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Mixed urinary incontinence

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...
October 15, 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
Renaud de Tayrac, Fanny Béchard, Christel Castelli, Sandrine Alonso, Emmanuelle Vintejoux, François Goffinet, Vincent Letouzey, Thomas Schmitz
INTRODUCTION AND HYPOTHESIS: Our purpose was to compare the prevalence of urinary incontinence (UI) 3 and 12 months after vaginal vs cesarean delivery of twins after 34 weeks of gestation. METHODS: This was a multicenter prospective cohort study conducted at 172 French maternity units and included 2812 primiparous women with twins with no prior history of UI. Participants were enrolled at the time of delivery and followed up to 12 months postpartum. The primary outcome was the prevalence of UI, both stress and urge, 3 months postpartum, based on the patient reporting any frequency of urine leakage to the first question of the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF)...
October 6, 2018: International Urogynecology Journal
Chantale Dumoulin, Licia P Cacciari, E Jean C Hay-Smith
BACKGROUND: Pelvic floor muscle training (PFMT) is the most commonly used physical therapy treatment for women with stress urinary incontinence (SUI). It is sometimes also recommended for mixed urinary incontinence (MUI) and, less commonly, urgency urinary incontinence (UUI).This is an update of a Cochrane Review first published in 2001 and last updated in 2014. OBJECTIVES: To assess the effects of PFMT for women with urinary incontinence (UI) in comparison to no treatment, placebo or sham treatments, or other inactive control treatments; and summarise the findings of relevant economic evaluations...
October 4, 2018: Cochrane Database of Systematic Reviews
Robert H Press, Tiffany M Morgan, Patrick K Cutrell, Chao Zhang, Zhengjia Chen, Sara Rahnema, Martin Sanda, John Pattaras, Pretesh Patel, Ashesh B Jani, Peter J Rossi
PURPOSE: Patients with large prostate glands are underrepresented in clinical trials incorporating brachytherapy due to concerns for excessive toxicity. We sought to compare health-related quality of life (HRQOL) outcomes between small (<60 cc) and large (≥60 cc) prostates treated with high-dose-rate brachytherapy (HDR-B). METHODS AND MATERIALS: One hundred thirty patients at Emory University were treated with HDR-B monotherapy (n = 75) or HDR-B in combination with external beam radiation therapy (n = 55)...
September 25, 2018: Brachytherapy
Joshua Scott Will, David C Bury, John A Miller
Low back pain is usually nonspecific or mechanical. Mechanical low back pain arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues. Clinical clues, or red flags, may help identify cases of nonmechanical low back pain and prompt further evaluation or imaging. Red flags include progressive motor or sensory loss, new urinary retention or overflow incontinence, history of cancer, recent invasive spinal procedure, and significant trauma relative to age. Imaging on initial presentation should be reserved for when there is suspicion for cauda equina syndrome, malignancy, fracture, or infection...
October 1, 2018: American Family Physician
Ye Zhang, Xiaochen Song, Zhibo Zhang, Meng Mao, Fangfang Ai, Jia Kang, Lan Zhu
OBJECTIVE: To evaluate the long-term safety and effectiveness of inside-out transobturator tape (tension-free vaginal tape-obturator, TVT-O) for the treatment of stress urinary incontinence (SUI). PATIENTS AND METHODS: Between August 2004 and August 2006, 87 consecutive patients with SUI who underwent TVT-O were enrolled in this prospective cohort study. Patients with mixed UI, or pelvic organ prolapse requiring surgery, were excluded. Data relating to long-term postoperative complications, subjective satisfaction rate (Patient Global Impression of Improvement), objective cure rate (stress test), quality of life (QoL), and sexual function, were collected during follow-up...
September 24, 2018: BJU International
Mauricio Plata, Alejandra Bravo-Balado, Daniela Robledo, Carlos G Trujillo, Juan I Caicedo, Juan G Cataño, Julián Arenas, Martín Rondón, Darío Londoño
AIMS: To estimate the prevalence of LUTS and overactive bladder (OAB) in the Colombian population. METHODS: A cross-sectional, population-based study was conducted in men and women ≥18 years using directed interviews and self-administered questionnaires in five main cities in Colombia. A sample size of 1054 subjects was estimated (prevalence of LUTS/OAB 15%, CI 95%, statistical power 80%, precision 3%). We used a multi-stage probabilistic sampling technique to randomly select individuals in the community, stratified by socioeconomic status, gender, and age...
September 24, 2018: Neurourology and Urodynamics
Ester Illiano, Wally Mahfouz, Konstantinos Giannitsas, Ervin Kocjancic, Bini Vittorio, Anastasios Athanasopoulos, Raffaele Balsamo, Franca Natale, Antonio Carbone, Donata Villari, Maria Teresa Filocamo, Enrico Finazzi Agrò, Elisabetta Costantini
INTRODUCTION: Coital urinary incontinence (CUI) is not much explored during clinical history, and this could lead to an underestimation of the problem. AIM: To evaluate the prevalence and clinical risk factors of CUI in women with urinary incontinence (UI), and to measure the impact of CUI on women's sexuality and quality of life. METHODS: This was a multicenter international study, conducted in Italy, Greece, the United States, and Egypt...
