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Lower Urinary Tract Symptoms

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https://www.readbyqxmd.com/read/30358116/a-52-week-multicenter-randomized-controlled-study-of-the-efficacy-and-safety-of-add-on-dutasteride-and-imidafenacin-to-tamsulosin-in-patients-with-benign-prostatic-hyperplasia-with-remaining-overactive-bladder-symptoms-direct-study
#1
Tomonori Yamanishi, Hirotaka Asakura, Narihito Seki, Shoji Tokunaga
OBJECTIVE: The aim of this study was to examine the long-term efficacy of combination of tamsulosin 0.2 mg + dutasteride 0.5 mg + imidafenacin 0.2 mg (TDI) therapy compared with tamsulosin + dutasteride (TD) therapy for 52 weeks in benign prostatic hyperplasia (BPH) patients with a prostate volume (PV) ≥30 mL and remaining overactive bladder (OAB) symptoms after having received tamsulosin for ≥8 weeks. Previously, we reported that the improvement in OAB symptoms at 24 weeks was significantly greater in the TDI than TD group...
October 24, 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/30251330/effect-of-tadalafil-add-on-therapy-in-patients-with-persistant-storage-symptoms-refractory-to-%C3%AE-1-adrenoceptor-antagonist-monotherapy-for-benign-prostatic-hyperplasia-a-randomized-pilot-trial-comparing-tadalafil-and-solifenacin
#2
Shinji Urakami, Kohei Ogawa, Suguru Oka, Kiichi Hagiwara, Shoichi Nagamoto, Haruki Anjiki, Michikata Hayashida, Akihiro Yano, Kazushige Sakaguchi, Kazuhiro Kurosawa, Toshikazu Okaneya
OBJECTIVE: The aim of this study was to investigate the efficacy and safety of tadalafil add-on therapy with α1 -adrenoceptor antagonists. METHODS: Patients with persistent storage symptoms refractory to α1 -adrenoceptor antagonists for benign prostatic hyperplasia were enrolled in the study. Patients were randomly assigned to either a 5 mg tadalafil or 5 mg solifenacin treatment group for 12 weeks. International Prostate Symptom Score, Overactive Bladder Symptom Score, urinary flow rates, residual urine volume, and blood pressure were measured prospectively before treatment and after 4 and 12 weeks of treatment...
September 24, 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/30198096/changes-in-sensory-proteins-in-the-bladder-urothelium-of-patients-with-chronic-kidney-disease-and-end-stage-renal-disease
#3
Sheng-Fu Chen, Cheng-Ling Lee, Hann-Chorng Kuo
OBJECTIVE: Patients with chronic kidney disease (CKD) or end-stage renal disease (ESRD) frequently have lower urinary tract symptoms, such as frequency, urgency, or bladder pain. This study evaluated sensory protein expression in the bladder urothelium of patients with CKD or ESRD. METHODS: Twenty-seven patients with ESRD or CKD and urodynamically proven detrusor underactivity (DU; n = 8) or bladder oversensitivity (n = 19) were enrolled in the study. These patients, and 10 controls, underwent cystoscopic biopsies of the urothelium...
September 9, 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/30182536/predictive-variables-of-spontaneous-micturition-recovery-after-acute-urinary-retention-in-men-with-benign-prostatic-enlargement-an-observational-prospective-study
#4
Marco Vella, Alberto Abrate, Angela Costanzo, Francesco D'Amato, Maria L Tarantino, Alchiede Simonato
OBJECTIVE: Acute urinary retention (AUR) is the sudden and painful inability to urinate spontaneously. AUR is one of the most significant complications of benign prostatic enlargement. The management of AUR is based on transurethral catheterization. Subsequent therapy is uncertain, but AUR seems to benefit from the use of alpha-blockers. The aim of this study was to evaluate the variables that could predict which patients would recover spontaneous micturition after trial without catheter...
