). METHODS: Six-week-old ICR female mice (N = 16) were divided into four experimental groups: (1) sham control with intravesical vehicle instillation twice, and without subsequent treatment (N = 4); (2) H2 O2 instillation twice, followed by HBO (100% O2 , 2 ATA, 30 min per session) (N = 4); (3) H2 O2 instillation twice, followed by dummy hyperbaric treatment (air, 2ATA, 30 min per session) (N = 4); and (4) H2 O2 instillation twice, followed by no treatment (N = 4)...
November 9, 2018: Neurourology and Urodynamics
Jai H Seth, Sahar Naaseri, Eskinder Solomon, Mahreen Pakzad, Rizwan Hamid, Jeremy Ockrim, Tamsin J Greenwell
AIMS: The complexity of urethral diverticulectomy depends on location, size, and degree of circumferential involvement. MRI features were examined to predict functional outcome after surgery for urethral diverticulum (UD). METHODS: A prospectively acquired database was of all patients who have had surgical excision of UD at a tertiary center since 2004 was reviewed. Particular focus was pre- and post-operative urodynamically proven stress urinary incontinence (USUI), and pre-operative MRI features...
November 9, 2018: Neurourology and Urodynamics
Ya-Dong Liu, Si-Cong Zhang, Jun Xue, Zhong-Qing Wei, Bai-Xin Shen, Liu-Cheng Ding
AIMS: To examine the protective effects of caffeine in rats with diabetes mellitus (DM) by using urodynamics. METHODS: Female Sprague-Dawley rats (n = 24) were divided into four groups: control group, DM group, DM + caffeine (5 mg/kg/day), and DM + caffeine (10 mg/kg/day). DM was induced by streptozotocin (STZ). Cystometric studies were conducted on all rats. After 8 weeks of treatment with caffeine, the urodynamic parameters, including bladder capacity, residual urine volume, voiding time, and peak voiding pressure, were measured...
November 9, 2018: Neurourology and Urodynamics
Huiyi H Chang, Jih-Chao Yeh, Jackie Mao, David A Ginsberg, Gamal Ghoniem, Larissa V Rodriguez
AIM: Interstitial cystitis/painful bladder syndrome/(IC/PBS) results in recurring pain in the bladder and surrounding pelvic region caused by abnormal excitability of micturition reflexes. Spinal cord stimulation (SCS) is currently clinically used for the attenuation of neuropathic and visceral pain. The present study examined whether SCS at upper lumbar segments modulates detrusor overactivity and visceral hyperalgesia associated with cystitis in a rat model of cyclophosphamide (CYP)-induced cystitis...
November 9, 2018: Neurourology and Urodynamics
Sakineh Hajebrahimi, Christopher R Chapple, Fariba Pashazadeh, Hanieh Salehi-Pourmehr
AIMS: To assess the different treatment methods in management of neurogenic bladder (NGB) in patients with Parkinson's disease (PD). METHODS: A systematic search was performed in Cochrane library, EMBASE, Proquest,, WHO, Google Scholar, MEDLINE via PubMed, Ovid, ongoing trials registers, and conference proceedings in November 11, 2017. All randomized controlled trials (RCTs) or quasi-RCTs comparing any treatment method for management of NGB in patients with PD were included...
November 8, 2018: Neurourology and Urodynamics
Alejandro Abello, William C DeWolf, Anurag K Das
AIMS: To describe urologic complications in patients with chronically elevated post-void residual (PVR) volumes and to evaluate other related risk factors during a long-term follow-up in patients managed conservatively. METHODS: Non-neurogenic patients who refused surgical intervention of the prostate and had PVR volumes >300 mL on two or more separate occasions at least 6 months apart were included. We followed this cohort over time, recorded complications and evaluated risk factors for complications...
November 8, 2018: Neurourology and Urodynamics
Ulla Due, Niels Klarskov, Søren Gräs, Gunnar Lose
AIMS: To explore if adding occlusion training of a thigh (KAATSU) to low-intensity pelvic floor muscle training (PFMT) could increase effect of PFMT in women with stress urinary incontinence (SUI). METHODS: Single-blinded randomized controlled pilot study. Women with SUI and an ICIQ-UI-SF (International Consultation on Incontinence Questionnaire-Short form) score of ≥12 were randomized to a low-intensity PFMT program followed by KAATSU (KAATSU + PFMT) or to a low-intensity PFMT program without KAATSU (PFMT group), both performed four times a week for 12 weeks...