September 20, 2018: Journal of Sexual Medicine
Rakibul M Islam, Robin J Bell, Mohammad B Hossain, Susan R Davis
OBJECTIVE: To determine the prevalence of, and risk factors for, sub-types of urinary incontinence (UI) in a nationally representative sample of midlife Bangladeshi women. METHODS: Bangladeshi women, aged 30-59, recruited by multi-stage cluster sampling, completed the Questionnaire for the Diagnosis of Urinary Incontinence. The prevalence and the factors associated with each form of UI were explored using multivariable weighted logistic regression. RESULTS: 59...
October 2018: Maturitas
Sokol Rexhepi, Entela Rexhepi, Martin Stumm, Sebastian Ludwig
Objective Sacrocolpopexy is the gold-standard for apical prolapse treatment. However, the technical performance of each SCP is strongly dependant on the surgeon´s own discretion and comparison of clinical outcomes with respect to urinary incontinence (UI) is difficult. We developed a comprehensible laparoscopic surgical technique for the treatment of apical prolapse with UI. Methods A total of 120 women with UI underwent laparoscopic bilateral sacrocolpopexy for apical prolapse. Thereby, the uterosacral ligaments (USL) were bilaterally replaced by polyvinylidene fluoride (PVDF) tapes of identical length and shape, which were fixed at defined anatomical landmarks (cervix / vaginal vault and S1)...
September 22, 2018: Journal of Endourology
Christiana Campani Nygaard, Lucas Schreiner, Thiago Picolli Morsch, Rodrigo Petersen Saadi, Marina Faria Figueiredo, Alexandre Vontobel Padoin
OBJECTIVE:  To analyze the prevalence of urinary incontinence (UI) in female patients with an indication for bariatric surgery, to investigate the potential risk factors and the impact on quality of life. METHODS:  A cross-sectional study with female patients with obesity. The evaluation consisted of a structured interview, a specific study form and quality of life questionnaires. The Poisson regression was performed to identify independent risk factors related to UI...
September 2018: Revista Brasileira de Ginecologia e Obstetrícia
T J Lamerton, L Torquati, W J Brown
The purpose of this review and meta-analysis was to evaluate overweight and obesity as risk factors for urinary incontinence in young to mid-aged women. Understanding these relationships during this life stage is important as early onset increases the risk for developing severe and persistent incontinence. A systematic search resulted in 497 citations, 14 of which were retained for review. Data were analysed by overweight and obesity and by subtype of urinary incontinence - stress, urge, mixed and severe. When compared with 'normal' body mass index, overweight was associated with a one-third increase in risk of urinary incontinence (relative risk = 1...
September 19, 2018: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
Keyla M Dos Santos, Thuane H da Roza, Soraia C Tonon da Luz, Julia P Hort, Joyce M Kruger, Bruna Schevchenco
BACKGROUND: Urinary incontinence (UI) is a pelvic floor dysfunction that can affect nulliparous female athletes because of the effect of sports activities on pelvic floor muscles. OBJECTIVES: To verify and quantify urine loss in nulliparous athletes during 1 hour of sports training using a modified pad test protocol. DESIGN: Cross-sectional. SETTING: Secondary, institutional practice. PARTICIPANTS: Nulliparous athletes (N = 104)...
September 1, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
Félix Fontaine, Le Mai Tu, Marie-Soleil Carroll, Mélanie Morin
AIMS: Optimal placement of periurethral material has an important role in treatment efficacy with stress urinary incontinence (SUI). The validity of methods for determining urethral length and the precise location of the mid-urethral complex for SUI treatment have been sparsely studied. The aim of this study was to investigate the agreement between urethral lengths measured with a catheter and by transperineal ultrasound. METHODS: Fifty-seven women with SUI or mixed urinary incontinence (MUI) with predominant stress symptoms were recruited...
September 3, 2018: Neurourology and Urodynamics
Madeleine Engen, Rune Svenningsen, Hjalmar A Schiøtz, Sigurd Kulseng-Hanssen
AIMS: To compare subjective and objective outcomes of mid-urethral sling (MUS) surgery in women in different age decades and the utilization rates for MUS in Norwegian women. METHODS: Data from the national Norwegian Female Incontinence Registry on 21 832 women with stress or mixed urinary incontinence who underwent MUS surgery from 1998 to 2016 were used. Primary outcomes were treatment satisfaction and absence of objective stress leakage at 6-12 months follow-up and "MUS utilization rate...
September 3, 2018: Neurourology and Urodynamics
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