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Urinary leakage

B M Button, A E Holland, M S Sherburn, J Chase, J W Wilson, A T Burge
OBJECTIVES: To determine in women with clinically stable chronic lung disease (CLD) and healthy women; (1) prevalence of urinary incontinence; (2) risk factors for urinary incontinence; (3) effects of a standard course of specialised physiotherapy treatment (PT) in women with CLD. DESIGN: Prospective prevalence study; PT study in CLD subgroup. SETTING: Tertiary metropolitan public hospital. PARTICIPANTS: Women with cystic fibrosis (CF, n=38), chronic obstructive pulmonary disease (COPD, n=27) and 69 healthy women without CLD...
July 30, 2018: Physiotherapy
Yudiana Wayan, Pratiwi Dinar Ayu, Oka A A Gde, Niryana Wayan, I Putu Eka Widyadharma
BACKGROUND: Radical cystectomy is the standard treatment for nonmetastatic bladder cancer (muscle-invasive and selective superficial bladder cancer). There are many types of urinary diversion after this procedure; the ileal conduit is the most and simplest one. AIM: To asses clinical, pathological profile, early complication, functional and oncological outcome after radical cystectomy and ileal conduit for muscle-invasive bladder cancer patients. METHOD: Between January 2013 and December 2016, there were 68 patients diagnosed with bladder cancer...
September 25, 2018: Open Access Macedonian Journal of Medical Sciences
Weiming Wang, Yan Liu, Shaoxin Sun, Baoyan Liu, Tongsheng Su, Jing Zhou, Zhishun Liu
PURPOSE: The efficacy and safety of electroacupuncture was compared to those of sham electroacupuncture for the treatment of postmenopausal women with stress urinary incontinence (SUI). METHODS: This study was a secondary analysis of a multicenter, randomized controlled trial that recruited 504 women with SUI and randomized 349 postmenopausal women to receive 18 treatment sessions of electroacupuncture or sham electroacupuncture over 6 weeks, with a 24-week follow-up assessment...
October 13, 2018: World Journal of Urology
T C Noordhoff, J van den Hoek, M J Yska, K P Wolffenbuttel, B F M Blok, J R Scheepe
INTRODUCTION: Achieving continence in children with neurogenic sphincteric incompetence is a challenge. Awareness of the long-term outcome in this young patient population is important. In the past 25 years, the study institution has built experience in bladder outlet procedures such as bladder neck sling and bladder neck reconstructions. OBJECTIVE: The objective of this study was to evaluate the long-term outcome on continence and re-intervention rate of bladder outlet procedures in children with neurogenic urinary incontinence at the study institution...
September 1, 2018: Journal of Pediatric Urology
P Grison, S Tixier, P Descamps, P Bigot, L Catala, G Legendre
OBJECTIVE: To compare the effectiveness of an ALTIS® mini-sling and a conventionnal suburethral sling TVT-ABBREVO® for treatment of female stress urinary incontinence. METHODS: A single-center retrospective study included all female patients fitted with a conventional transobturator tape (TVT-ABBREVO® ) or mini-sling (ALTIS® ), during 2015, in Angers university hospital. The success rate was defined by no urine leakage during a cough test on clinical examination, improved quality of life defined by a PGI-I (Patient Global Impression of Improvement) score of 1 to 3, and no stress urinary incontinence on USP (Urinary Symptom Profile) questionnaire...
October 6, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
Mark Faurholt Aagaard, Yasmine Khayyami, Frank Bohn Hansen, Hans Peter Tofft, Jørgen Nordling
INTRODUCTION: Awareness of prostate cancer is growing in the Western population, and an increasing number of patients are being referred to prostate surgery. This is a significant contributor to male stress urinary incontinence (SUI). Implantation of an artificial sphincter (AUS) is considered the gold standard treatment of SUI. This study investigates the role of minimally invasive treatment with the Argus sling in a heterogenic hard-to-treat patient group. METHOD: The study was a retrospective follow-up study with patients as their own controls...
October 9, 2018: Scandinavian Journal of Urology
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
Aurélien Venara, Pascal Alfonsi, Eddy Cotte, Jérôme Loriau, Jean-François Hamel, Karem Slim
PURPOSE: Postoperative ileus (POI) occurrence within enhanced recovery programs (ERPs) has decreased. Also, intra-abdominal complications (IAC) such as anastomotic leakage (AL) generally present late. The aim was to characterize the link between POI and the other complications occurring after surgery. METHODS: This retrospective analysis of a prospective database was conducted by the Francophone Group for Enhanced Recovery after Surgery. POI was considered to be present if gastrointestinal functions had not been recovered within 3 days following surgery or if a nasogastric tube replacement was required...
October 6, 2018: International Journal of Colorectal Disease
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
Joan Melendez-Munoz, Meirav Braverman, Anna Rosamilia, Natharnia Young, Alison Leitch, Joseph K-S Lee
INTRODUCTION: Single incision slings (SIS) were introduced in an attempt to decrease the complications associated with retropubic and transobturator slings. The TVT Abbrevo is a modification of the TVT-O with a reduced length and less immediate postoperative pain. The Miniarc SIS has been shown to be equivalent to outside-in transobturator sling, Monarc at 12 month follow-up. OBJECTIVE: To evaluate objective and subjective outcomes of MiniArc SIS and TVT Abbrevo midurethral sling (MUS) in women with stress urinary incontinence...
