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Mixed urinary incontinence

Issam S Al-Azzawi, Mohamed A J Al-Tamimi
Objectives: To present our experience, in Iraq, with sacral neuromodulation (SNM) in patients with refractory lower urinary tract dysfunction, with discussion of the factors that affect the response rate. Patients and methods: In this prospective, clinical, interventional study, 24 patients were evaluated and treated by a team comprised of a Urologist and a Neurosurgeon with SNM over a 1.5-year period. The gender, age, pathology, and clinical presentation, were all studied and evaluated...
December 2018: Arab Journal of Urology
Nicholas Smith, Kathleen F Hunter, Saima Rajabali, Ian Milsom, Adrian Wagg
PURPOSE: This study aimed to determine from what sources women with urinary and dual urinary and fecal incontinence sought and received information about incontinence and absorbent products. We also evaluated source utility. DESIGN: Descriptive, embedded, mixed-methods study with qualitative interviews nested into a survey design in a modified explanatory sequence. SUBJECTS AND SETTING: The target population was community-dwelling women in Canada who used containment products to manage urinary incontinence...
December 7, 2018: Journal of Wound, Ostomy, and Continence Nursing
Farzaneh Sharifiaghdas, Nastaran Mahmoudnejad, Mehdi Honarkar Ramezani, Hamid Reza Shemshaki, Fatemeh Ameri
OBJECTIVE: To evaluate long term outcomes of autologous pubovaginal fascial sling (AFPVS) as a salvage procedure following different types of failed anti-incontinence surgeries. MATERIALS AND METHODS: We retrospectively reviewed medical records of patients who had undergone salvage AFPVS after any kind of anti-incontinence surgery from 2005-2015 at our medical center. Patients were contacted by telephone. Revised Urinary Incontinence Scale (RUIS) was used to determine the success rate...
November 21, 2018: Urology Journal
Selcuk Sarikaya, Fatma Gokcem Yildiz, Cagri Senocak, Omer Faruk Bozkurt, Omer Faruk Karatas
INTRODUCTION: Urinary incontinence is a severe and common health problem. In this study, we aimed to assess severity of sexual dysfunction and depression in patients with urinary incontinence. MATERIALS AND METHODS: The study has been conducted between 2015 and 2017. Age, body mass index, accompanying health problems, Over Active Bladder (OAB) symptom score, Type of urinary incontinence, Beck Depression Scale were assessed for all patients. International Index of Erectile Function-5 (IIEF-5) was used for male patients in order to assess sexual dysfunction...
November 20, 2018: Revista Internacional de Andrología
Kate Seers, Jo Rycroft-Malone, Karen Cox, Nicola Crichton, Rhiannon Tudor Edwards, Ann Catrine Eldh, Carole A Estabrooks, Gill Harvey, Claire Hawkes, Carys Jones, Alison Kitson, Brendan McCormack, Christel McMullan, Carole Mockford, Theo Niessen, Paul Slater, Angie Titchen, Teatske van der Zijpp, Lars Wallin
BACKGROUND: Health care practice needs to be underpinned by high quality research evidence, so that the best possible care can be delivered. However, evidence from research is not always utilised in practice. This study used the Promoting Action on Research Implementation in Health Services (PARIHS) framework as its theoretical underpinning to test whether two different approaches to facilitating implementation could affect the use of research evidence in practice. METHODS: A pragmatic clustered randomised controlled trial with embedded process and economic evaluation was used...
November 16, 2018: Implementation Science: IS
Lauren Tennyson, Matthew Rytel, Stacy Palcsey, Leslie Meyn, Rui Liang, Pamela Moalli
BACKGROUND: Polypropylene mesh is widely used for surgical treatment of pelvic organ prolapse and stress urinary incontinence. While these surgeries demonstrate favorable functional and anatomical outcomes, their use has been limited by complications, the two most common being exposure and pain. Growing evidence suggests T lymphocytes play a critical role in regulating the host response to biomaterials. OBJECTIVES: To define and characterize the T cell response and correlate the response to collagen deposition in fibrotic capsules in mesh tissue complexes removed for the complications of pain versus exposure...
November 9, 2018: American Journal of Obstetrics and Gynecology
Andrea Tubaro, John Heesakkers, Jean Nicolas Cornu, Dudley Robinson
Urgency is the cornerstone symptom of overactive bladder (OAB) syndrome, which is associated with reduced health-related quality of life (HRQoL) and affects patients with different profiles. We report here three clinical pictures of OAB: a male patient with mixed lower urinary tract symptoms (LUTS), a young woman with comorbidities, and an elderly woman with mixed urinary incontinence. The aim is to analyze the specificities of these real cases, to discuss what would be the most appropriate management, and how treatment with fesoterodine, an antimuscarinic agent with key pharmacological properties, might meet the patients' expectations...
