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Stress incontinence

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https://www.readbyqxmd.com/read/28919825/abdominal-sacrocolpopexy-with-pelvicol-xenograft-and-concomitant-burch-colposuspension
#1
Sameh Hijazi, Dieter Echtle, Omar M Aboumarzouk, Elmar Heinrich
PURPOSE: To evaluate the efficacy of Pelvicol xenograft use during abdominal sacrocolpopexy to repair pelvic organ prolapse (POP). PATIENTS AND METHODS: A total of 27 consecutive women with symptomatic POP were included in this study. A POP-quantification system and International Continence Society classification were used. Functional and anatomical outcomes were assessed. Subjective outcomes and physical activity after surgery were evaluated due to modified quality of life questionnaire...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/28913777/diabetes-and-the-small-intestine
#2
REVIEW
Jonathan Gotfried, Stephen Priest, Ron Schey
Diabetes mellitus (DM) and its associated complications are becoming increasingly prevalent. Gastrointestinal symptoms associated with diabetes is known as diabetic enteropathy (DE) and may manifest as either diarrhea, fecal incontinence, constipation, dyspepsia, nausea, and vomiting or a combination of symptoms. The long-held belief that vagal autonomic neuropathy is the primary cause of DE has recently been challenged by newer theories of disease development. Specifically, hyperglycemia and the resulting oxidative stress on neural networks, including the nitrergic neurons and interstitial cells of Cajal (ICC), are now believed to play a central role in the development of DE...
September 15, 2017: Current Treatment Options in Gastroenterology
https://www.readbyqxmd.com/read/28913117/evaluation-of-the-efficacy-of-transobturator-tape-surgery-in-the-treatment-of-stress-urinary-incontinence-using-urodynamics-and-questionnaires
#3
Cihan Aygül, Ramazan Özyurt, Bulat Aytek Şık, Serkan Kumbasar
OBJECTIVE: To measure the efficiency of transobturator tape (TOT) surgery using urodynamics and questionnaires in stress urinary incontinence. MATERIALS AND METHODS: Ninety-two patients with stress and mixed urinary incontinency who underwent TOT surgery were selected for the study. We retrospectively examined the patients' urodynamics, ultrasonography, demographic characteristics, incontinency surveys, life quality scores [incontinence impact questionnaire, (IQ-7) and urinary distress inventory (UDI-6)], diagnostic findings, Q-type test, surgical records, and complications...
December 2016: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28904900/advance-male-sling
#4
REVIEW
Amanda S J Chung, Oscar A Suarez, Kurt A McCammon
The AdVance sling (American Medical Systems, Minnetonka, MN, United States of America) is a synthetic transobturator sling, which is a safe and effective minimally invasive treatment for mild to moderate stress urinary incontinence (SUI) in male patients. This article provides a step-by-step description of our technique for placement of the AdVance male sling, including details and nuances gained from surgical experience, advice for avoidance of complications and discussion on management of complications and sling failures...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28904899/virtue-quadratic-male-sling-for-stress-incontinence-surgical-guide-for-placement-and-delayed-revision
#5
REVIEW
Rachel S Rubin, Keith R Xavier, Eugene Rhee
The algorithm for surgical management of post prostatectomy incontinence classically includes male slings and artificial urinary sphincter (AUS) placement. The Virtue Quadratic Male Sling was designed to provide both urethral elevation and prepubic compression making it a viable option for a wider spectrum of incontinent men whose symptoms range from mild to severe. With a focus on two key steps of the surgery, (I) sling fixation (II) use of intraoperative retrograde leak point pressure (RLPP), this guide is intended to outline a safe and efficacious treatment for post-prostatectomy incontinence...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28900856/incidence-and-management-of-de-novo-lower-urinary-tract-symptoms-after-pelvic-organ-prolapse-repair
#6
REVIEW
Henry Tran, Doreen E Chung
PURPOSE OF REVIEW: Pelvic organ prolapse (POP) is a significant problem with many options for surgical correction. Following prolapse surgery, de novo lower urinary tract symptoms (LUTS) are not uncommon. We review the current literature on de novo lower urinary tract symptoms following POP repair and discuss the role of urodynamics in the evaluation of the prolapse patient. RECENT FINDINGS: Patients with occult stress urinary incontinence (SUI) appear to be at higher risk of developing de novo SUI after POP repair...
September 12, 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28892597/adult-male-stress-and-urge-urinary-incontinence-a-review-of-pathophysiology-and-treatment-strategies-for-voiding-dysfunction-in-men
#7
Eric Chung, Darren J Katz, Christopher Love
BACKGROUND: Male urinary incontinence adversely affects health-related quality of life and is associated with significant psychosexual and financial burden. The two most common forms of male incontinence are stress urinary incontinence (SUI) and overactive bladder (OAB) with concomitant urge urinary incontinence (UUI). OBJECTIVE: The objectives of this article are to briefly review the current understandings of the pathophysiological mechanisms in SUI and OAB/UUI, and offer a set of practical, action-based recommendations and treatment strategies...