September 4, 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/30168266/does-inguinal-hernia-repair-affect-uroflowmetric-parameters-a-prospective-controlled-clinical-trial
#5
Yilmaz Unal, Muhammet Fatih Kilinc
OBJECTIVE: The aim of this study was to determine the changes in uroflowmetric values of male patients following elective inguinal hernia repair. METHODS: The study group comprised patients treated with open or laparoscopic inguinal hernia repair. Patients who underwent surgery due to various diseases such as cataract, multinodular goiter, choledocholithiasis, thyroid and breast cancer, hydrocele, or spermatocele were recruited to the control group. Perioperative characteristics, including pain assessed using the visual analog scale (VAS), uroflowmetric values, and post-void residual urine volumes (PVR), were recorded preoperatively and on Postoperative Days (POD) 1 and 30...
August 31, 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28921924/effects-of-surgical-anatomical-correction-of-pelvic-anterior-compartment-defect-on-lower-urinary-tract-symptoms
#6
Emre Baser, Safak Ozdemirci, Dilek Uysal, Ertugrul Karahanoglu, Akın Sivaslioglu
OBJECTIVE: To evaluate the effects of surgical anatomical correction on lower urinary tract symptoms (LUTS) in patients with a pelvic anterior compartment defect (PACD). METHODS: This prospective study was carried out on 30 women who had stage II-IV PACD. The women were questioned regarding LUTS symptoms such as urgency, urge incontinence, frequency, hesitancy, abnormal emptying, nocturia and dysuria pre and postoperatively. After a 7-month follow up, the comparison of LUTS symptoms with respect to their healing, existence or de novo appearance was performed using the McNemar and Bowner and Wilcoxon signed-rank tests...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28762631/prevalence-and-risk-factors-of-urinary-incontinence-and-overactive-bladder-in-japanese-women
#7
Sanae Ninomiya, Kiyoko Naito, Kyoko Nakanishi, Hisayo Okayama
OBJECTIVES: The prevalence of storage symptoms, including stress urinary incontinence (SUI) and overactive bladder (OAB), is high in women worldwide. In Japan, there have been few large-scale epidemiological surveys of lower urinary tract symptoms (LUTS), and the risk factors for these symptoms are unclear. The aim of this study was to explore the prevalence and risk factors of storage symptoms in Japanese women. METHODS: A cross-sectional Internet survey was conducted in Japan...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28707385/risk-factors-of-lower-urinary-tract-syndrome-among-ketamine-users
#8
I-Chun Chen, Ming-Huei Lee, Wei-Chih Chen, Tsung-Ching Hu, Hsiu-Ying Lin
OBJECTIVE: This study investigated the risk factors of ketamine associated-lower urinary tract symptoms (LUTS), such as duration of use, dosage of ketamine, co-occurring substance use of other psychoactive drugs, comorbidities, and depression. METHODS: This study was a cross-sectional survey. LUTS was assessed with the O'Leary symptom and problem index (OSPI) scores. We included the comorbidities of interstitial cystitis/painful bladder syndrome (IC/PBS) as comorbid factors...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28707361/effect-of-climatic-parameters-on-acute-urinary-retention-incidence
#9
Kwang Suk Lee, Kyo Chul Koo, Seung Hwan Lee, Kang Su Cho, Chang-Hee Hong, Byung Ha Chung
OBJECTIVES: We investigated the effect of daily climatic parameters on spontaneous acute urinary retention (sAUR) and evaluated the risk factors for refractory/recurrent AUR. METHODS: A total of 4194 patients older than 40 years were diagnosed with AUR in the emergency department at Gangnam Severance Hospital, Seoul, from January 2007 to May 2016. To evaluate climatic parameters at sAUR onset, we included individuals living in the area around the hospital. We excluded patients with fever, who did not return to the hospital after the AUR episode or with AUR occurring within 2 weeks following admission for surgery or chemotherapy...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28707318/correlation-of-xiphopubic-distance-body-weight-height-and-body-mass-index-with-intravesical-and-abdominal-initial-resting-pressures-in-urodynamic-testing-in-the-sitting-position
#10
Juan P Valdevenito, Arturo García-Mora, Jorge Rodriguez, Andrew Gammie