2018: Case Reports in Urology
J L Hall, L Owen, A Riddell, D B Church, D C Brodbelt, D G O'Neill
OBJECTIVE: To estimate prevalence and identify demographic risk factors for urinary incontinence in male dogs. METHODS AND METHODS: The study population included all dogs within (the VetCompass database) from September 1, 2009 to July 7, 2013. Electronic patient records were searched for urinary incontinence cases; demographic and clinical information were extracted and analysed. RESULTS: Of 109,428 male dogs attending 119 clinics in England, there were an estimated 1027 dogs diagnosed with urinary incontinence, giving a prevalence of 0...
November 1, 2018: Journal of Small Animal Practice
Claudia Binder, Nikola Katić, Jörg E Aurich, Gilles Dupré
The aim of this retrospective study and owner survey was to record the postoperative complication rate, pain score and owners' satisfaction rates of single portal laparoscopic ovariectomy in dogs using an operating laparoscope and to compare our results with data in the veterinary literature on other laparoscopic methods. Therefore, the medical records of all bitches that were spayed using a laparoscopic single port ovariectomy with an operating laparoscope between November 2007 and November 2014 were reviewed...
October 31, 2018: Veterinary Record
Dorit Schöller, Sara Brucker, Christl Reisenauer
Introduction The complication of tape erosion in the urethra following placement of a retropubic (TVT) or transobturator (TOT) tension-free suburethral vaginal sling or an accidental iatrogenic transurethral tape position can result in the formation of a urethrovaginal or vesicovaginal fistula. The objective of the investigation is the evaluation of the management of such rare complications. Patients and Methods Retrospective analysis of 14 patients who were treated for a urethral lesion or urethrovaginal fistula formation status post TVT/TOT placement between June 2011 and February 2018 in the Tübingen University Department of Gynaecology...
October 2018: Geburtshilfe und Frauenheilkunde
Shohei Kawaguchi, Kazutaka Narimoto, Satoko Urata, Masami Takeyama, Yoshifumi Kadono, Atsushi Mizokami
BACKGROUND: We evaluated the effect of transvaginal mesh (TVM) surgery for voiding function and continence using noninvasive examination and questionnaire. The present study aimed to ascertain which categories of patients need concomitant mid-urethral sling (MUS) after TVM surgery. METHODS: We included women who underwent TVM procedure between November 2009 and October 2013. Data from noninstrumented uroflowmetry and questionnaires about urinary symptoms were analyzed...
October 25, 2018: BMC Women's Health
Hui Feng, Hui Li, Lily Dongxia Xiao, Shahid Ullah, Pan Mao, Yunxia Yang, Hengyu Hu, Yinan Zhao
BACKGROUND: Residents living in nursing homes usually have complex healthcare needs and require a comprehensive care approach to identifying and meeting their care needs. Suboptimal quality of care is reported in nursing homes and is associated with the poor health and well-being of the residents, the burden on acute care hospitals and the high costs of healthcare for the government. The aim of this study is to test the hypothesis that an Aged Care Clinical Mentoring Model will create and sustain evidence-based quality improvement in priority areas and will be cost-effective in nursing homes in Hunan Province, China...
October 25, 2018: BMC Health Services Research
Helle Wijk, Kirsten Corazzini, Irma Lindström Kjellberg, Anton Kinnander, Eirini Alexiou, Karl Swedberg
The current study operationalized, assessed, and evaluated the feasibility and preliminary effects of implementing a person-centered approach to incontinence care for older adults with cognitive decline in residential care facilities (RCFs) in Sweden. Twenty health care workers were purposively sampled from two intervention RCFs. Process outcome was measured as number of assessments conducted for incontinence management. Impact outcome measures were quality of life, basal assessment of incontinence, incontinence actions taken, and personally chosen incontinence aids...
November 1, 2018: Journal of Gerontological Nursing
Mucio Barata Diniz, Luisa Campos Barata Diniz, Gustavo Francisco Lopes da Silva, Agnaldo Lopes da Silva Filho, Zilma Silveira Nogueira Reis, Marilene Vale de Castro Monteiro
OBJECTIVE:  To evaluate the long-term subjective cure rate of the transobturator sling, including an analysis of the risk factors and of the impact of increased surgical experience on the results. METHODS:  A retrospective cohort study of women who underwent transobturator sling surgery from 2005 to 2011 was conducted. Patients were evaluated by a telephone survey using the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and by subjective questions regarding satisfaction...
