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Female incontinence

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https://www.readbyqxmd.com/read/29053230/a-randomised-control-trial-of-four-different-regimes-of-biofeedback-program-in-the-treatment-of-faecal-incontinence
#1
Christopher J Young, Assad Zahid, Cherry E Koh, Jane M Young, Christopher M Byrne, Michael J Solomon, Jenny Rex, Janet Candido
AIM: Biofeedback is an established, effective and non-invasive treatment for faecal incontinence (FI). The aim was to compare the effectiveness of four different biofeedback treatment regimes. METHOD: Randomised control trial of patients with FI, stratified into two groups (metropolitan and rural) and then randomised into two subgroups (groups 1 and 2 within metropolitan, groups 3 and 4 within rural) with varying face-to-face and telephone biofeedback components...
October 20, 2017: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/29051827/membrane-like-structure-in-the-urinary-bladder-neck-of-a-young-cat-diagnosis-and-treatment-using-balloon-dilatation-and-a-balloon-expandable-metallic-stent
#2
Matias Ruiz-Drebing, Fui Yap, Mayank Seth, Ruth Dennis, Elisabet Dominguez
CASE SUMMARY: A 33-month-old, spayed female domestic shorthair cat was referred to the Animal Health Trust for the investigation of urinary incontinence and straining to urinate. A membrane-like structure was detected in the bladder neck, which caused partial obstruction of the urinary bladder. A combination of different imaging techniques, including ultrasonography, radiography, CT and fluoroscopy, was essential in the diagnosis, surgical planning and treatment of this intravesicular stricture...
July 2017: JFMS open reports
https://www.readbyqxmd.com/read/29049052/a-cost-utility-analysis-of-nonsurgical-treatments-for-stress-urinary-incontinence-in-women
#3
Andrea N Simpson, Alaina Garbens, Fahima Dossa, Peter C Coyte, Nancy N Baxter, Colleen D McDermott
OBJECTIVE: The objective of this study was to perform a cost-utility analysis of nonsurgical treatments for stress urinary incontinence (SUI) in healthy adult women with a health system perspective over a 1-year time horizon. METHODS: A decision tree model was constructed to evaluate the following nonsurgical treatment options for SUI in a simulated healthy adult female cohort who had failed Kegel exercises: pelvic floor muscle therapy (PFMT), a disposable tampon device (Impressa), a self-fitting intravaginal incontinence device (Uresta), and a traditional incontinence pessary...
October 18, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29045422/cluster-analysis-identifies-three-urodynamic-patterns-in-patients-with-orthotopic-neobladder-reconstruction
#4
Kwang Hyun Kim, Hyun Suk Yoon, Wan Song, Hee Jung Choo, Hana Yoon, Woo Sik Chung, Bong Suk Sim, Dong Hyeon Lee
PURPOSE: To classify patients with orthotopic neobladder based on urodynamic parameters using cluster analysis and to characterize the voiding function of each group. MATERIALS AND METHODS: From January 2012 to November 2015, 142 patients with bladder cancer underwent radical cystectomy and Studer neobladder reconstruction at our institute. Of the 142 patients, 103 with complete urodynamic data and information on urinary functional outcomes were included in this study...
2017: PloS One
https://www.readbyqxmd.com/read/29044760/development-of-novel-and-non-invasive-diagnostic-markers-for-lower-urinary-tract-symptoms-using-urothelial-cells-in-voided-urine
#5
Hiroshi Shimura, Takahiko Mitsui, Sachiko Tsuchiya, Tatsuya Miyamoto, Tatsuya Ihara, Satoru Kira, Hiroshi Nakagomi, Norifumi Sawada, Yuki Imai, Takanori Mochizuki, Masayuki Takeda
OBJECTIVES: We evaluated the association between lower urinary tract symptoms (LUTS) and the expression of connexin (Cx) and transient receptor potential (TRP) channel on urothelial cells non-invasively collected from voided urine in humans. METHODS: A total of 55 patients (36 males and 19 females, median age: 71 years old), who were followed up at University of Yamanashi Hospital, were enrolled in the present study. Urothelial cells were collected from voided urine of patients, and the mRNA expression of each subtype of Cxs and TRP channels was measured using quantitive real-time reverse transcription polymerase chain reaction...