OBJECTIVES: To compare the initial resting intravesical pressure (pves ) and abdominal pressure (pabd ) in the sitting position with the typical range of values, to assess the correlation between such pressures and patient xipho-pubic distance, body weight, height and body mass index (BMI), and to estimate if xipho-pubic distance can be a guide to interpret initial resting pressures in urodynamic testing. METHODS: Women with lower urinary tract symptomatology referred for urodynamic testing were consecutively enrolled in a prospective study...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28699307/new-surgical-instruction-method-for-homium-laser-enucleation-of-the-prostate-hand-grab-navigated-technique-to-shorten-the-learning-curve-the-results-of-multicenter-analysis
#11
Dong Gil Shin, Hyeon Woo Kim, Sung Woo Park, Chang Soo Park, Seong Choi, Tae Hee Oh, Dong Hwan Lee, Chang Yell Lee, Jung Man Kim, Jeong Zoo Lee
OBJECTIVES: To introduce a new surgical mentorship, the "hand-grab navigated technique," to shorten the learning curve for Holmium laser enucleation of the prostate. METHODS: Patients with benign prostatic hyperplasia were managed at six institutions with Holmium laser enucleation of the prostate. An analysis was done in the 200 of these patients (the set of first 20 patients treated with Holmium laser enucleation of the prostate by 10 surgeons) who were sorted into two groups depending on the surgeon's instructional group...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28699263/predictors-of-early-continence-after-robot-assisted-radical-prostatectomy
#12
Yuta Yamada, Tetsuya Fujimura, Hiroshi Fukuhara, Toru Sugihara, Tohru Nakagawa, Haruki Kume, Yasuhiko Igawa, Yukio Homma
OBJECTIVE: Our objective was to investigate predictors of early continence outcome after robot-assisted radical prostatectomy (RARP). METHODS: Clinical records were prospectively collected in 272 patients who underwent RARP. Clinical parameters, continence rates, and time to achieve continence were investigated and analyzed. Recovery of continence was defined as achieving complete continence (pad-free). RESULTS: In the univariate analysis, young age (≤67 years) and low pT stage (≤pT2) were significantly associated with continence achieved within 2 weeks after RARP (P = 0...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28681521/changes-of-bladder-m-1-3-muscarinic-receptor-expression-in-rats-fed-with-short-term-long-term-high-fat-diets
#13
Chian-Shiung Lin, Tony T-L Wu, Chin-Hong Chang, Juei-Tang Cheng, Yat-Ching Tong
OBJECTIVES: To investigate the effect of high-fat diet (HFD) on bladder M1,3 muscarinic receptor expression and contractile function in the rat. METHODS: Eight-week-old male rats were divided into two groups including one with HFD for 8 weeks (short-term) and the other for 24 weeks (long-term). Each group was compared to age-matched rats fed with normal chow as controls. The body weight, food intake amount and blood biochemistry were monitored. Bladder muscle contractile responses to acetylcholine (0...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28675645/adult-onset-nocturnal-enuresis-identifying-causes-cofactors-and-impact-on-quality-of-life
#14
Dominic Lee, Benjamin E Dillon, Gary E Lemack
OBJECTIVES: The objectives of the present study were: (i) Evaluate common co-pathologies associated with, and potentially contributing to adult onset Nocturnal enuresis (NE) in a tertiary referral population; and (ii) quantify its impact on QoL with validated questionnaires. METHODS: Following Institutional Review Board approval, patients with adult onset NE were reviewed with history, physical examination, urodynamic studies, questionnaires: Overactive bladder questionnaire short-form (OAB-qSF), Urogenital Distress Inventory (UDI-6), AUA symptom score (AUA-SS) and Patient Global Impression scale (PGIS)...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28675636/prevalence-of-urinary-incontinence-during-pregnancy-and-associated-risk-factors
#15
Ayten Dinç
OBJECTIVE: To investigate the prevalence of urinary incontinence during pregnancy and associated risk factors. METHODS: The study is a cross-sectional and descriptive study. A questionnaire was conducted with a total of 750 pregnant women about their urinary incontinence complaints between April and December 2013. RESULTS: The prevalence of urinary incontinence during pregnancy was 300 in 750 (40%). Stress urinary incontinence was the most common type of incontinence during pregnancy...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28675633/increased-urine-production-due-to-leg-fluid-displacement-reduces-hours-of-undisturbed-sleep