September 2017: Australian Family Physician
https://www.readbyqxmd.com/read/28888751/female-outlet-obstruction-after-anti-incontinence-surgery
#8
REVIEW
Henry Tran, Matthew Rutman
Numerous surgical options are available for management of stress urinary incontinence in women, including urethral bulking agents, pubo-vaginal slings, retropubic bladder neck suspensions, mid-urethral slings, and even artificial urinary sphincters. We discuss the incidence, etiology, diagnosis, evaluation, and management of bladder outlet obstruction (BOO) after anti-incontinence surgery in females. This problem presents with a wide range of symptoms. Urodynamic evaluation is not always diagnostic, but can be helpful...
September 6, 2017: Urology
https://www.readbyqxmd.com/read/28884367/pelvic-floor-muscle-activity-during-impact-activities-in-continent-and-incontinent-women-a-systematic-review
#9
REVIEW
Helene Moser, Monika Leitner, Jean-Pierre Baeyens, Lorenz Radlinger
INTRODUCTION AND HYPOTHESIS: Investigating the activity of the pelvic floor muscles (PFMs) in women during impact activities such as jumping, running or coughing may elucidate different aspects of PFM activation and therefore clarify the pathophysiology of stress urinary incontinence (SUI). A systematic review (PROSPERO 2016:CRD42016035624) was conducted to summarize current evidence on PFM activity during impact activities in both continent and incontinent women. METHODS: PubMed, EMBASE, Cochrane, and SPORTDiscus databases were systematically searched for studies published up to December 2016...
September 7, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28877362/trends-in-urodynamic-testing-prior-to-midurethral-sling-placement-what-was-the-value-of-the-value-trial
#10
Jessica C Lloyd, Elodi Dielubanza, Howard B Goldman
BACKGROUND: Many urologists use urodynamic testing (UDS) to assist clinical decision-making. The VALUE study, a multi-institutional, randomized controlled trial published in 2012, demonstrated that UDS prior to midurethral sling placement for uncomplicated stress urinary incontinence (SUI) did not change management. We sought to determine whether use of UDS for evaluation of SUI diminished thereafter. METHODS: Records of patients who underwent isolated mid-urethral sling surgery at our tertiary-care referral center from 2008 to 2009 (pre-VALUE) and 2014 to 2016 (post-VALUE) were reviewed...
September 6, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28875234/in-obesity-even-young-women-suffer-from-urogynecological-symptoms
#11
Janina Brucker, Ina Wagner, Gottfried Rudofsky, Geraldine Rauch, Christof Sohn, Kerstin A Brocker
PURPOSE: To evaluate the occurrence of urogynecological symptoms in obese women treated in a university outpatient clinic for obesity, setting a focus on younger women. METHODS: In this explorative, prospective, cross-sectional, single-center, multidisciplinary clinical trial, all consecutively recruited women received the Prolapse Quality of Life questionnaire (P-QOL) for data acquisition. The total study population (TSP) and a subgroup (SG) aged 18-49 years were evaluated descriptively regarding symptom demonstration...
September 5, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28871426/assessment-of-overactive-bladder-symptoms-among-women-with-successful-pessary-placement
#12
Dimitrios Zacharakis, Themos Grigoriadis, Eleni Pitsouni, Kostas Kypriotis, Nikistratos Vogiatzis, Stavros Athanasiou
INTRODUCTION AND HYPOTHESIS: The causal association between pelvic organ prolapse (POP) and overactive bladder (OAB) symptoms is supported by several theories. The aim of this study is to assess any changes in OAB symptoms among women with POP and OAB after successful pessary placement. METHODS: During the study period, all women with symptomatic POP stage II or greater and OAB symptoms were offered the solution of either a ring or a Gellhorn pessary. All patients were asked to complete a 3-day micturition/incontinence diary...
September 4, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28865142/learning-curve-for-the-single-incision-suburethral-sling-procedure-for-female-stress-urinary-incontinence
#13
Federico Spelzini, Matteo Frigerio, Cristina Regini, Stefania Palmieri, Stefano Manodoro, Rodolfo Milani
OBJECTIVE: To evaluate the learning curve for the single-incision sling (SIS) procedure in a single-surgeon case series. METHODS: Data were retrospectively analyzed from women with non-recurrent symptomatic stress urinary incontinence confirmed by urodynamics and treated at San Gerardo Hospital, Monza, Italy, between October 2008 and November 2015. All women underwent the SIS procedure using a MiniArc sling fitted by the same urogynecologic surgeon. Blood loss, operative time, and complications were recorded...
September 2, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28856405/surgical-management-of-pelvic-organ-prolapse-and-stress-urinary-incontinence-where-are-we-now
#14
EDITORIAL
Isra Ali, Steven Swift, G Alessandro Digesu
No abstract text is available yet for this article.