September 27, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Charlotte K Roberts, Jonathan S Ellison, Omar Aboumarzouk, Mohamed Abd-Alazeez, Francis X Keeley
INTRODUCTION: Renal duplication is a relatively common congenital abnormality of the urinary tract, but symptomatic duplex kidney is a rare presentation in adults. Traditionally, the treatment of choice for poorly functioning moiety has been heminephrectomy. There is extensive literature detailing the outcomes of minimally invasive upper pole heminephrectomy, but comparatively little published regarding lower pole resection, especially in adult patients. We present a series of 13 patients who underwent minimally invasive heminephrectomy for duplex kidney...
October 2018: Canadian Journal of Urology
Yves Ingenbleek
Intensive care workers actively participate in very hot debates aiming at defining the true metabolic, hormonal and nutritional requirements of critically ill patients, the contributory roles played by thyroid and retinoid ligands being largely underestimated. The present article makes up for redressing the balance on behalf of these last hormonal compounds. The retinol circulating complex is transported in the bloodstream in the form of a trimolecular edifice made up of transthyretin (TTR), retinol-binding protein (RBP) and its retinol ligand...
2018: Frontiers in Endocrinology
M Boulianne, G Bouchard, J Cloutier, A Bouchard
INTRODUCTION: A rectoseminal vesicle fistula after a low anterior resection for rectal cancer is a rare complication despite their anatomic proximity. From a Medline search from 1966 to date, a total of twenty-one previous cases of coloseminal vesicle fistula have been reported. From these cases, eleven were a complication of laparoscopic low anterior resection for rectal cancer. DESCRIPTION OF THE CASE: This report presents the case of a 63-year-old patient who was readmitted to the hospital on the fifteenth postoperative day after his surgical intervention for fever, abdominal pain, dysuria and pneumaturia...
August 31, 2018: International Journal of Surgery Case Reports
Jonathon Cavaleri, Jennifer L Perez, Alp Ozpinar, Nima Alan, Edward Monaco
Background: Cerebrospinal fluid (CSF) leakage into the epidural space following lumbar puncture (LP) has been documented in pediatric patients, but there have been no reported cases in adults. Case Description: We report an epidural CSF leak in an adult who presented with back pain, positional headache, urinary retention, and constipation following an LP performed as a part of a research study. The patient's magnetic resonance (MR) scan showed an extensive epidural CSF collection...
2018: Surgical Neurology International
Shuai-Xi Yang, Zhen-Qiang Sun, Quan-Bo Zhou, Ji-Zhong Xu, Yuan Chang, Kun-Kun Xia, Gui-Xian Wang, Zhen Li, Jun-Min Song, Zhi-Yong Zhang, Wei-Tang Yuan, Jin-Bo Liu
PURPOSE: This retrospective study was designed to assess the safety and effectiveness of open, laparoscopic, robotic colorectal cancer surgery. METHODS: Three hundred patients with colorectal cancer who underwent curative resection in the First Affiliated Hospital of Zhengzhou University between February 2014 and May 2016 were included. Patients were classified into open surgery group, laparoscopic surgery group, and robot-assisted group. RESULTS: The blood loss in laparoscopic surgery group was less than that in open surgery group, and the blood loss in robot-assisted group less was than the open surgery group...
January 1, 2018: Technology in Cancer Research & Treatment
Lindsay A Hampson, Wade Muncey, Mika N Sinanan, Bryan B Voelzke
OBJECTIVE: To describe long-term quality of life (QOL) outcomes after rectourethral fistula (RUF) repair. RUF is a debilitating diagnosis and complex surgical dilemma with limited data regarding QOL after repair. METHODS: Patients at a tertiary referral center undergoing transperineal RUF repair 1/2009 - 5/2016 were analyzed. Patients were contacted by telephone to assess QOL following repair. Descriptive analysis performed of short-term surgical data (success and complications) and long-term QOL data (novel questionnaire)...
September 4, 2018: Urology
Lifen Liu, Ying Zhang, Jingya Gong, Xin Chen, Hongmei Wu, Weipei Zhu
Background: This study was designed to investigate the clinical effects of different treatment methods on stress urinary incontinence (SUI) in perimenopausal women, and to evaluate urodynamic characteristics. Methods: Seventy-two menopausal female patients with stress urinary incontinence were included in the Second Affiliated Hospital of Soochow University from January 2016 to July 2017. The cases were divided into 3 groups of 24 each, depending on the treatment received...
August 2018: Iranian Journal of Public Health
Miriam Luginbühl, Timo Junker, Dagmar I Keller
BACKGROUND: Smuggling of illegal drugs by hiding them inside one's own body, also called body packing, is a worldwide phenomenon. Cocaine is the most frequently transported drug. Body packing is a potentially lethal practice. The most serious complications of body packing are gastrointestinal obstruction or perforation and drug toxicity due to packet leakage or rupture. CASE PRESENTATION: A 30-year-old confirmed body packer was brought to our emergency department from jail because of agitation and mydriasis...
September 4, 2018: BMC Emergency Medicine
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
Daniel J Duffy, Hugh R Duddy, Stephanie Keating, Santiago D Gutierrez-Nibeyro
OBJECTIVE: To determine the influence of barbed suture on double-layer inverting closure of cystotomy sites in sheep. STUDY DESIGN: Ex vivo study. SAMPLE POPULATION: Urinary bladders harvested from ovine (n = 26) cadaveric specimens. METHODS: After collection and specimen preparation, a 3-cm-long incision was created on the ventral aspect of the urinary bladder. The cystotomy was repaired with barbed (n = 13) or nonbarbed analogous monofilament absorbable suture (n = 13) in a double-layer inverting suture pattern...
September 4, 2018: Veterinary Surgery: VS
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