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incontinence, epidemiology

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https://www.readbyqxmd.com/read/27881287/obesity-with-comorbid-stress-urinary-incontinence-in-women-a-narrative-review-to-inform-dietetics-practice
#1
Barbara Gordon, Barbara Shorter, Kathy Keenan Isoldi, Robert M Moldwin
Stress urinary incontinence (SUI) is a common problem among women; clinical treatment guidelines include weight reduction as a strategy for controlling urinary leakage. The purpose of this review was to gather evidence on the association between obesity and SUI and to ascertain whether there are any special considerations for implementing medical nutrition therapy with community-dwelling, obese, adult females with comorbid SUI. Five key findings emerged: epidemiologic studies consistently report statistically significant associations between obesity and SUI, randomized control trials found that weight loss appears to ameliorate SUI symptoms, the SUI-activity link may affect weight management, there is a potential interplay between SUI and the obesity-sleep connection, and dietary components are associated with the exacerbation of urinary symptoms...
November 20, 2016: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/27826217/danish-urogynaecological-database
#2
Ulla Darling Hansen, Kim Oren Gradel, Michael Due Larsen
The Danish Urogynaecological Database is established in order to ensure high quality of treatment for patients undergoing urogynecological surgery. The database contains details of all women in Denmark undergoing incontinence surgery or pelvic organ prolapse surgery amounting to ~5,200 procedures per year. The variables are collected along the course of treatment of the patient from the referral to a postoperative control. Main variables are prior obstetrical and gynecological history, symptoms, symptom-related quality of life, objective urogynecological findings, type of operation, complications if relevant, implants used if relevant, 3-6-month postoperative recording of symptoms, if any...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27780707/temporal-relationship-between-posterior-vaginal-prolapse-and-defecatory-symptoms
#3
Victoria L Handa, Alvaro Muňoz, Joan L Blomquist
BACKGROUND: Posterior vaginal prolapse is thought to cause difficult defecation and splinting for bowel movements. However, the temporal relationship between difficult defecation and prolapse is unknown. Does posterior vaginal prolapse lead to the development of defecation symptoms? Conversely, does difficult defecation lead to posterior prolapse? This prospective longitudinal study offered an opportunity to study these unanswered questions. OBJECTIVE: We sought to investigate the following questions: (1) Are symptoms of difficult defecation more likely to develop (and less likely to resolve) among women with posterior vaginal prolapse? (2) Is posterior vaginal prolapse more likely to develop among women who complain of difficult defecation? STUDY DESIGN: In this longitudinal study, parous women were assessed annually for defecatory symptoms (Epidemiology of Prolapse and Incontinence Questionnaire) and pelvic organ support (POP-Q examination)...
October 22, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27676912/constipation-prevalence-in-multiple-sclerosis-about-a-cohort-of-81-patients
#4
Philippe Gallien, Benoit Nicolas, Aurelie Durufle, Claire Le-Meur, Emilie Leblong, Lucie Chochina, Sandrine Robineau, Sabine Petrilli, Jephte Houedakor
OBJECTIVE: Transit disorders are frequent in multiple sclerosis with an impact on the health related quality of life. However, just a few studies have been published on this subject. Moreover, these studies often concern patients with high EDSS. To get a more accurate view, we conducted an epidemiological study including all patients seen in PRM consultation over a given period. MATERIALS/PATIENTS AND METHODS: All MS patients having been seen in PRM consultation over a 4-month period were questioned about the existence of constipation, its consequences and its management...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27592103/practical-index-of-urinary-incontinence-following-holmium-laser-enucleation-of-the-prostate-a-case-series-study-of-the-24-hour-pad-test-immediately-after-catheter-removal
#5
Akiko Fujisaki, Aya Goto, Fumiyasu Endo, Osamu Muraishi, Kazunori Hattori, Seiji Yasumura
INTRODUCTION: Epidemiological data regarding complications after holmium laser enucleation of the prostate (HoLEP) are scarce in Japan. We examined the associations of the 24-hour pad test results immediately after HoLEP with continence acquisition at 3 months postoperatively. MATERIALS AND METHODS: In this hospital-based case-series study, we reviewed medical charts of 341 patients without catheterization and 150 patients with catheterization at the time of surgery...
