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Stress incontinence

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https://www.readbyqxmd.com/read/29332254/comparison-of-adjustable-continence-therapy-periurethral-balloons-and-artificial-urinary-sphincter-in-female-patients-with-stress-urinary-incontinence-due-to-intrinsic-sphincter-deficiency
#1
Lucas Freton, Lauranne Tondut, Isabelle Enderle, Juliette Hascoet, Andrea Manunta, Benoit Peyronnet
INTRODUCTION AND HYPOTHESIS: The objective was to compare the outcomes of the ACT® device with those of the artificial urinary sphincter (AUS) AMS 800 in the treatment of stress urinary incontinence (SUI) due to sphincter deficiency in women. METHODS: All the women who underwent surgical treatment for SUI due to intrinsic sphincter deficiency from 2007 to 2017 were included in a single-center retrospective study. The primary endpoint was the functional outcome...
January 13, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29331033/the-efficacy-and-safety-comparison-of-surgical-treatments-for-stress-urinary-incontinence-a-network-meta-analysis
#2
REVIEW
Pan Song, Yibo Wen, Chuiguo Huang, Wancong Wang, Naijun Yuan, Yinliang Lu, Qingwei Wang, Tao Zhang, Jianguo Wen
AIMS: Stress urinary incontinence (SUI) is a common problem worldwide. Mainstream surgical procedures include tension-free vaginal tape (TVT), transobturator tape (TOT), tension-free vaginal tape-obturator (TVT-O), tension-free vaginal tape SECUR (TVT-S), and adjustable single-incision sling (Ajust). The aim of this study was to compare the efficacy and safety of these surgical procedures and assess which surgery is most optimal for SUI by adopting a network meta-analysis (NMA). METHODS: Electronic databases including PubMed, Cochrance Library, and Embase database were researched systematically, until March 21, 2017...
January 13, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29330267/case-of-acute-severe-postpartum-urinary-incontinence-an-extravesical-subsphincteric-prolapsed-ureterocoele
#3
Jai H Seth, Roger Walker
A 32-year-old woman presents to outpatients 10 days postpartum, with symptoms of an intermittent vaginal lump and urinary incontinence. Vaginal examination revealed no demonstrable prolapse or stress incontinence. A swelling in the bladder was noted during an antenatal scan suggesting a ureterocoele. She was referred for pelvic floor physiotherapy in the first instance. Forty-eight hours later, she represented to casualty with discomforting vaginal lump symptoms and continuous urinary incontinence. At this stage on vaginal inspection, there was an evident dusky lump emerging from the urethra with continuous incontinence...
January 12, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29327120/readmission-and-reoperation-after-midurethral-sling
#4
Erik D Hokenstad, Amy E Glasgow, Elizabeth B Habermann, John A Occhino
INTRODUCTION AND HYPOTHESIS: We aimed to determine the rate of readmission and reoperation for patients undergoing midurethral sling (MUS) placement for stress urinary incontinence (SUI). METHODS: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was queried to identify all isolated MUS placed from 2012 through 2015 using the Current Procedural Terminology 4 (CPT-4) code for MUS with or without cystoscopy (57,288 ± 52,000)...
January 11, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29324615/associations-between-childbirth-and-urinary-incontinence-after-midurethral-sling-surgery
#5
Ida Bergman, Marie Westergren Söderberg, Andrea Lundqvist, Marion Ek
OBJECTIVE: To assess whether subsequent childbirths affect the outcomes of midurethral sling surgery with regard to stress urinary incontinence (SUI). METHODS: In this population-based cohort study, we used the validated Swedish nationwide health care registers (the Patient Register and the Medical Birth Register) to identify women with a delivery after midurethral sling surgery (n=207, study group). From the same registers we then randomly identified a control group who had no deliveries after their midurethral sling procedure (n=521, control group)...
January 9, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29322214/protective-role-of-nrf2-against-mechanical-stretch-induced-apoptosis-in-mouse-fibroblasts-a-potential-therapeutic-target-of-mechanical-trauma-induced-stress-urinary-incontinence
#6
Qiannan Li, Bingshu Li, Cheng Liu, Linlin Wang, Jianming Tang, Li Hong
INTRODUCTION AND HYPOTHESIS: We investigated the protective effect and underlying molecular mechanism of nuclear factor-E2-related factor 2 (Nrf2) against mechanical-stretch-induced apoptosis in mouse fibroblasts. METHODS: Normal cells, Nrf2 silencing cells, and Nrf2 overexpressing cells were respectively divided into two groups-nonintervention and cyclic mechanical strain (CMS)-subjected to CMS of 5333 μ (1.0 Hz for 4 h), six groups in total (control, CMS, shNfe212, shNfe212 + CMS, LV-shNfe212, and LV-shNfe212 + CMS)...