August 30, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28852790/informed-consent-checklists-for-midurethral-slings-a-common-sense-approach
#15
G Alessandro Digesu, Steven Swift, Victoria Handley
INTRODUCTION AND HYPOTHESIS: Following the US Food and Drug Administration's (FDA's) warning about the use of transvaginal mesh to treat pelvic organ prolapse (POP) and the use of single-incision slings to treat incontinence, the number of lawsuits for medical negligence regarding the use of any polypropylene mesh in the vagina has increased tremendously. METHODS: This same FDA document did not question the use of polypropylene midurethral slings and polypropylene for sacrocolpopexies...
August 29, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28847028/pelvic-floor-3d-ultrasound-of-women-with-a-tvt-tvt-o-or-tvt-s-for-stress-urinary-incontinence-at-the-three-year-follow-up
#16
Claudinei A Rodrigues, Ana Maria H M Bianchi-Ferraro, Eliana Viana Monteiro Zucchi, Marair G F Sartori, Manoel J B C Girão, Zsuzsanna I K Jarmy-Di Bella
Objective Using three-dimensional ultrasound (3D-US), we aimed to compare the tape position and the angle formed by the sling arms in different techniques of mid-urethral sling insertion for the surgical treatment of stress urinary incontinence, three years after surgery. In addition, we examined the correlations between the US findings and the clinical late postoperative results. Methods A prospective cross-sectional cohort study of 170 patients who underwent a sling procedure between May 2009 and December 2011 was performed...
September 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28843237/concomitant-transurethral-and-transvaginal-periurethral-injection-of-autologous-adipose-derived-stem-cells-for-treatment-of-female-stress-urinary-incontinence-a-phase-one-clinical-trial
#17
Babak Arjmand, Majid Safavi, Reza Heidari, Hamidreza Aghayan, Soroush T Bazargani, Sanaz Dehghani, Parisa Goodarzi, Fereshteh Mohammadi-Jahani, Fariba Heidari, Moloud Payab, Gholamreza Pourmand
Stress urinary incontinence is a common medical problem among women. The urethral closure complex and/or the supportive mechanisms are responsible for incontinence in the majority of patients. Several surgical procedures with different degrees of invasiveness and outcomes have been reported to treat the problem. Although most of these procedures are reasonably effective, a general trend towards the study of natural and biocompatible tissues is emerging over popular synthetic materials. Here we report our experience of autologous adipose-derived stem cells transplantation into the periurethral region as a new method of stress urinary incontinence treatment...
June 2017: Acta Medica Iranica
https://www.readbyqxmd.com/read/28834564/the-predictive-value-of-demonstrable-stress-incontinence-during-basic-office-evaluation-and-urodynamics-in-women-without-symptomatic-urinary-incontinence-undergoing-vaginal-prolapse-surgery
#18
J Marinus van der Ploeg, Sandra E Zwolsman, Selina Posthuma, Hylco S Wiarda, C Huub van der Vaart, Jan-Paul W R Roovers
AIMS: Women with pelvic organ prolapse without symptoms of urinary incontinence (UI) might demonstrate stress urinary incontinence (SUI) with or without prolapse reduction. We aimed to determine the value of demonstrable SUI during basic office evaluation or urodynamics in predicting SUI after vaginal prolapse repair in these women. METHODS: Women included in the CUPIDO trials without bothersome UI or UI more than once a week were eligible if they had undergone prolapse repair without incontinence surgery...
August 23, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28827036/urinary-incontinence-and-associated-female-sexual-dysfunction
#19
REVIEW
Erin R Duralde, Tami S Rowen
INTRODUCTION: Urinary incontinence (UI) and sexual dysfunction are common conditions often undiagnosed and untreated in women and are associated with decreased quality of life. AIM: To evaluate the relation between UI and female sexual dysfunction (FSD), considering incontinence type and the psychosocial and physiologic aspects of sexual function. METHODS: PubMed search of terms related to UI and FSD from 1979 to 2016 generated 603 published references, of which 26 were included...
August 18, 2017: Sexual Medicine Reviews
https://www.readbyqxmd.com/read/28826955/five-year-outcome-of-miniarc-single-incision-sling-used-in-treatment-of-primary-urodynamic-stress-incontinence
#20
Tsia-Shu Lo, Sandy Chua, Chuan Chi Kao, Ma Clarissa Uy-Patrimonio, Rami Ibrahim, Yiap Loong Tan
STUDY OBJECTIVE: To evaluate the effectiveness and safety of the MiniArc single-incision sling in the treatment of urodynamic stress incontinence through 5-years. DESIGN: Retrospective observational study (Canadian Task Force Classification II-2) SETTING: Tertiary referral center PATIENTS: Patients with urodynamic stress incontinence (USI) without needing concurrent procedures who underwent anti-incontinence surgery using the MiniArc SIMS from February 2010-December 2011...
August 18, 2017: Journal of Minimally Invasive Gynecology
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