2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27582653/fecal-incontinence-epidemiology-impact-and-treatment
#6
Katarzyna Bochenska, Anne-Marie Boller
Fecal incontinence (FI) is a chronic and debilitating condition that carries a significant health, economic, and social burden. FI has a considerable psychosocial and financial impact on patients and their families. A variety of treatment modalities are available for FI including behavioral and dietary modifications, pharmacotherapy, pelvic floor physical therapy, bulking agents, anal sphincteroplasty, sacral nerve stimulation, artificial sphincters, magnetic sphincters, posterior anal sling, and colostomy.
September 2016: Clinics in Colon and Rectal Surgery
https://www.readbyqxmd.com/read/27557074/-incontinence-etiology-diagnostics-and-therapy
#7
Thomas Frieling
Fecal incontinence is defined by the unintentional loss of solid or liquid stool, and anal incontinence includes leakage of gas and / or fecal incontinence. Anal-fecal incontinence is not a diagnosis but a symptom. Many patients hide the problem from their families, friends, and even their doctors. Epidemiologic studies indicate a prevalence between 7-15 %, up to 30 % in hospitals and up to 70 % in longterm care settings. Anal-fecal incontinence causes a significant socio-economic burden. There is no widely accepted approach for classifying anal-fecal incontinence available...
August 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27498309/evaluation-of-the-urinary-microbiota-of-women-with-uncomplicated-stress-urinary-incontinence
#8
Krystal J Thomas-White, Stephanie Kliethermes, Leslie Rickey, Emily S Lukacz, Holly E Richter, Pamela Moalli, Philippe Zimmern, Peggy Norton, John W Kusek, Alan J Wolfe, Linda Brubaker
BACKGROUND: Female urinary microbiota are associated with urgency urinary incontinence and response to medication. The urinary microbiota of women with stress urinary incontinence has not been described. OBJECTIVE: We sought to study the cross-sectional relationships between urinary microbiota features and demographic and clinical characteristics of women undergoing stress urinary incontinence surgery. STUDY DESIGN: Preoperative urine specimens were collected from women without urinary tract infection and were available from 197 women (174 voided, 23 catheterized) enrolled in a multicenter prospective randomized trial, the Value of Urodynamic Evaluation study...
August 4, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27495022/prevalence-and-impact-of-clostridium-difficile-infection-in-elderly-residents-of-long-term-care-facilities-2011-a-nationwide-study
#9
Panayiotis D Ziakas, Nina Joyce, Ioannis M Zacharioudakis, Fainareti N Zervou, Richard W Besdine, Vincent Mor, Eleftherios Mylonakis
The elderly population is particularly vulnerable to Clostridium difficile infection (CDI), but the epidemiology of CDI in long-term care facilities (LTCFs) is unknown.We performed a retrospective cohort study and used US 2011 LTCF resident data from the Minimum Data Set 3.0 linked to Medicare claims. We extracted CDI cases based on International Classification of Diseases-9 coding, and compared residents with the diagnosis of CDI to those who did not have a CDI diagnosis during their LTCF stay. We estimated CDI prevalence rates and calculated 3-month mortality rates...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27478106/candida-albicans-colonisation-continence-status-and-incontinence-associated-dermatitis-in-the-acute-care-setting-a-pilot-study
#10
Jill L Campbell, Fiona M Coyer, Alison M Mudge, Ivan M Robertson, Sonya R Osborne
Candida albicans is the most prevalent human fungal commensal organism and is reported to be the most frequent aetiological organism responsible for infection associated with incontinence-associated dermatitis. However, it remains unclear whether incontinence predisposes a patient to increased Candida colonisation or whether incontinence acts as a trigger for Candida infection in those already colonised. The purpose of this observational cross-sectional study was to estimate colonisation rates of C. albicans in continent, compared to incontinent patients, and patients with incontinence-associated dermatitis...
