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Female incontinence

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https://www.readbyqxmd.com/read/29651806/therapeutic-effect-of-propiverine-hydrochloride-on-mixed-type-urinary-incontinence-in-women-the-female-urgency-and-stress-urinary-incontinence-study-of-propiverine-hydrochloride-trial
#1
Tomonori Minagawa, Momokazu Gotoh, Osamu Yokoyama, Kimio Sugaya, Tomonori Yamanishi, Kazuya Kawahara, Kanya Kaga, Takashi Kikuchi, Osamu Nishizawa
OBJECTIVES: To show the efficacy of propiverine hydrochloride in the management of symptoms of stress urinary incontinence in female patients with mixed-type urinary incontinence. METHODS: The study was carried out as a multicenter single-arm clinical trial at 64 institutions in Japan. The participants were female patients aged ≥20 years with mixed-type urinary incontinence. The frequency of stress urinary incontinence and urgency urinary incontinence was evaluated at baseline and 4, 8 and 12 weeks after treatment with propiverine hydrochloride...
April 12, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/29644381/autologous-rectus-fascia-sling-placement-in-the-management-of-female-stress-urinary-incontinence
#2
Adam R Miller, Brian J Linder, Deborah J Lightner
INTRODUCTION AND HYPOTHESIS: Autologous pubovaginal sling placement remains a treatment option in index patients, given high, long-term success rates. This video reviews the technical considerations for performing an autologous rectus fascia sling. METHODS: The patient is a 47-year-old woman with stress urinary incontinence (SUI) refractory to conservative management. First, a 10-cm rectus fascial segment is harvested and prepped with placement of nonabsorbable stay sutures for later sling passage...
April 11, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29624732/effect-of-a-5-ht2c-receptor-agonist-on-urethral-closure-mechanisms-in-female-rats
#3
Mifuka Ouchi, Takeya Kitta, Yukiko Kanno, Madoka Higuchi, Mio Togo, Kimihiko Moriya, Nobuo Shinohara
AIMS: The serotonin (5-HT2c) receptor is known to be involved in the mechanism of urethral closure in a model of stress incontinence. Lorcaserin (Belviq®) has received Food and Drug Administration approval for the treatment of obesity. However, it is unclear whether this selective 5-HT2c receptor agonist enhances urethral closure in stress urinary incontinence (SUI) models. Therefore, we investigated whether lorcaserin could enhance urethral closure in female rats with vaginal distention (VD)...
April 6, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29620645/a-systematic-review-and-meta-analysis-of-single-incision-mini-slings-miniarc-versus-transobturator-mid-urethral-slings-in-surgical-management-of-female-stress-urinary-incontinence
#4
Binbin Jiao, Shicong Lai, Xin Xu, Meng Zhang, Tongxiang Diao, Guan Zhang
BACKGROUND: To assess the current evidence of effectiveness and safety of single-incision mini-slings (MiniArc) versus transobturator midurethral slings in the management of female stress urinary incontinence (SUI). METHODS: A systematic search was performed from the electronic databases including PubMed, EMBASE, and Cochrane Library by November 2017. Using RevMan5.3 statistical software, the primary outcomes including subject and objective cure rates at 6 to 24 months follow-up were evaluated...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29605443/are-the-electronic-and-paper-questionnaires-equivalent-in-assessing-patients-with-overactive-bladder
#5
Cristina Palmer, Bilal Farhan, Nobel Nguyen, Lishi Zhang, Rebecca Do, Danh V Nguyen, Gamal Ghoniem
INTRODUCTION: Overactive bladder (OAB) syndrome is defined as urinary urgency, usually accompanied by frequency and nocturia, with or without urgency urinary incontinence, in the absence of urinary tract infection (UTI) or other obvious pathology. Electronic questionnaires (eQs) have been used in few specialties with hopes of improving treatment outcomes and patient satisfaction. However, they have not been widely utilized in the urological field. In treating OAB the main outcome is to improve patient's quality of life...
