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Stress incontinence

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https://www.readbyqxmd.com/read/29783036/retrospective-study-on-the-management-and-follow-up-of-18-patients-with-a-mid-urethral-sling-penetrating-the-urethra-or-bladder
#1
Edouard Goujon, Adélaide Jarniat, Florian Bardet, Lise Bergogne, Emmanuel Delorme
INTRODUCTION: The mid-urethral sling (MUS) procedure is the gold-standard for the surgical treatment of stress urinary incontinence (SUI). Urethro-vesical sling exposure is one of the most serious complications of this procedure. We describe the treatment and follow-up of 18 patients with bladder or urethral sling exposure. PATIENTS AND METHODS: This single-center, retrospective study assessed the diagnosis and management of MUS penetrating the lower urinary tract in 18 women...
May 18, 2018: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/29781073/the-impact-of-concurrent-pelvic-organ-prolapse-reconstructive-surgery-on-midurethral-sling-procedure-outcome
#2
Buğra Çoşkun, Orhan S Aksakal, Bora Çoşkun, Engin Yurtçu, Mehmet Özgür Akkurt, Özgül Kafadar, Melike Doğanay
OBJECTIVES: To evaluate the effect of concurrent pelvic organ prolapse (POP) reconstructive surgery on midurethral sling (MUS) procedure outcome. MATERIAL AND METHODS: The present retrospective study included 300 women with urodynamically diagnosed stress urinary incontinence that underwent MUS procedures with or without concurrent POP reconstructive surgery. Patients were divided into four groups according to the performed surgery; 1) transobturator tape (TOT), 2) TOT with POP surgery (anterior colporrhaphy, posterior colporrhaphy and vaginal hysterectomy), 3) tension free vaginal tape (TVT), 4) TVT with POP surgery...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/29780784/risk-factors-and-factors-affecting-the-severity-of-overactive-bladder-symptoms-in-korean-women-who-use-public-health-centers
#3
Jungsoo Chae, Eun-Hee Yoo, Yeonseong Jeong, Seungyeon Pyeon, Donguk Kim
Objective: To investigate the prevalence, risk factors of overactive bladder (OAB) and the factors affecting the severity of OAB symptoms. Methods: A total 822 interviews with women aged 18-80 years who visited public health centers were conducted between April 2014 and April 2015. The questionnaire was composed of 16 questions about urinary symptoms, 14 questions about self-treatment and the use of complementary and alternative medicine, and 21 questions about socio-demographic characteristics...
May 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29780780/postoperative-urinary-symptoms-after-transobturator-tape-in-normal-weight-compared-with-overweight-and-obese-woman
#4
Hyun Jin Lee, Young Bin Won, Yun Jin Park, Mi Kyung Kong, Sang Wook Bai
Objectives: To examine the clinical outcome of obesity in women who underwent the transobturator tape procedure for stress urinary incontinence and to compare postoperative urinary symptoms after transobturator tape surgery between normal-weight women and overweight and obese women. Methods: We performed a retrospective cohort study of the risk of postoperative urinary symptoms, including recurrence after transobturator tape surgery, in normal-weight women compared with overweight and obese women at our institution from January 2009 through October 2011...
May 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29779185/predictive-role-of-measurement-of-pelvic-floor-muscle-thickness-with-static-mri-in-stress-and-mixed-urinary-incontinence
#5
Levent Yaşar, Serpil Ortakuz Telci, Keziban Doğan, Eyüp Kaya, Murat Ekin
INTRODUCTION AND HYPOTHESIS: To investigate the role of measuring the thickness of pelvic floor muscles with static MRI in the physiopathology of urinary incontinence in women with stress and mixed types of urinary incontinence diagnosed with urodynamic studies. METHODS: A retrospective clinical study was designed in collaboration with the radiology department. We recruited only patients who had undergone static pelvic MRI to determine the etiology of pelvic pain and exclude gynecologic disorders...