August 1, 2016: International Wound Journal
https://www.readbyqxmd.com/read/27473156/a-cross-sectional-study-in-the-usa-of-the-epidemiology-and-quality-of-life-of-underactive-bladder-symptoms
#11
Kassem Faraj, Florence Doo, Judy Boura, Andrew Vereecke, Michael B Chancellor
PURPOSE: To assess the prevalence, awareness, and quality of life (QOL) impact of symptoms suggestive of underactive bladder (UAB) in the USA. METHODS: A thirteen-item paper survey was mailed to 25,000 individuals 60 years or older living in the USA. It aimed to collect information relating to demographics, familiarity with UAB, patient urinary symptoms, and QOL concerns. RESULTS: Nine hundred and seventy-seven survey participants were stratified into four groups based on the number of UAB symptoms (straining, retention, and difficulty emptying) present: zero, one, two, and three...
November 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/27454848/maternal-birth-trauma-why-should-it-matter-to-urogynaecologists
#12
Hans P Dietz, Peter D Wilson, Ian Milsom
PURPOSE OF REVIEW: There is increasing awareness of the importance of intrapartum events for future pelvic floor morbidity in women. In this review, we summarize recent evidence and potential consequences for clinical practice. RECENT FINDINGS: Both epidemiological evidence and data from perinatal imaging studies have greatly improved our understanding of the link between childbirth and later morbidity. The main consequences of traumatic childbirth are pelvic organ prolapse (POP) and anal incontinence...
October 2016: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27403753/triathlete-risk-of-pelvic-floor-disorders-pelvic-girdle-pain-and-female-athlete-triad
#13
Johnny Yi, Sandi Tenfelde, Dina Tell, Cynthia Brincat, Colleen Fitzgerald
OBJECTIVES: Our primary objective was to describe the prevalence of pelvic floor disorders (PFDs), pelvic girdle pain (PGP), and the female athlete triad (disordered eating, menstrual irregularities, and osteoporosis) in a female triathlete population. We also evaluated for an association between these conditions. METHODS: We administered an online survey to women who self-identified as female triathletes. Using validated questionnaires, Epidemiology of Prolapse and Incontinence Questionnaire and Pelvic Girdle Questionnaire, along with the female athlete triad questionnaire, we identified the prevalence of PFDs, PGP, and female athlete triad in this specific population...
September 2016: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/27377940/overview-of-the-epidemiology-of-lower-urinary-tract-dysfunction-in-south-korea
#14
REVIEW
Hoon Choi, Jae Hyun Bae
This review assessed the epidemiology of voiding dysfunctions in South Korea. Comprehensive understanding of this epidemiology is crucial because the senior population and the social burden are increasing because of voiding dysfunctions is growing. We searched the medical records using several terms related to voiding dysfunction: benign prostatic hyperplasia, urinary incontinence, lower urinary tract symptoms, overactive bladder, and nocturia. We then estimated the prevalence of voiding dysfunctions in South Korea; our data were comparable with those from other countries, with slight differences...
June 2016: International Neurourology Journal
https://www.readbyqxmd.com/read/27352953/cardiovascular-autonomic-neuropathy-sexual-dysfunction-and-urinary-incontinence-in-women-with-type-1-diabetes
#15
James M Hotaling, Aruna V Sarma, Darshan P Patel, Barbara H Braffett, Patricia A Cleary, Eva Feldman, William H Herman, Catherine L Martin, Alan M Jacobson, Hunter Wessells, Rodica Pop-Busui
OBJECTIVE: This study evaluated associations among cardiovascular autonomic neuropathy (CAN), female sexual dysfunction (FSD), and urinary incontinence (UI) in women with type I diabetes mellitus (T1DM). RESEARCH DESIGN AND METHODS: We studied 580 women with T1DM in the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Study (DCCT/EDIC). CAN was defined as: 1) R-R variation <15 with deep breathing or 2) R-R variation of 15-19...
September 2016: Diabetes Care
https://www.readbyqxmd.com/read/27325475/time-course-and-accumulated-risk-of-severe-urinary-adverse-events-after-high-versus-low-dose-rate-prostate-brachytherapy-with-or%C3%A2-without-external-beam-radiation-therapy
#16
Jonathan D Tward, Stephanie Jarosek, Haitao Chu, Cameron Thorpe, Dennis C Shrieve, Sean Elliott
PURPOSE: Severe urinary adverse events (UAEs) include surgical treatment of urethral stricture, urinary incontinence, and radiation cystitis. We compared the incidence of grade 3 UAEs, according to the Common Terminology Criteria for Adverse Events, after low-dose-rate (LDR) and high-dose-rate (HDR) brachytherapy, as well as after LDR plus external beam radiation therapy (EBRT) and HDR plus EBRT. METHODS AND MATERIALS: Men aged >65 years with nonmetastatic prostate cancer were identified from the Surveillance, Epidemiology, and End Results-Medicare database who were treated with LDR (n=12,801), HDR (n=685), LDR plus EBRT (n=8518), or HDR plus EBRT (n=2392)...