January 10, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29320304/complications-of-sling-surgery-for-stress-urinary-incontinence-among-female-military-beneficiaries
#7
David L Howard, Andrea McGlynn, Joy A Greer
BACKGROUND: Prior studies of complications after sling surgery excluded the large number of women in military treatment facilities (MTFs). OBJECTIVE: To characterize the postoperative complication rates after sling surgery for Stress urinary incontinence (SUI) within MTFs in the United States. MATERIALS AND METHODS: Retrospective cohort study of women aged 18 and older, with SUI, and who underwent either an outpatient or inpatient mid-urethral sling placement for SUI in any MTF in the United States between January 1, 2011 and December 31, 2012...
January 10, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29319927/which-outcome-measures-should-be-used-in-stress-urinary-incontinence-trials
#8
Renly Lim, Men Long Liong, Wing Seng Leong, Kah Hay Yuen
OBJECTIVE: To review measures used in recent randomized controlled trials evaluating stress urinary incontinence (SUI) treatments and to propose the most relevant outcome measure which should be included in future trials. MATERIALS AND METHODS: We identified randomized controlled trials for SUI interventions published between January 2015 and July 2017. We listed the objective and subjective outcome measures used in eligible trials in literature search. Using data from our randomized controlled trial conducted from 2013-2016 evaluating pulsed magnetic stimulation for SUI, we analysed the correlation between all measures...
January 10, 2018: BJU International
https://www.readbyqxmd.com/read/29316599/polypropylene-mesh-sling-for-stress-urinary-incontinence-does-memory-shaping-of-the-polypropylene-mesh-matter
#9
Andrew Doering, Ali Azadi, David Doering, Donald R Ostergard
We report a case of a mid-urethral sling (Advantage Fit™, Boston Scientific Corporation, Marlborough, Massachusetts) freshly removed from its original package. Upon removal from the packaging, the sling was noted to have a deformation in positioning at the midpoint, with curvature opposite the natural curve of the sling in the body. The images show the comparison to a sling with the desired positioning. Mid-urethral slings are commonly made from polypropylene mesh which has memory properties. It is important that manufacturers ensure that any steps in the processing or packaging of slings do not result in changes in the shape of the sling that may have unknown impacts on its clinical outcome...
December 22, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/29315998/effectiveness-and-quality-of-life-10%C3%A2-years-after-transobturator-suburethral-tape-surgery-for-stress-urinary-incontinence
#10
Paula Celada, Patricia Cañete, Ester Ortiz Murillo, Juan J Tarín, Antonio Cano
AIM: We aimed to measure the effectiveness and quality of life (QoL) 10 years after transobturator suburethral tape surgery. METHODS: We carried out a prospective observational study of 42 women assessed 10 years after surgical intervention with the transobturator technique. The main outcome measures were subjective and objective cure or improvement, complications, and changes in QoL. RESULTS: The median abdominal leak point pressure had been 92 (82-113) mL H2 O prior to surgery...
January 5, 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29315765/treatment-of-male-stress-urinary-incontinence-with-the-adjustable-transobturator-male-system-outcomes-of-a-multi-center-iberian-study
#11
Javier C Angulo, Francisco Cruz, Cristina Esquinas, Ignacio Arance, Margarida Manso, Andrés Rodríguez, Javier Pereira, Antonio Ojea, Manuel Carballo, Miguel Rabassa, Antoine Teyrouz, Gregorio Escribano, Elena Rodríguez, Fernando Teba, Guillermo Celada, Blanca Madurga, Jose L Álvarez-Ossorio, Jõao P Marcelino, Francisco E Martins
AIM: To evaluate effectiveness and safety of the adjustable transobturator male system (ATOMS) for male stress urinary incontinence (SUI). MATERIAL AND METHODS: A retrospective multicenter study was conducted in nine Iberian institutions using a board-approved database for 215 patients intervened between 2012 and 2017, with no case excluded. Continence status, patient satisfaction, number, and grade of complications (Clavien-Dindo) and factors affecting dry rate at adjustment were evaluated...
January 9, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29313087/leaking-in-silence-women-with-stress-urinary-incontinence-who-do-not-have-access-to-or-refuse-surgery
#12
EDITORIAL
Renly Lim, Men Long Liong, Kah Hay Yuen
No abstract text is available yet for this article.
January 8, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29310198/re-effect-of-electroacupuncture-on-urinary-leakage-among-women-with-stress-urinary-incontinence-a-randomized-clinical-trial
#13
David F Penson
No abstract text is available yet for this article.
January 2018: Journal of Urology
https://www.readbyqxmd.com/read/29310197/re-effect-of-electroacupuncture-on-urinary-leakage-among-women-with-stress-urinary-incontinence-a-randomized-clinical-trial
#14
Alan J Wein
No abstract text is available yet for this article.