October 17, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29042374/-what-does-that-mean-a-qualitative-exploration-of-the-primary-and-secondary-clinical-care-experiences-of-young-people-with-continence-problems-in-the-uk
#6
Katie Whale, Helen Cramer, Anne Wright, Caroline Sanders, Carol Joinson
OBJECTIVES: To explore the clinical care experiences of young people with continence problems. DESIGN: In-depth semistructured qualitative interviews were conducted by Skype and telephone, with the addition of art-based participatory research techniques. Transcripts were analysed using inductive thematic analysis. SETTING: Primary and secondary care in the UK. PARTICIPANTS: We interviewed 20 participants (9 females, 11 males) aged 11-20 years...
October 16, 2017: BMJ Open
https://www.readbyqxmd.com/read/29033365/laser-procedure-for-female-urinary-stress-incontinence-a-review-of-the-literature
#7
C Conté, T Jauffret, S Vieillefosse, J F Hermieu, X Deffieux
INTRODUCTION: There is increasing interest in noninvasive treatment of female stress urinary incontinence (SUI), including a vaginal laser procedure. In view of a lack of data on this technique, we conducted a non-systematic review of the literature. METHODS: We reviewed studies concerning the laser treatment of SUI from PubMed, Medline, the Cochrane Library and Web of Science. Study design, outcome measure, number of participants, procedural complications and results were analyzed...
October 12, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/29028453/a-qualitative-exploration-of-adult-baby-diaper-lover-behavior-from-an-online-community-sample
#8
Brian D Zamboni
This study examined qualitative data on 1,795 male, 139 female, and 78 transgender members of the adult baby/diaper lover (ABDL) online community. Using grounded theory, the analyses examined a description of ABDL practices, explored evidence of subgroups within the ABDL community, and examined the degree to which ABDL behavior involves sexual motivations. Overall, the data suggest there is a fair amount of diversity within the ABDL community. Most participants enjoy wearing diapers or engaging in age regression (as babies or children), and the importance of incontinence may vary...
October 13, 2017: Journal of Sex Research
https://www.readbyqxmd.com/read/29022114/implantable-systems-for-stress-urinary-incontinence
#9
REVIEW
Kenana M Al Adem, Sarah S Bawazir, Waleed A Hassen, Ahsan H Khandoker, Kinda Khalaf, Tim McGloughlin, Cesare Stefanini
Stress urinary incontinence (SUI), the involuntary urine leakage due to failure of the urethral closure mechanism, is a global health challenge with substantial human suffering and socioeconomic costs. Approximately 167 million male and female patients are predicted to suffer from SUI in 2018, worldwide. A wide range of surgical interventions are available for the treatment of SUI. Severe cases, however, usually require the implantation of artificial urinary sphincter devices. This review comparatively presents and analyzes the working principles, as well as the challenges, associated with the current implantable SUI systems in clinical use...
October 11, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28990728/female-bladder-outlet-obstruction-common-symptoms-masking-an-uncommon-cause
#10
Sachin Malde, Eskinder Solomon, Marco Spilotros, Bashir Mukhtar, Mahreen Pakzad, Rizwan Hamid, Jeremy Ockrim, Tamsin Greenwell
OBJECTIVE: Bladder outlet obstruction (BOO) in women remains an underdiagnosed condition. Although diagnosed rarely in general urologic practice, its incidence in specialist centers has been reported to be up to 29%. In the present study we evaluated the incidence of female BOO in adult women referred for evaluation of lower urinary tract symptoms or urinary incontinence, assessing its etiology and correlating this with its clinical presentation. METHODS: The present study consisted of a retrospective review of a prospectively acquired videourodynamic database of 1142 consecutive women referred for evaluation of lower urinary tract symptoms (LUTS) or urinary incontinence from March 2007 to December 2012 and diagnosed with BOO...
