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Stress incontinence

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https://www.readbyqxmd.com/read/28730531/comparing-different-tissue-engineered-repair-materials-for-the-treatment-of-pelvic-organ-prolapse-and-urinary-incontinence-which-material-is-better
#1
Xiaojuan Wang, Yisong Chen, Zhongyong Fan, Keqin Hua
INTRODUCTION AND HYPOTHESIS: Synthetic non-absorbable meshes are widely used to augment surgical repair of pelvic organ prolapse (POP) and stress urinary incontinence (SUI), but these meshes are associated with serious complications. This study compares the attachment and extracellular matrix (ECM) production of adipose-derived stem cells (ADSCs) on different biodegradable nanomaterials to develop tissue engineered repair materials. METHODS: Rat ADSCs were isolated and cultured on electrospun poly-L-lactic acid (PLA) and electrospun poly(L-lactide)-trimethylene carbonate-gycolide (PLTG) terpolymers for 1 and 2 weeks...
July 20, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28728207/-female-urethral-diverticulum-with-calculus-formation-imitating-stress-incontinence
#2
Leonidas Karapanos, Daniel Porres, David Pfister, Ilgar Akbarov, Axel Heidenreich, Vahudin Zugor
A female urethral diverticulum (UD) is a rare condition with a prevalence of 0.6 - 4.7 %. Possible aetiologies include chronic infection of the periurethral glands, childbirth trauma, and iatrogenic lesions after urethral manipulation. The main symptoms are recurrent urinary tract infections, post-void dribbling and leakage of urine or purulent discharge by movement, which is caused by the emptying of the diverticular lumen (paradoxical incontinence). As this may imitate stress urinary incontinence, the final diagnosis is a challenge for urologists...
July 20, 2017: Aktuelle Urologie
https://www.readbyqxmd.com/read/28727377/laparoscopic-pectopexy-initial-experience-of-single-center-with-a-new-technique-for-apical-prolapse-surgery
#3
Ahmet Kale, Alper Biler, Hasan Terzi, Taner Usta, Ebru Kale
OBJECTIVE: To share our first experience with laparoscopic pectopexy, a new technique for apical prolapse surgery, and to evaluate the feasibility of this technique. MATERIALS AND METHODS: Seven patients with apical prolapse underwent surgery with laparoscopic pectopexy. The lateral parts of the iliopectineal ligament were used for a bilateral mesh fixation of the descended structures. The medical records of the patients were reviewed, and the short-term clinical outcomes were analyzed...
June 14, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28727373/new-concept-for-treating-female-stress-urinary-incontinence-with-radiofrequency
#4
Patrícia Lordelo, Andrea Vilas Boas, Danielle Sodré, Amanda Lemos, Sibele Tozetto, Cristina Brasil
PURPOSE: To evaluate the clinical response and adverse effects of radiofrequency on the urethral meatus in the treatment of stress urinary incontinence in women. MATERIALS AND METHODS: This phase one study included ten women with Stress Urinary Incontinence (SUI). The evaluation consisted of 1 hour Pad tests to quantify urine loss and to assess the degree of procedure satisfaction by using the Likert scale. To evaluate safety, we observed the number of referred side effects...
June 14, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28726192/study-of-proliferative-activity-of-vaginal-epithelium-in-women-with-stress-urinary-incontinence-treated-by-er-yag-laser
#5
G A Lapii, A Yu Yakovleva, A I Neimark, E L Lushnikova
The expression of Ki-67 proliferation marker was studied in vaginal biopsy specimens from women with stress urinary incontinence treated using a Fotona nonablative erbium laser. Cells expressing Ki-67 were located in all cases in the parabasal and basal levels of stratified squamous epithelium, the index of labeled nuclei before Er:YAG laser exposure was 19.05±2.86%. After 1-2 months of laser therapy, the index of labeled nuclei in the epithelium increased significantly and reached 31.79±2.25%. These changes were interpreted as a result of epithelial-stromal interactions...
July 18, 2017: Bulletin of Experimental Biology and Medicine
https://www.readbyqxmd.com/read/28724322/predictors-of-urinary-incontinence-between-abdominal-obesity-and-non-obese-male-adults
#6
Dongmei Li, Yi Xu, Qingbin Nie, Yan Li, Gengsheng Mao
OBJECTIVES: To investigate factors that may be associated with urinary incontinence (UI) in abdominal obese and non-obese adult males. METHODS: Data were analyzed for 2671 men (≥40 years of age) who participated in the National Health and Nutrition Examination Survey (2005-2008). We define abdominal obesity as a waist circumference >102 cm. Men with Incontinence Severity Index ≥3 were defined as having UI. Logistic regression analyses were used to identify factors associated with stress and urge UI...