May 19, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29778086/pelvic-floor-physical-therapy-and-women-s-health-promotion
#6
REVIEW
Samantha Lawson, Ashley Sacks
Pelvic floor dysfunction is defined as abnormal function of the pelvic floor and includes conditions that can have significant adverse impacts on a woman's quality of life, including urinary incontinence (stress, urge, and mixed), fecal incontinence, pelvic organ prolapse, sexual dysfunction, diastasis recti abdominis, pelvic girdle pain, and chronic pain syndromes. Women's health care providers can screen for, identify, and treat pelvic floor dysfunction. This article examines the case of a woman with multiple pelvic-floor-related problems and presents the evidence for the use of pelvic floor physical therapy (PFPT) for pregnancy-related pelvic floor dysfunction...
May 19, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29776405/adjustable-single-incision-mini-slings-ajust%C3%A2-versus-other-slings-in-surgical-management-of-female-stress-urinary-incontinence-a-meta-analysis-of-effectiveness-and-complications
#7
Fuding Bai, Jimin Chen, Zhewei Zhang, Yichun Zheng, Jiaming Wen, Xiawa Mao, Nan Zhang
BACKGROUND: Adjustable single-incision mini-sling (SIMS) is a new category of SIMS for stress urinary incontinence (SUI). The aim of this study was to compare the efficacy and safety of adjustable single-incision mini-sling with other slings. METHODS: Literature search in databases such as Pubmed, and Conchrane Library was performed up to December, 2015. The outcomes including cure rate, operation time, postoperative pain score and complications were reanalyzed...
May 18, 2018: BMC Urology
https://www.readbyqxmd.com/read/29774819/midurethral-slings
#8
Joao P Zambon, Catherine Ann Matthews, Gopal H Badlani
Urinary incontinence (UI) is a common symptom affecting almost one-third of adult women. UI can occur because of hypermobility or intrinsic sphincter deficiency of the urethra. Regardless its etiology, it is associated with poor quality of life and most of the incontinent women develop symptoms such as anxiety, depression, and social isolation over time. The synthetic midurethral sling (MUS) was first introduced in 1995 and quickly became the gold standard treatment for women with stress UI because of intrinsic sphincter deficiency and/or urethral hypermobility...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29769420/stress-urinary-incontinent-women-the-influence-of-age-and-hormonal-status-on-estrogen-receptor-alpha-and-beta-gene-expression-and-protein-immunoexpression-in-paraurethral-tissues
#9
A Adamiak-Godlewska, R Tarkowski, I Winkler, K Romanek-Piva, K Skorupska, A J Jakimiuk, T Rechberger
The underlying cause of stress urinary incontinence (SUI) is an anatomical abnormality associated with paraurethral connective tissue dysfunction. The question as to whether estrogens affect the quality of that tissue remains unexplained. Samples of paraurethral connective tissue from 81 women were examined (the SUI's n = 49; the control's n = 32). In both groups, the patients were subdivided into pre- and postmenopausals. Primary study outcome was comparison of the estrogen receptor alpha (ERα) and the estrogen receptor beta (ERβ) gene and protein in paraurethral tissue between SUI and control group...
February 2018: Journal of Physiology and Pharmacology: An Official Journal of the Polish Physiological Society
https://www.readbyqxmd.com/read/29757572/comparison-of-the-kelly-s-plication-and-tot-simultaneously-with-vaginal-hysterectomy-on-the-incontinence-and-sexual-functions
#10
Neslihan Bayramoglu Tepe, Omer Bayrak, Huseyin Caglayan Ozcan, Mete Gurol Ugur, Ilker Seckiner
PURPOSE: To compare the effect of vaginal hysterectomy-anterior/posterior colporrhaphy with Kelly's plication(VH-KP), versus vaginal hysterectomy-anterior/posterior colporrhaphy-transobturator tape(VH-TOT) surgeries on incontinence, quality of life, and sexual functions in patients with pelvic organ prolapse(POP), and concurrent obvious stress urinary incontinence(SUI). MATERIALS AND METHODS: Between 2013 and 2017, fifty patients treated with VH-KP(n = 25), and VH-TOT(n = 25) due to POP and SUI, were evaluated prospective consecutively...