#16
Keisuke Kiba, Akihide Hirayama, Motokiyo Yoshikawa, Yutaka Yamamoto, Kazumasa Torimoto, Nobutaka Shimizu, Nobumichi Tanaka, Kiyohide Fujimoto, Hirotsugu Uemura
OBJECTIVE: To investigate whether or not the leg fluid displacement observed when moving from the standing to recumbent position at bedtime reduces the hours of undisturbed sleep (HUS). METHODS: Men aged 50 years or older who were hospitalized for urological diseases were investigated. Body water evaluation was performed three times with a bioelectric impedance method: (i) 17:00, (ii) 30 min after (short-term), and (iii) waking up (long-term). A frequency volume chart was used to evaluate the status of nocturnal urine production, and the factors affecting HUS were investigated...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28657139/complications-following-the-insertion-of-two-synthetic-mid-urethral-slings-and-subsequent-removal
#17
Dominic Lee, Chasta Bacsu, Benjamin Dillon, Philippe E Zimmern
OBJECTIVE: To determine outcomes after removal of two synthetic mid-urethral slings (MUS) at a tertiary care center. METHODS: Following IRB approval, a retrospective chart review of non-neurogenic, symptomatic women requiring re-operation after ≥2 MUS was performed. Data reviewed by a third party included: demographics, prior anti-incontinence surgery, complications, pelvic/urinary symptoms, subsequent investigations, surgical repair and outcomes (including UDI-6/IIQ-7 questionnaires) at a minimum 6 months follow-up...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28627109/high-power-magnetotherapy-a-new-weapon-in-urinary-incontinence
#18
Maria Vadalà, Beniamino Palmieri, Andrea Malagoli, Carmen Laurino
OBJECTIVE: Urinary incontinence (UI) is one of the most common urinary system diseases that mostly affects women but also men. We evaluated the therapeutic efficacy of functional magnetic stimulation (FMS) as potential UI treatment with improvements in the pelvic floor musculature, urodynamic tests and quality of life. METHODS: A total of 20 UI patients (10 females and 10 men, mean age 64, 14 years), including 10 with stress UI, four with urgency UI and six with mixed UI, were treated with FMS (20 min/session) twice a week for 3 weeks...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28573832/effect-of-preoperative-low-maximal-flow-rate-on-postoperative-voiding-trials-after-the-midurethral-sling-procedure-in-women-with-stress-urinary-incontinence
#19
Ji Y Chae, Jae H Bae, Jeong G Lee, Hong S Park, Du G Moon, Mi M Oh
OBJECTIVES: To evaluate the effects of preoperative low maximal flow rate (Qmax) on voiding trials after the midurethral sling (MUS) procedure in women with stress urinary incontinence (SUI). METHODS: One hundred and sixty-eight women who underwent MUS procedure were enrolled. Preoperative free uroflowmetry was performed and patients were divided by Qmax. Low Qmax was defined as a Qmax under 15 mL/sec with voided volume at least 150 mL. Surgical results, failure of voiding trial, and postoperative uroflowmetry parameters were compared between the groups...
September 2018: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28573791/early-experiences-of-contact-laser-vaporization-of-the-prostate-using-the-980-nm-high-power-diode-laser-for-benign-prostatic-hyperplasia
#20
Hideyo Miyazaki, Yoshikazu Hirano, Shinobu Kato, Naomasa Ioritani, Takaharu Ichikawa, Hitoshi Takamoto, Yukio Homma
OBJECTIVES: We report early experiences of contact laser vaporization of the prostate for symptomatic benign prostatic hyperplasia (BPH). METHODS: A total of 80 patients recruited at four institutions in Japan from April 2013 through September 2014 underwent contact laser vaporization of the prostate using 980 nm high power diode laser with an end-firing fiber in the contact mode. Patients were followed prospectively at 1 day, 2, 4, 8, 12, and 24 weeks, postoperatively per protocol, and at 1 and 2 years post-protocol...
September 2018: Lower Urinary Tract Symptoms
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