October 9, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28988907/validity-of-utility-measures-for-women-with-pelvic-organ%C3%A2-prolapse
#11
Heidi S Harvie, Daniel D Lee, Uduak U Andy, Judy A Shea, Lily A Arya
BACKGROUND: Pelvic organ prolapse is a common condition that frequently coexists with urinary and fecal incontinence. The impact of prolapse on quality of life is typically measured through condition-specific quality-of-life instruments. Utility preference scores are a standardized generic health-related quality-of-life measure that summarizes morbidity on a scale from 0 (death) to 1 (optimum health). Utility preference scores quantify disease severity and burden and are widely used in cost-effectiveness research...
October 6, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28982614/video-urodynamic-study-in-female-adults-with-air-filled-catheters-a-health-care-training-video
#12
Veerle Decalf, Inge Ragolle, Achilles Ploumidis, Piet Hoebeke, Karel Everaert, Anne-Françoise Spinoit
OBJECTIVE: To take the first step toward standardization of UDS with air-filled catheters, we present a video documenting a procedure for performing video UDS with air-filled catheters in female adults. According to The International Consultation on Incontinence (ICS), the aim of urodynamic studies (UDS) in clinical practice is to evaluate a patient's lower urinary tract function with at least 1 complete and representative filling-voiding-post-voiding cycle by testing with relevant pressures and flowmetry...
October 2017: Urology
https://www.readbyqxmd.com/read/28977630/the-limited-cutaneous-form-of-systemic-sclerosis-is-associated-with-urinary-incontinence-an-international-multicentre-study
#13
Gregor John, Yannick Allanore, Pamela Polito, Silvia Piantoni, Micaela Fredi, Jérôme Avouac, Franco Franceschini, Marie-Elise Truchetet, Franco Cozzi, Paolo Airo, Carlo Chizzolini
Objectives: The aim of this study was to explore the association between urinary incontinence (UI) and the main clinical and serological subsets of SSc, to assess risk factors for UI and its impact on quality of life (QoL). Methods: UI and QoL were assessed through self-administered questionnaires in 334 patients with SSc from five European tertiary centres. Logistic regressions were performed to test the association between clinical forms, serological status and UI and to adjust for confounders...
August 1, 2017: Rheumatology
https://www.readbyqxmd.com/read/28977091/pelvic-floor-muscle-training-protocol-for-stress-urinary-incontinence-in-women-a-systematic-review
#14
Marlene Oliveira, Margarida Ferreira, Maria João Azevedo, João Firmino-Machado, Paula Clara Santos
INTRODUCTION: Strengthening exercises for pelvic floor muscles (SEPFM) are considered the first approach in the treatment of stress urinary incontinence (SUI). Nevertheless, there is no evidence about training parameters. OBJECTIVE: To identify the protocol and/or most effective training parameters in the treatment of female SUI. METHOD: A literature research was conducted in the PubMed, Cochrane Library, PEDro, Web of Science and Lilacs databases, with publishing dates ranging from January 1992 to March 2014...
July 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28976343/urodynamics-before-surgery-for-stress-urinary-incontinence-in-female-patients-an-open-debate
#15
Enrico Finazzi Agro, Valerio Iacovelli, Ester Illiano, Elisabetta Costantini
Currently the debate on the role of urodynamic tests in the preoperative evaluation of female stress urinary incontinence is alight. Although urodynamic investigation (UDI) has been considered mandatory before surgery in all female patients affected by stress urinary incontinence, nowadays international guidelines are more cautious. Literature on this topic has been reviewed in order to clarify the role of UDI before surgery for "complicated" and "uncomplicated" stress urinary incontinence in female patients...