May 5, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29754393/predicting-stress-urinary-incontinence-during-pregnancy-combination-of-pelvic-floor-ultrasound-parameters-and-clinical-factors
#11
Ling Chen, Dan Luo, Xiajuan Yu, Mei Jin, Wenzhi Cai
INTRODUCTION: The aim of this study was to develop and validate a predictive tool that combining pelvic floor ultrasound parameters and clinical factors for stress urinary incontinence during pregnancy. MATERIAL AND METHODS: A total of 535 women in first or second trimester were included for an interview and transperineal ultrasound assessment from two hospitals. Imaging data sets were analyzed offline to assess for bladder neck vertical position, urethra angles (α, β, and γ angles), hiatal area and bladder neck funneling...
May 12, 2018: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29753954/non-absorbable-and-partially-absorbable-mesh-during-pelvic-organ-prolapse-repair-a-comparison-of-clinical-outcomes
#12
Moon Kyoung Cho, Jong Ho Moon, Chul Hong Kim
INTRODUCTION: The aim of this study was to compare the clinical outcomes of non-absorbable and partially-absorbable mesh intervention in pelvic organ prolapse. METHODS: This was a retrospective cohort study of patients who underwent transvaginal mesh operation for anterior and apical vaginal prolapse at a single tertiary center from January 2007 to December 2013. RESULTS: The group treated with partially-absorbable mesh showed better objective surgical outcomes than those treated with non-absorbable mesh in 1- and 2-year follow-ups...
May 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29753829/the-role-of-pelvic-floor-muscle-training-in-the-conservative-and-surgical-management-of-female-stress-urinary-incontinence-does-the-strength-of-the-pelvic-floor-muscles-matter
#13
REVIEW
Anna Maria Lasak, Marjorie Jean-Michel, Phuong Uyen Le, Roshni Durgam, Jessica Harroche
The purpose of this review is to provide an in-depth overview of the role of pelvic floor muscle training (PFMT) in the management of stress urinary incontinence (SUI). The definition, epidemiology, and pathogenesis of SUI are described. We review the anatomy of the pelvic floor muscles (PFM) and the importance of pelvic floor muscle strength in maintaining urinary continence and establishing normal voiding function. A brief description of the surgical options currently available for SUI and the existing data regarding the role of perioperative PFMT for SUI are included...
May 10, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29745041/cluster-analysis-of-multiple-chronic-conditions-associated-with-urinary-incontinence-among-women-in-the-usa
#14
Alayne D Markland, Camille P Vaughan, Ike S Okosun, Patricia S Goode, Kathryn L Burgio, Theodore M Johnson
OBJECTIVE: To identify patterns of prevalent chronic medical conditions among women with urinary incontinence (UI). MATERIALS AND METHODS: We combined cross-sectional data from the 2005-2006 to 2011-2012 US National Health and Nutrition Examination Surveys, and identified 3 800 women with UI and data on 12 chronic conditions. Types of UI included stress UI (SUI), urgency UI (UUI), and mixed stress and urgency UI (MUI). We categorized UI as mild, moderate or severe using validated measures...
May 9, 2018: BJU International
https://www.readbyqxmd.com/read/29737448/measuring-quality-of-life-in-patients-with-stress-urinary-incontinence-is-the-iciq-ui-sf-adequate
#15
Zuzanna Kurzawa, Jason M Sutherland, Trafford Crump, Guiping Liu
PURPOSE: The International Consultation on Incontinence Questionnaire Short Form (ICIQ-UI-SF) is a widely used four-item patient-reported outcome (PRO) measure. Evaluations of this instrument are limited, restraining user's confidence in the instrument. This study conducts a comprehensive evaluation of the ICIQ-UI-SF on a sample of urological surgery patients in Canada. METHODS: One hundred and seventy-seven surgical patients with stress urinary incontinence completed the ICIQ-UI-SF pre-operatively...