March 29, 2018: Journal of Urology
https://www.readbyqxmd.com/read/29604548/non-ablative-er-yag-laser-therapy-effect-on-stress-urinary-incontinence-related-to-quality-of-life-and-sexual-function-a-randomized-controlled-trial
#6
Mija Blaganje, Darija Šćepanović, Lidija Žgur, Ivan Verdenik, Franja Pajk, Adolf Lukanović
OBJECTIVE: Stress urinary incontinence (SUI) is a common complaint in women after childbirth. It affects their quality of life and sexual satisfaction and is one of the major reasons for gynaecological surgery. There is a need for effective non-invasive treatment alternatives. The aim of this study was to evaluate the efficacy and safety of non-ablative Er:YAG laser therapy in the treatment of SUI and improvement of sexual gratification in parous women. STUDY DESIGN: 114 premenopausal parous women with SUI were randomized in two groups of 57 women; a laser intervention group and sham group...
March 22, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29603534/low-intensity-extracorporeal-shock-wave-therapy-ameliorates-diabetic-underactive-bladder-in-streptozocin-induced-diabetic-rats
#7
Hsun Shuan Wang, Byung Seok Oh, Bohan Wang, Yajun Ruan, Jun Zhou, Lia Banie, Yung Chin Lee, Arianna Tamaddon, Zhou Tie, Guifang Wang, Guiting Lin, Tom F Lue
OBJECTIVES: To evaluate the therapeutic effect of once-per-week low-intensity extracorporeal shock wave therapy (Li-ESWT) on underactive bladder (UAB) in the streptozotocin-induced diabetic rat model. MATERIALS AND METHODS: Thirty-six female Sprague-Dawley rats were assigned into 3 groups: normal control (NC), diabetes control (DMC), and diabetes underwent Li-ESWT (DM Li-ESWT). The two DM groups received intraperitoneal 60 mg/kg streptozotocin injection to induce diabetes mellitus...
March 30, 2018: BJU International
https://www.readbyqxmd.com/read/29594319/outcome-of-rolled-fortified-vaginal-flap-operation-on-female-patients-with-intrinsic-sphincteric-deficiency-2-year-follow-up
#8
Mohamed Shoukry, Mostafa Elmissiry, Mohamed Hassouna, Haitham Abdelmoteleb
INTRODUCTION AND HYPOTHESIS: We evaluate the 2-year outcome of the rolled fortified vaginal flap (RFVF) operation for the treatment of stress urinary incontinence (SUI) due to intrinsic sphincteric deficiency (ISD). METHODS: A prospective study of 20 women suffering from SUI due to ISD was conducted. All patients were subjected to history-taking, clinical examination, cough stress test, and urodynamics. Symptom severity and quality of life (QoL) were assessed using the Arabic version of the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF)...
March 28, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29588862/invasive-urodynamic-testing-prior-to-surgical-treatment-for-stress-urinary-incontinence-in-women-cost-effectiveness-and-value-of-information-analyses-in-the-context-of-a-mixed-methods-feasibility-study
#9
Tara Homer, Jing Shen, Luke Vale, Elaine McColl, Douglas G Tincello, Paul Hilton
Background: INVESTIGATE-I (INVasive Evaluation before Surgical Treatment of Incontinence Gives Added Therapeutic Effect?) was a mixed methods study to assess the feasibility of a future randomised controlled trial of invasive urodynamic testing (IUT) prior to surgery for stress urinary incontinence (SUI) in women. Here we report one of the study's five components, with the specific objectives of (i) exploring the cost-effectiveness of IUT compared with clinical assessment plus non-invasive tests (henceforth described as 'IUT' and 'no IUT' respectively) in women with SUI or stress-predominant mixed urinary incontinence (MUI) prior to surgery, and (ii) determining the expected net gain (ENG) from additional research...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29579080/variation-in-the-microbiome-of-the-urogenital-tract-of-chlamydia-free-female-koalas-phascolarctos-cinereus-with-and-without-wet-bottom
#10
Alistair R Legione, Jemima Amery-Gale, Michael Lynch, Leesa Haynes, James R Gilkerson, Fiona M Sansom, Joanne M Devlin
Koalas (Phascolarctos cinereus) are iconic Australian marsupials currently threatened by several processes, including infectious diseases and ecological disruption. Infection with Chlamydia pecorum, is considered a key driver of population decline. The clinical sign of 'wet bottom', a staining of the rump associated with urinary incontinence, is often caused by chlamydial urinary tract infections. However, wet bottom has been recorded in koalas free of C. pecorum, suggesting other causative agents in those individuals...