November 8, 2018: Neurourology and Urodynamics
Kerstin A Brocker, Theresa Mokry, Céline D Alt, Hans-Ulrich Kauczor, Florian Lenz, Christof Sohn, John O DeLancey, Luyun Chen
AIMS: To develop MR-based measurement technique to evaluate the postoperative dimension and location of implanted magnetic resonance (MR)-visible meshes. METHODS: This technique development study reports findings of six patients (A-F) with cystoceles treated with anterior vaginal MR-visible Fe3 O4 -polypropylene implants. Implanted meshes were reconstructed from 3 months and/or 1 year postsurgical MR-images using 3D Slicer®. Measurements including mesh length, distance to the ischial spines, pudendal, and obturator neurovascular bundles and urethra were obtained using software Rhino® and a custom Matlab® program...
November 2, 2018: Neurourology and Urodynamics
Vicki Patton, Swetha Kumar, Katrina Parkin, Emmanuel Karantanis, Phil Dinning
BACKGROUND AND AIMS: Anal sphincter injury has been identified as a primary cause of post-partum fecal incontinence in women with obstetric anal sphincter injury. However, women without obstetric anal sphincter injury may also develop fecal incontinence. The aim is to determine the relationship between fecal incontinence severity; and i) residual anal sphincter injury, quantified by the Starck score, and ii) anal sphincter tone. METHODS: Consecutive case series of prospectively collected data set in a Pelvic Floor Unit within a tertiary teaching hospital in Australia...
November 2, 2018: Neurourology and Urodynamics
Diana Escalona-Vargas, Sallie Oliphant, Eric R Siegel, Hari Eswaran
AIMS: To characterize levator ani muscle (LAM) activity in nulligravidas using magnetomyography (MMG) and define MMG characteristics associated with LAM activity with and without accessory muscle contributions. METHODS: MMG data were collected from eight nulligravidas during rest and voluntary LAM contractions (Kegels) of varying intensity. We utilized simultaneous vaginal manometry and surface electromyography (sEMG) to evaluate for accessory muscle recruitment...
November 2, 2018: Neurourology and Urodynamics
Mikako Yoshida, Akiko Matsunaga, Yasuhiko Igawa, Tetsuya Fujimura, Yusuke Shinoda, Naoki Aizawa, Yusuke Sato, Haruki Kume, Yukio Homma, Nobuhiko Haga, Hiromi Sanada
AIMS: The efficacy of perioperative pelvic floor muscle training (PFMT) for continence recovery after robot-assisted radical prostatectomy (RARP) remains unclear. Visualization of the bladder neck and urethra using transperineal ultrasound (US) may promote self-recognition of urethral closure during PFM contraction. This study aimed to examine whether transperineal US-guided PFMT promotes early recovery of post-RARP incontinence. METHODS: This prospective cohort study included 116 men undergoing RARP...
October 30, 2018: Neurourology and Urodynamics
Gustavo F S Latorre, Rogério de Fraga, Maura R Seleme, Cláudia V Mueller, Bary Berghmans
BACKGROUND: Nowadays, Pelvic Floor Muscle Training (PFMT) is a first line, level 1 evidence-based treatment for urinary incontinence (UI), but adherence to PFMT is often problematic. Today, there are several mobile applications (mApps) for PFMT, but many lack specific strategies for enhancing adherence. AIMS: To review available mApps for improvement of adherence to PFMT, and to introduce a new App so called iPelvis. METHODS: Review study all available mApps for PFMT and relevant literature regarding adherence by electronic search through the databases Pubmed, Embase, CINAHL, LILACS, PEDro, and Scielo...
October 30, 2018: Neurourology and Urodynamics
Jeremy B Myers, Sara M Lenherr, John T Stoffel, Sean P Elliott, Angela P Presson, Chong Zhang, Jeffery Rosenbluth, Amitabh Jha, DarshanP Patel, Blayne Welk
AIMS: Clean intermittent catheterization (CIC) is recommended after spinal cord injury (SCI) because it has the least complications, however, CIC has a high discontinuation rate. We hypothesized that bladder botulinum toxin injection or augmentation cystoplasty may improve satisfaction with CIC. METHODS: The NBRG registry is a multicenter, prospective, observational study asking SCI participants about neurogenic bladder (NGB) related quality of life (QoL). In this study, participants performing CIC as primary bladder management were categorized into 3 groups: (1) CIC alone (CIC); (2) CIC with botulinum toxin (CIC-BTX); and (3) CIC with augmentation cystoplasty (CIC-AUG)...