May 8, 2018: Quality of Life Research
https://www.readbyqxmd.com/read/29734200/effect-of-morbid-obesity-on-midurethral-sling-efficacy-for-the-management-of-stress-urinary-incontinence
#16
Solafa Elshatanoufy, Alexandra Matthews, Mairy Yousif, Marcus Jamil, Sravanthi Gutta, Harmanjit Gill, Shelley L Galvin, Ali M Luck
OBJECTIVES: The aim of our study was to assess midurethral sling (MUS) failure rate in the morbidly obese (body mass index [BMI] ≥40 kg/m) population as compared with normal-weight individuals. Our secondary objective was to assess the difference in complication rates. METHODS: This is a retrospective cohort study. We included all patients who underwent a synthetic MUS procedure from January 1, 2008, to December 31, 2015, in our health system. Failure was defined as reported stress urinary incontinence symptoms or treatment for stress urinary incontinence...
May 4, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29733699/ankle-positions-potentially-facilitating-greater-maximal-contraction-of-pelvic-floor-muscles-a-systematic-review-and-meta-analysis
#17
Priya Kannan, Stanley Winser, Ravindra Goonetilleke, Gladys Cheing
OBJECTIVES: To evaluate the effect of ankle positions on pelvic floor muscles in women. METHODS: Multiple databases were searched from inception-July 2017. Study quality was rated using the grading of recommendations, assessment, development, and evaluation system and the "threats to validity tool". RESULTS: Four studies were eligible for inclusion. Meta-analysis revealed significantly greater resting activity of pelvic floor muscles in neutral ankle position (-1...
May 7, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29732212/diagnostic-agreement-of-the-3-incontinence-questionnaire-to-video-urodynamics-findings-in-women-with-urinary-incontinence-department-of-urology-frimley-health-nhs-foundation-trust-wexham-park-hospital-slough-berkshire-united-kingdom
#18
Muhammad Jamal Khan, Mohammad Ali Omar, Marc Laniado
Introduction: There are limited studies evaluating the 3 Incontinence Questionnaire (3IQ) against urodynamics based diagnosis as a reference standard. The 3IQ has been proposed to be useful to evaluate women at the level of primary care. The aim of this study was to determine correlation between 3IQ and video-urodynamics (VUDS) in diagnosing types of urinary incontinence. Material and methods: Prospective data was collected on 200 consecutive female patients referred by primary care physicians for urinary incontinence...
2018: Central European Journal of Urology
https://www.readbyqxmd.com/read/29731932/-bladder-effect-an-urodynamic-parameter-to-distinguish-subtypes-of-urinary-incontinence-in-women
#19
Sasho Stojchevski, Viktorija Jovanovska, Igor Aluloski, Mile Tanturoski, Aleksandar Sikole
BACKGROUND: Urinary incontinence (UI) is defined by the International Continence Society (ICS) as the involuntary loss of urine that represents a hygienic or social problem to the individual. The aetiology is multifactorial. The diagnosis of UI is important because it can result in the application of appropriate therapy. Urodynamics is a golden standard, without which every UI diagnosis is insufficient. AIM: The goal of this study was, based on urodynamic results, to prove the existence of evident differences between the subtypes of UI...
April 15, 2018: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/29730202/mental-health-sleep-and-physical-function-in-treatment-seeking-women-with-urinary-incontinence
#20
Nazema Y Siddiqui, Jonathan B Wiseman, David Cella, Catherine S Bradley, H Henry Lai, Margaret E Helmuth, Abigail R Smith, James W Griffith, Cindy L Amundsen, Kimberly S Kenton, J Quentin Clemens, Karl J Kreder, Robert M Merion, Ziya Kirkali, John W Kusek, Anne P Cameron
PURPOSE: To examine how mental health measures, sleep, and physical function are associated with presence and type of urinary incontinence (UI) and severity in women seeking treatment for lower urinary tract symptoms (LUTS). METHODS: This is a baseline cross-sectional analysis in treatment-seeking women with LUTS. All participants completed the LUTS Tool, which was used to classify women based on UI symptoms and measure severity. Patient-Reported Outcomes Measurement Information System (PROMIS) questionnaires for depression, anxiety, sleep disturbance, and physical function; the Perceived Stress Scale (PSS); and the International Physical Activity Questionnaire Short Form (IPAQ-SF) were administered...
May 3, 2018: Journal of Urology
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