2018: PloS One
https://www.readbyqxmd.com/read/29578914/understanding-and-treating-supralevator-fistula-in-ano-mri-analysis-of-51-cases-and-a-review-of-literature
#11
Pankaj Garg
BACKGROUND: Supralevator fistulas are highly complex. The delineation of the supralevator fistula has become accurate because of MRI. OBJECTIVE: The aim of the study was to analyze the pathophysiology and treatment of different types of supralevator fistulas. DESIGN: This was a prospective study. SETTINGS: The study was conducted at a specialized fistula treatment center in North India. PATIENTS: All of the patients with fistula-in-ano who presented in the outpatient department were assessed with a physical examination and MRI scan...
May 2018: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/29578476/urinary-incontinence-due-to-lumbar-spinal-stenosis-causing-disability-and-lowering-quality-of-life
#12
Aleksandra Truszczyńska-Baszak, Edyta Wysocka, Małgorzata Starzec, Justyna Drzał-Grabiec, Adam Tarnowski
OBJECTIVES: Lumbar spinal stenosis may lead to urinary inconsistence and negatively impact quality of life. The aim of the study was to assess the incidence of urinary incontinence and quality of life in female patients with spinal canal stenosis comparing to control group. METHODS: The study population consisted of 50 women diagnosed with severe lumbar spinal canal stenosis. Their mean age was 55.32 ± 12.97 years. The clinical control group consisted of 30 women who did not suffer from any spine disorders...
March 16, 2018: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29575432/efficacy-of-percutaneous-posterior-tibial-nerve-stimulation-for-the-management-of-fecal-incontinence-in-multiple-sclerosis-a-pilot-study
#13
Santosh Sanagapalli, Laura Neilan, Jack Yu Tung Lo, Lavanya Anandan, Jorge Liwanag, Amanda Raeburn, Eleni Athanasakos, Natalia Zarate-Lopez, Anton Emmanuel
BACKGROUND: Fecal incontinence is a debilitating and highly prevalent problem among multiple sclerosis patients. Conservative therapies often fail to provide benefit. Posterior tibial nerve stimulation is a minimally invasive neuromodulatory therapy with proven efficacy for fecal incontinence in non-neurological settings. OBJECTIVE: To evaluate the efficacy of posterior tibial nerve stimulation in treating multiple sclerosis-related fecal incontinence. METHODS: Consecutive multiple sclerosis patients with fecal incontinence that had failed conservative therapy received posterior tibial nerve stimulation between 2012 and 2015...
March 25, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29575219/the-history-of-the-society-of-urodynamics-female-pelvic-medicine-and-urogenital-reconstruction
#14
Steven J Weissbart, Philippe E Zimmern, Victor W Nitti, Gary E Lemack, Kathleen C Kobashi, Sandip P Vasavada, Alan J Wein
AIMS: To review the history of the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU). METHODS: We reviewed Society meeting minutes, contacted all living former Society presidents, searched the William P. Didusch Center for Urology History records, and asked Society members to share their important Society experiences in order to gather important historical information about the Society. RESULTS: The Society initially formed as the Urodynamics Society in 1969 in the backdrop of a growing passion for scientific research in the country after World War II ended...
March 25, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29574483/prevalence-of-lower-urinary-tract-symptoms-and-social-determinants-in-primary-care-users-in-brazil
#15
Mônica Oliveira Batista Oriá, Emma McKim Mitchell, Camila Teixeira Moreira Vasconcelos, Tamires Dayanne Araújo de Oliveira, Lia Gomes Lopes, Purdenciana Ribeiro de Menezes, Marli Terezinha Gimeniz Galvão
INTRODUCTION AND HYPOTHESIS: Although lower urinary tract symptoms (LUTS) have considerable clinical relevance, few propose evaluating its association with social conditions. Our study aimed to evaluate LUTS prevalence in primary care and its association with the social determinants of health (SDH). METHODS: This is a cross-sectional study conducted with 322 females in the period of June to October 2016 that carried out consultations and screening to prevent gynecological cancer in a primary care unit...