July 20, 2017: Postgraduate Medicine
https://www.readbyqxmd.com/read/28723719/clinical-application-of-a-transurethral-holmium-laser-excision-of-exposed-polypropylene-mesh-at-lower-urinary-tract-single-surgeon-experience-with-long-term-follow-up
#7
Chan Ho Lee, Ja Yoon Ku, Kyoung Lee, Jeong Zoo Lee, Dong Gil Shin
PURPOSE: The aim of this study was to evaluate the clinical application of a transurethral holmium laser excision of exposed polypropylene mesh as an effective minimally invasive surgical approach in patients with lower urinary tract mesh erosion following the transvaginal placement of polypropylene mesh. METHODS: A retrospective analysis was conducted on the data of 22 patients with exposed polypropylene mesh in the lower urinary tract that was managed using the transurethral holmium laser technique...
July 19, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28723384/clinical-case-discussion-failure-of-a-midurethral-sling-procedure-for-stress-urinary-incontinence-in-a-female-patient
#8
Alice Drain, Victor W Nitti
The patient should have an autologous fascia sling as her next procedure because she has recurrent stress urinary incontinence after two prior transobturator synthetic slings, current urethral erosion, and intrinsic sphincter deficiency.
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723383/clinical-case-discussion-repeat-sling-surgery-should-we-offer-a-second-sling
#9
Femke Vandercruysse, Dirk De Ridder, Frank Van der Aa
Advantages of secondary sling surgery for persistent or recurrent stress urinary incontinence include low complexity and short operation time, low blood loss, and short hospitalization. Rates of perioperative complications, erosion, and postoperative voiding difficulties are comparable with primary sling surgery. The presence of urethral (hyper)mobility after primary midurethral sling seems to be an important factor affecting success rates of repeat sling surgery.
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723382/case-presentation-failure-of-a-midurethral-sling-procedure-for-stress-urinary-incontinence-in-a-female-patient
#10
George R Kasyan, Dmitry Y Pushkar
A clinical case of recurrent stress urinary incontinence after two subsequent synthetic midurethral tapes with protrusion into the urethra is presented.
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723374/urodynamics-before-surgery-for-stress-urinary-incontinence
#11
Suneetha Rachaneni, Pallavi Latthe
Following three noninferiority randomised controlled trials from different countries showing exactly the same results, it is time to translate this evidence into practice. In women undergoing primary surgery for pure stress urinary incontinence or stress-predominant mixed urinary incontinence without voiding difficulties, careful office evaluation including uroflowmetry and postvoid residual urine can replace invasive investigations such as cystometry, saving patients from embarrassment and a risk of urinary infection...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723373/urodynamics-before-surgery-for-stress-urinary-incontinence-the-urodynamic-examination-is-still-one-of-the-best-friends-of-the-surgeon-and-of-patients-with-stress-urinary-incontinence
#12
Maurizio Serati, Enrico Finazzi Agrò
In the large majority of patients with stress urinary incontinence, urodynamics could provide new information, in comparison to simple clinical examination, and change subsequent management in a relevant percentage of cases.
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723371/complications-of-transvaginal-mesh-for-pelvic-organ-prolapse-and-stress-urinary-incontinence-tips-for-prevention-recognition-and-management
#13
REVIEW
Susan MacDonald, Ryan Terlecki, Elisabetta Costantini, Gopal Badlani
CONTEXT: Mesh-related complications following transvaginal management of pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI) have received significant attention in the last decade. OBJECTIVE: We sought to identify patient, product, and technical factors associated with an increased risk of complications after mesh-based transvaginal repair of anterior POP and SUI. In this review we clarify the different pattern of complications after POP and SUI repairs...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723370/evaluation-and-management-of-postprostatectomy-incontinence-a-systematic-review-of-current-literature
#14
REVIEW
Alexander Kretschmer, Wilhelm Hübner, Jaspreet S Sandhu, Ricarda M Bauer
CONTEXT: Radical prostatectomy is the most common reason for male stress urinary incontinence. There is still uncertainty about its diagnostic and therapeutic management. OBJECTIVE: To evaluate current evidence regarding the diagnosis and therapy of postprostatectomy incontinence (PPI). EVIDENCE ACQUISITION: A systematic review of the literature was performed in October 2015 using the Medline database. EVIDENCE SYNTHESIS: Diagnosis and conservative treatment of PPI are currently mostly based on expert opinions...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723369/evaluation-and-classification-of-stress-urinary-incontinence-current-concepts-and-future-directions