October 30, 2018: Neurourology and Urodynamics
Thibault Tricard, Pierre Munier, Fleur Story, Hervé Lang, Christian Saussine
AIMS: Pudendal neuralgia (PN) due to pudendal nerve entrapment is a well-known disease in medical community but both diagnostic and treatment may be delayed for patients. The goal of this study was to achieve a systematic review of the published treatments of PN in order to help physician to take their decision to treat PN. METHODS: A Systematic review based on MEDLINE, Embase, and Cochrane databases was performed to identify articles related to PN. Studies involving ≥ 10 patients presenting PN according to Nantes's criteria who were managed with an intervention for their pain were reviewed...
October 30, 2018: Neurourology and Urodynamics
Ana Sofia Da Silva, Victoria Asfour, Giuseppe Alessandro Digesu, Rufus Cartwright, Ruwan Fernando, Vik Khullar
INTRODUCTION: The sonographic appearance of a levator muscle "avulsion" representing the literal detachment of the pubovisceral muscle (PVM) enthesis has been contested. The nature of the levator ani "avulsion" is still not fully understood. It is known, that the tensile strength of a tendon is dependent on collagen with increased synthesis of collagen occurring in tissue with increased mechanical load levels. This study aims to perform a quantitative histological evaluation of the PVM enthesis with or without the imaging finding of levator ani "avulsion" to determine if there is a difference in the proportion of muscle and collagen...
October 30, 2018: Neurourology and Urodynamics
Marie-Aimée Perrouin-Verbe, Priscilla Léon, Pierre Denys, Pierre Mongiat-Artus, Emmanuel Chartier-Kastler, Véronique Phé
AIM: To report the very long-term functional outcomes of augmentation cystoplasty (AC) in adult spina bifida patients. METHODS: All consecutive adult spina bifida patients who underwent AC between 1991 and 2008 were enrolled. Early postoperative complications (Clavien-Dindo classification) and long-term outcomes (voiding modalities, urodynamic parameters, renal function, continence, and quality of life) were assessed. RESULTS: Twenty-eight patients with a median age of 20 years (IQR 17-25) were included...
October 23, 2018: Neurourology and Urodynamics
Lindsey C McKernan, Benjamin N Johnson, William S Reynolds, David A Williams, Jennifer S Cheavens, Roger R Dmochowski, Leslie J Crofford
PURPOSE: The relationship between exposure to abuse and interstitial cystitis/bladder pain syndrome (IC/BPS) is well-documented. However, studies have yet to examine posttraumatic stress disorder (PTSD), which develops following exposure to trauma and worsens health outcomes in chronic pain. We aimed to assess the prevalence and impact of PTSD in patients with IC/BPS, including their relation to genitourinary symptom presentation and widespread pain phenotype. MATERIALS AND METHODS: We recruited 202 participants with chronic pain from an academic medical center and classified 64 individuals as IC/BPS based on validated epidemiological criteria...
October 23, 2018: Neurourology and Urodynamics
Abby S Taylor, Jackson J Cabo, Chelsea Lauderdale, Narges Maskan, John C Thomas, Stacy T Tanaka, John C Pope, Mark C Adams, John W Brock, Chevis N Shannon, Douglass B Clayton
INTRODUCTION: Pelvic Floor Biofeedback Therapy (PFBT) can be an effective treatment for pediatric lower urinary tract symptoms (LUTS). Due to differing perceptions of efficacy and practice patterns, we sought to further evaluate PFBT in our practice. We hypothesized that PFBT results in quiescence of EMG activity during voiding and improves questionnaire scores in patients with LUTS. METHODS: We retrospectively reviewed all patients undergoing PFBT and refined the analysis to females ≥6 years old with ≥2 sessions with completed voiding questionnaires pre- and post-treatment, active EMG during voiding, with non-neurogenic urinary tract complaints refractory to standard urotherapy...
October 23, 2018: Neurourology and Urodynamics
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