March 24, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29568322/modelling-of-soft-connective-tissues-to-investigate-female-pelvic-floor-dysfunctions
#16
Aroj Bhattarai, Manfred Staat
After menopause, decreased levels of estrogen and progesterone remodel the collagen of the soft tissues thereby reducing their stiffness. Stress urinary incontinence is associated with involuntary urine leakage due to pathological movement of the pelvic organs resulting from lax suspension system, fasciae, and ligaments. This study compares the changes in the orientation and position of the female pelvic organs due to weakened fasciae, ligaments, and their combined laxity. A mixture theory weighted by respective volume fraction of elastin-collagen fibre compound (5%), adipose tissue (85%), and smooth muscle (5%) is adopted to characterize the mechanical behaviour of the fascia...
2018: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/29564513/molecular-and-histomorphological-evaluation-of-female-rats-urethral-tissues-after-an-innovative-trauma-model-of-prolonged-vaginal-distention-immediate-short-term-and-long-term-effects
#17
Maria A T Bortolini, Suellen M Feitosa, Andreisa P M Bilhar, Gisela G R Salerno, Edmar Zanoteli, Manuel J Simões, Rodrigo A Castro
INTRODUCTION AND HYPOTHESIS: An animal model of vaginal distention (VD) was developed to reproduce the acute urethral injury and deficiency underlying stress urinary incontinence (SUI). Data on the chronic effects of urethral trauma and the recovery process are still scarce. We investigated acute, short- and long-term histomorphological and molecular changes in the urethra of rats post 12-h intermittent VD. METHODS: We evaluated the urethra of four groups of female rats (n = 72): control without trauma, 1 h, 7 days and 30 days post VD...
March 21, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29564511/it-is-the-first-birth-that-does-the-damage-a-cross-sectional-study-20-years-after-delivery
#18
Ixora Kamisan Atan, Sylvia Lin, Hans Peter Dietz, Peter Herbison, Peter Donald Wilson
INTRODUCTION AND HYPOTHESIS: Levator ani muscle (LAM) and anal sphincter tears are common after vaginal birth and are associated with female pelvic organ prolapse and anal incontinence. The impact of subsequent births on LAM and external anal sphincter (EAS) integrity is less well defined. The objective of this study was to determine the prevalence of LAM and EAS trauma in primiparous (VP1) and multiparous (VP2+) women who had delivered vaginally to assess if there were differences between the two groups...
March 21, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29559709/laparoscopic-organopexy-with-non-mesh-genital-long-suspension-a-novel-uterine-preservation-procedure-for-the-treatment-of-apical-prolapse
#19
Cheng-Yu Long, Chiu-Lin Wang, Chin-Ru Ker, Yung-Shun Juan, Eing-Mei Tsai, Kun-Ling Lin
To assess whether our novel uterus-sparing procedure- laparoscopic organopexy with non-mesh genital(LONG) suspension is an effective, safe, and timesaving surgery for the treatment of apical prolapse. Forty consecutive women with main uterine prolapse stage II or greater defined by the POP quantification(POP-Q) staging system were referred for LONG procedures at our hospitals. Clinical evaluations before and 6 months after surgery included pelvic examination, urodynamic study, and a personal interview to evaluate urinary and sexual symptoms with overactive bladder symptom score(OABSS), the short forms of Urogenital Distress Inventory(UDI-6) and Incontinence Impact Questionnaire(IIQ-7), and the Female Sexual Function Index(FSFI)...
March 20, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29552736/urinary-incontinence-in-female-athletes-a-systematic-review
#20
Thais Regina de Mattos Lourenco, Priscila Katsumi Matsuoka, Edmund Chada Baracat, Jorge Milhem Haddad
INTRODUCTION AND HYPOTHESIS: People are increasingly aware of healthy lifestyles. Extenuating practice can injure the pelvic floor. Urinary incontinence (UI) is a prevalent condition in women whether they exercise professionally or not. The most common symptom is stress UI. It is reported in a large variety of sports and may interfere with everyday life or training, leading athletes to change or compromise their performance or risk compromising it. We aimed to assess the prevalence of UI in female athletes and to determine whether the type of sport might also influence UI...
March 19, 2018: International Urogynecology Journal
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