#15
REVIEW
Nadir I Osman, Vincenzo Li Marzi, Jean N Cornu, Marcus J Drake
CONTEXT: Stress urinary incontinence (SUI) is a common and bothersome problem that frequently requires operative management. Over the past two decades, novel techniques have been introduced into clinical practice. With the greater variety of surgical options now available, there is an increasing focus on selecting the appropriate procedure for the individual patient based on the likely underlying pathophysiologic mechanism. OBJECTIVE: To review the methods used in the evaluation of SUI and the proposed classification systems...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28723368/definition-of-success-after-surgery-for-female-stress-incontinence-or-voiding-dysfunction-an-attempt-at-standardization
#16
REVIEW
Maude E Carmel, Donna Y Deng, Tamsin J Greenwell, Philippe E Zimmern
CONTEXT: There is currently no standardized definition of success for surgery for stress urinary incontinence (SUI) and voiding dysfunction (VD) in women. OBJECTIVE: To review the use of outcome measures (OMs) and definitions of success in the literature on SUI and VD surgery in women in an attempt to provide recommendations for future publications. EVIDENCE ACQUISITION: A PubMed search of all English language full-text articles on SUI and VD surgery in women published between 2010 and 2015 was performed...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28718223/self-management-of-stress-urinary-incontinence-via-a-mobile-app-2-year-follow-up-of-a-randomized-controlled-trial
#17
Victoria Hoffman, Lars Söderström, Eva Samuelsson
We investigated the long-term effects of using a mobile app to treat stress urinary incontinence with a focus on pelvic floor muscle training (PFMT) MATERIAL AND METHODS: A previous randomized controlled trial of 123 women aged 27-72 years found that 3 months of self-managing stress urinary incontinence with support from the Tät(®) app was effective. We followed-up the women in the app group (n=62) two years after the initial trial with the same primary outcomes for symptom severity (International Consultation on Incontinence Questionnaire Short Form [ICIQ-UI SF]) and condition-specific quality of life (ICIQ-Lower Urinary Tract Symptom Quality of Life [ICIQ-LUTSqol]) and compared the scores with those at baseline RESULTS: Of the 62 women, 61 and 46 (75...
July 17, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28716538/reliability-of-pelvic-floor-muscle-electromyography-tested-on-healthy-women-and-women-with-pelvic-floor-muscle-dysfunction
#18
Irene Koenig, Helena Luginbuehl, Lorenz Radlinger
OBJECTIVES: Electromyography (EMG) is a well-established method to quantify the relative pelvic floor muscle (PFM) activity. PFM EMG has shown good reliability in healthy women. However, its reliability has not been tested in women with PFM dysfunction. The reliability of EMG analysis methods concerning EMG normalization needs to be determined to assess specific therapeutic interventions. Therefore, the aim of this study was to investigate the intra-session reliability of PFM EMG variables by using 3 different analysis methods in women with PFM dysfunction...
July 14, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28713996/downregulation-of-aqp2-in-the-anterior-vaginal-wall-is-associated-with-the-pathogenesis-of-female-stress-urinary-incontinence
#19
Zujuan Zhang, Pan Xu, Zhenwei Xie, Fengxian Shen, Ning Chen, Liming Yu, Ronghuan He
The pathogenesis of stress urinary incontinence (SUI) is unclear. Aquaporins (AQPs) are a family of transmembrane proteins that transport water and small solutes, including glycerol, across cell membranes. AQPs have been demonstrated to serve a role in skin hydration, cellular proliferation, migration, immunity, wound healing and vascular remodeling in multiple organs. Furthermore, studies have confirmed that abnormal synthesis and degradation of collagens in extracellular matrix (ECM) remodeling contributes to SUI, by altering normal tissue architecture and mechanical properties...
July 15, 2017: Molecular Medicine Reports
https://www.readbyqxmd.com/read/28712889/the-adjustable-transobturator-male-system-in-stress-urinary-incontinence-after-transurethral-resection-of-the-prostate
#20
Alexander Friedl, Jenifer Schneeweiss, Kathrin Stangl, Sandra Mühlstädt, Roman Zachoval, Stephan Hruby, Therese Gründler, Danijel Kivaranovic, Paolo Fornara, Lukas Lusuardi, Clemens Brössner
Objective To investigate the efficacy and safety of the adjustable transobturator male system (ATOMS) in males with stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP). Materials and methods From a large international prospectively administrated ATOMS-register we identified 49 patients with an ATOMS device due to persistent SUI after TURP. For evaluation males were divided into standard TURP (sTURP) and palliative/post radiation TURP (pTURP). Baseline and follow-up measurements included continence parameters, urodynamics, quality of life surveys (PGI-I, ICIQ-SF) and pain ratings...
July 13, 2017: Urology
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