October 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28975365/effects-of-urine-alkalinization-with-sodium-bicarbonate-orally-on-lower-urinary-tract-symptoms-in-female-patients-a-pilot-study
#16
Mehmet Giray Sönmez, Yunus Emre Göğer, Gökhan Ecer, Ahmet Atıcı, Mehmet Serkan Özkent, Ahmet Öztürk
INTRODUCTION AND HYPOTHESIS: In this study, we planned to explore the effects of sodium bicarbonate orally (NaHCO3) treatment on female patients with lower urinary tract symptoms (LUTS) who have acidic urine pH values (<6). METHODS: NaHCO3 was given orally to 33 female patients for 4 weeks at a dose of 2 × 4 g/day. Laboratory values, bladder diary, the Patient Perception of Bladder Condition Score (PPBC), Patient Perception of Intensity of Urgency Scale (PPIUS), Overactive Bladder-Validated 8-question Awareness tool (OAB-V8), Pelvic Pain and Urgency & Frequency Patient Symptom Scale tests (PUFSS), and the King's Health Questionnaire (KHQ) scores before and after treatment were compared...
October 3, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28971220/lower-urinary-tract-symptoms-that-predict-microscopic-pyuria
#17
Rajvinder Khasriya, William Barcella, Maria De Iorio, Sheela Swamy, Kiren Gill, Anthony Kupelian, James Malone-Lee
INTRODUCTION AND HYPOTHESIS: Urinary dipsticks and culture analyses of a mid-stream urine specimen (MSU) at 10(5) cfu ml(-1) of a known urinary pathogen are considered the gold standard investigations for diagnosing urinary tract infection (UTI). However, the reliability of these tests has been much criticised and they may mislead. It is now widely accepted that pyuria (≥1 WBC μl(-1)) detected by microscopy of a fresh unspun, unstained specimen of urine is the best biological indicator of UTI available...
October 2, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28971219/urinary-incontinence-in-female-outpatients-in-singapore
#18
Rui Luo, Wei Dai, Lee Hua Tay, Foo Cheong Ng, Li-Tsa Koh
INTRODUCTION AND HYPOTHESIS: The aims of this study were to determine the prevalence, symptom characteristics, risk factors and impact on quality of life (QoL) of urinary incontinence (UI) in female outpatients in Singapore, to describe the attitudes of these women towards UI, and to investigate the barriers to healthcare-seeking behaviour in symptomatic women. METHODS: This was a cross-sectional study in a convenience sample and 249 women enrolled from outpatient clinics...
October 2, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28961380/effects-of-magnetic-stimulation-on-urodynamic-stress-incontinence-refractory-to-pelvic-floor-muscle-training-in-a-randomized-sham-controlled-study
#19
Tomonori Yamanishi, Tsuneki Suzuki, Ryo Sato, Kanya Kaga, Mayuko Kaga, Miki Fuse
OBJECTIVE: The aim of the present study was to evaluate the effect of magnetic stimulation on urodynamic stress incontinence refractory to pelvic floor muscle training in a randomized sham-controlled study. METHODS: Female patients with urodynamic stress incontinence who had not been cured by pelvic floor muscle training were randomly assigned at a ratio of 2 : 1 to either active treatment or sham treatment for 10 weeks. The randomization was made using magnetic cards for individuals indicating active or sham stimulation...
September 29, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28953613/surgical-management-of-female-pelvic-organ-prolapse-with-and-without-urinary-incontinence-a-single-center-experience
#20
Luigi Cormio, Vito Mancini, Giuseppe Liuzzi, Nicola d'Altilia, Giuseppe Carrieri
The study reports a single center experience with surgical management of female pelvic organ prolapse (POP) with and without urinary incontinence.Between January 2006 and July 2016, 93 consecutive patients with anterior and/or apical symptomatic POP underwent abdominal sacrocolpopexy (ASC) or laparoscopic sacrocolpopexy (LSC) or pubovaginal cystocele sling (PCS); 25 patients had concomitant stress urinary incontinence (SUI). Subjective outcome was assessed by the Pelvic Floor Impact Questionnaire (short form) (PFIQ-7) investigating bladder, bowel and vaginal functions, sexual activity, and daily life...
September 2017: Medicine (Baltimore)
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