January 2018: Journal of Urology
https://www.readbyqxmd.com/read/29300292/comparison-of-3-different-teaching-methods-for-a-behavioral-therapy-program-for-female-overactive-bladder-a-randomized-controlled-trial
#15
Elif Gezginci, Emine Iyigun, Sercan Yilmaz
PURPOSE: The purpose of this study was to compare the effect of 3 instructional methods for behavioral therapy on lower urinary tract symptom (LUTS) severity and health-related quality of life (HRQOL) in women with overactive bladder. DESIGN: Single-center, parallel-group, randomized, clinical trial. SUBJECTS AND SETTING: The sample comprised 60 women diagnosed with overactive bladder. The study setting was a university-based female urology clinic in Ankara, Turkey; data were collected from November 2012 to May 2013...
January 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29299661/three-and-twelve-month-follow-up-outcomes-of-tvt-exact-and-tvt-abbrevo-for-treatment-of-female-stress-urinary-incontinence-a-randomized-clinical-trial
#16
ShiJian Feng, DeYi Luo, QinYu Liu, TongXin Yang, Caigan Du, Hong Li, KunJie Wang, Hong Shen
OBJECTIVE: To compare the efficacy, safety, postoperative complications and discomforts between TVT-EXACT (TVT-E) and TVT-ABBREVO (TVT-A) for treatment of female stress urinary incontinence. METHODS: Recruited patients were randomized into either TVT-E or TVT-A group using SPSS software. Follow-up measures were performed at day 1 before surgery and both 3 and 12 months after the surgery. The measurement outcomes were the scores of involved six questionnaires on quality of life, symptom severity and patient satisfaction...
January 3, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29298467/impact-of-preoperative-patient-characteristics-and-flow-rate-on-failure-early-complications-and-voiding-dysfunction-after-a-transobturator-tape-procedure-a-multicentre-study
#17
Andrea Cocci, Giovanni E Cacciamani, Giorgio Ivan Russo, Maria Angela Cerruto, Martina Milanesi, Luis G Medina, Sebastiano Cimino, Walter Artibani, Giuseppe Morgia, Marco Carini, Vincenzo Li Marzi
PURPOSE: To evaluate the impact of preoperative patient characteristics and flow rate on failure, early postoperative complications, and voiding in patients who underwent transvaginal tension-free vaginal tape-obturator (TVT-O) treatment for uncomplicated stress urinary incontinence (SUI). METHODS: We retrospectively reviewed patients who underwent TVT-O for SUI at 3 Italian centres. The exclusion criteria were predominant voiding and storage symptoms suggestive of detrusor overactivity, the presence of grade >1 urogenital prolapse, previous pelvic radiotherapy or other clinical contraindications for surgical procedures, neurogenic bladder dysfunction, and collagen diseases...
December 2017: International Neurourology Journal
https://www.readbyqxmd.com/read/29298196/a-resource-guide-to-improve-nursing-care-and-transition-to-self-care-for-patients-with-ostomies
#18
Linda Berti-Hearn, Brenda Elliott
Clinical management of patients with an ostomy can be complex and stressful. With only 10% of Wound Ostomy Incontinence Nurses working in home health, home healthcare nurses need to be knowledgeable about care of patients with new ostomies. This article provides an overview of the resources available to guide nurses caring for ostomy patients. In addition, resources nurses can share with patients as they transition into the community are provided.
January 2018: Home Healthcare Now
https://www.readbyqxmd.com/read/29289535/female-sexual-function-following-surgical-treatment-of-stress-urinary-incontinence-systematic-review-and-meta-analysis
#19
REVIEW
Maria Cláudia Bicudo-Fürst, Pedro Henrique Borba Leite, Felipe Placco Araújo Glina, Willy Baccaglini, Rafael Vilhena de Carvalho Fürst, Carlos Alberto Bezerra, Sidney Glina
INTRODUCTION: The impact of surgery for stress urinary incontinence (SUI) on female sexual function has received attention in the medical literature, but not in a structured manner. AIM: To assess the most recent evidence on the impact of surgical management for female SUI on female sexual function. METHODS: The review and meta-analysis of available articles published in Medline, Cochrane, LILACS, SCOPUS, Web of Science, CINHAL, and EMBASE included prospective randomized and non-randomized studies that assessed patients who underwent surgical treatment for UI through 2 validated questionnaires: the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ-12) and the Female Sexual Function Index (FSFI)...
December 27, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/29289471/-laparoscopic-sacrocolpopexy-for-exteriorized-pelvic-organ-prolapse-mid-term-functional-results
#20
B André, O Jourdain, P Guerby, F Vidal, F Léonard
OBJECTIVES: To assess feasibility and postoperative outcomes associated with laparoscopic sacrocolpopexy in patients presenting with exteriorized pelvic organ prolapse (stage>3). METHODS: Prospective study involving patients undergoing laparoscopic sacrocolpopexy for advanced stage pelvic organ prolapse. Symptoms and quality of life were evaluated at baseline and at 1, 4 and 18 months after surgery using validated questionnaires (PFDI-20 and PFIQ-7). RESULTS: Sixty-three patients were included between September 2012 and January 2014...
December 27, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
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