August 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/27318885/cognitive-and-functional-impairment-in-an-older-community-population-from-brazil-the-intriguing-association-with-frequent-pain
#17
Marcos Antonio Lopes, André Junqueira Xavier, Eleonora D'Orsi
OBJECTIVE: This cross-sectional community-based epidemiologic survey aimed to investigate the prevalence of cognitive and functional impairment (CFI) and its distribution in relation to socio-demographic and clinical factors in an older community sample in Florianópolis, Brazil. MATERIALS AND METHODS: The population was a representative sample aged 60 and older; the cluster sample strategy was performed. CFI, a syndromic category that does not exclude dementia, was defined according to the combination of low MMSE (Mini-Mental State Examination) score and moderate/severe dependence in a scale that measured activities of daily living...
September 2016: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/27299306/approaches-to-cope-with-stress-and-depression-in-individuals-with-urinary-incontinence
#18
Dilek Bilgic, Nezihe Kızılkaya Beji, Ayfer Ozbas, İkbal Cavdar, Onay Yalcin
AIM: The aim of study was to assess individuals with urinary incontinence (UI) with respect to depression and to determine coping mechanisms with stress. METHODS: One hundred sixty female and 110 male participants that applied to Istanbul Faculty of Medicine, Urology and Urogynecology Department with UI complaints and accepted to participate in the study were included in the study. Depressive symptoms were assessed with Center for Epidemiological Studies Depression Scale (CES-D)...
June 15, 2016: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/27224858/use-complications-and-costs-of-stereotactic-body-radiotherapy-for-localized-prostate-cancer
#19
Joshua A Halpern, Art Sedrakyan, Wei-Chun Hsu, Jialin Mao, Timothy J Daskivich, Paul L Nguyen, Encouse B Golden, Josephine Kang, Jim C Hu
BACKGROUND: Stereotactic body radiotherapy (SBRT) for localized prostate cancer has potential advantages over traditional radiotherapies. Herein, the authors compared national trends in use, complications, and costs of SBRT with those of traditional radiotherapies. METHODS: The authors identified men who underwent SBRT, intensity-modulated radiotherapy (IMRT), brachytherapy, and proton beam therapy as primary treatment of prostate cancer between 2004 and 2011 from Surveillance, Epidemiology, and End Results Program (SEER)-Medicare linked data...
August 15, 2016: Cancer
https://www.readbyqxmd.com/read/27176184/overactive-bladder-18-years-part-i
#20
Jose Carlos Truzzi, Cristiano Mendes Gomes, Carlos A Bezerra, Ivan Mauricio Plata, Jose Campos, Gustavo Luis Garrido, Fernando G Almeida, Marcio Augusto Averbeck, Alexandre Fornari, Anibal Salazar, Arturo Dell'Oro, Caio Cintra, Carlos Alberto Ricetto Sacomani, Juan Pablo Tapia, Eduardo Brambila, Emilio Miguel Longo, Flavio Trigo Rocha, Francisco Coutinho, Gabriel Favre, Jose Antonio Garcia, Juan Castano, Miguel Reyes, Rodrigo Eugenio Leyton, Ruiter Silva Ferreira, Sergio Duran, Vanda Lopez, Ricardo Reges
Overactive bladder syndrome is one of the lower urinary tract dysfunctions with the highest number of scientific publications over the past two decades. This shows the growing interest in better understanding this syndrome, which gathers symptoms of urinary urgency and increased daytime and nighttime voiding frequency, with or without urinary incontinence and results in a negative impact on the quality of life of approximately one out of six individuals - including both genders and almost all age groups. The possibility of establishing the diagnosis just from clinical data made patients' access to specialized care easier...
March 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
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