October 2018: Revista Brasileira de Ginecologia e Obstetrícia
Hillary Wagner, Julie W Cheng, G Austin Krishingner, Kevin Kim, Kristin M Chung, Isaac Kelly, Andrea Staack
OBJECTIVES: Many women are affected by stress urinary incontinence (SUI). Due to investigations of the safety of synthetic mesh slings, there has been renewed interest in autologous slings. The aim of this study is to evaluate whether different sling material affects outcomes and patient satisfaction. METHODS: A retrospective review was performed of patients who underwent sling placement between May 2011 and April 2017 for SUI or stress-predominant mixed urinary incontinence...
October 11, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Michele Carlo Schiavi, Ottavia D'Oria, Natalia Aleksa, Flaminia Vena, Giovanni Prata, Chiara Di Tucci, Delia Savone, Valentina Sciuga, Andrea Giannini, Maria Letizia Meggiorini, Marco Monti, Marzio Angelo Zullo, Ludovico Muzii, Pierluigi Benedetti Panici
The aim of this study was to assess the effectiveness and safety of Ospemifene in the improvement of urgency component in women affected by mixed urinary incontinence (MUI) who underwent surgery with mid-urethral sling (MUS). Eighty-one patients with MUI underwent surgical intervention with MUS were enrolled. After surgical intervention 38 patients received Ospemifene 60 mg one tablet daily per os for 12 weeks. Physical examination, 3-day voiding diary, urodynamic testing were performed at the start and the follow-up after 12 weeks in the Trans-Obturator-Tape (TOT)-Alone group and TOT-Ospemifene...
October 16, 2018: Gynecological Endocrinology
Ron J Jankowski, Le Mai Tu, Christopher Carlson, Magali Robert, Kevin Carlson, David Quinlan, Andreas Eisenhardt, Min Chen, Scott Snyder, Ryan Pruchnic, Michael Chancellor, Roger Dmochowski, Melissa R Kaufman, Lesley Carr
PURPOSE: The purpose of the study was to assess safety and efficacy of autologous muscle derived cells for urinary sphincter repair (AMDC-USR) in female subjects with predominant stress urinary incontinence. METHODS: A randomized, double-blind, multicenter trial examined intra-sphincteric injection of 150 × 106 AMDC-USR versus placebo in female subjects with stress or stress predominant, mixed urinary incontinence. AMDC-USR products were generated from vastus lateralis needle biopsies...
December 2018: International Urology and Nephrology
Breffini Anglim, Colm J O'Boyle, Orfhlaith E O'Sullivan, Barry A O'Reilly
INTRODUCTION: Obesity has been shown to negatively impact pelvic floor support and associated urinary incontinence (UI), however little is known regarding the long-term effect of bariatric surgery on urinary incontinence. OBJECTIVE: The aim of this study is to determine the impact of bariatric surgery on female UI at twelve months post-operatively. STUDY DESIGN: A prospective cohort study was performed of all patients undergoing bariatric surgery who reported UI between January 2008 to January 2017...
October 6, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Aneta Obloza, Roderick Teo, Emily Marriott, Gillian Parker, Douglas Tincello
INTRODUCTION AND HYPOTHESIS: To identify the association between the symptom severity and outcome of conservative management for OAB, SUI and MUI. Conservative treatments are recommended for overactive bladder (OAB), stress urinary incontinence (SUI) and mixed incontinence (MUI). It is unclear whether disease severity affects treatment outcome. METHODS: Patients receiving conservative management were reviewed. Disease-specific questionnaires (OAB-q SF, ICIQ-UI SF) and bladder diaries recorded baseline symptoms...
October 10, 2018: International Urogynecology Journal
Maria Helena Baena de Moraes Lopes, Juliana Neves da Costa, Mariana Bezzon Bicalho, Ticiane Ellen Casale, Agnês Raquel Camisão, Marcella Lima Victal Fernandes
OBJECTIVE: Describe the sociodemographic, clinical, and sexual profile, identify profile variables that affect the Health-Related Quality of Life (HRQoL), and evaluate the correlation between two HRQoL questionnaires used in a pelvic floor rehabilitation program. METHOD: This is an observational, analytical, and cross-sectional study, based on patient records and two questionnaires for HRQoL evaluation. RESULTS: Women presented a mean age of 55...
September 2018: Revista Brasileira de Enfermagem
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