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urinary incontinence guidelines

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https://www.readbyqxmd.com/read/27885458/-enuresis-and-pediatric-urinary-incontinence-diagnostics-and-therapy
#1
D Schultz-Lampel, M Goepel, A Reitz, P Braun
Differentiated non-invasive diagnostic procedures allow a discrimination between nocturnal enuresis and behavior-linked urinary incontinence in children with daytime symptoms, which are different entities of a pathological pediatric micturition syndrome. The article describes the diagnostic procedure as well as the therapeutic approach to all forms of micturition disorders in childhood. All behavioral, medical and biofeedback therapeutic methods according to the recently published S2k guidelines from the Association of the Scientific Medical Societies in Germany (AWMF) on enuresis and non-organic (functional) incontinence in children and adolescents are mentioned and discussed...
November 24, 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27881287/obesity-with-comorbid-stress-urinary-incontinence-in-women-a-narrative-review-to-inform-dietetics-practice
#2
Barbara Gordon, Barbara Shorter, Kathy Keenan Isoldi, Robert M Moldwin
Stress urinary incontinence (SUI) is a common problem among women; clinical treatment guidelines include weight reduction as a strategy for controlling urinary leakage. The purpose of this review was to gather evidence on the association between obesity and SUI and to ascertain whether there are any special considerations for implementing medical nutrition therapy with community-dwelling, obese, adult females with comorbid SUI. Five key findings emerged: epidemiologic studies consistently report statistically significant associations between obesity and SUI, randomized control trials found that weight loss appears to ameliorate SUI symptoms, the SUI-activity link may affect weight management, there is a potential interplay between SUI and the obesity-sleep connection, and dietary components are associated with the exacerbation of urinary symptoms...
November 20, 2016: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/27825972/prospective-assessment-of-learning-curve-of-holmium-laser-enucleation-of-the-prostate-holep-for-treatment-of-benign-prostate-hyperplasia-bph-using-multidimensional-approach
#3
Ahmed M Elshal, Hossam Nabeeh, Yasser Eldemerdash, Ramy Mekkawy, Mahmoud Laymon, Ahmed El-Assmy, Ahmed R El-Nahas
INTRODUCTION: Despite being endorsed in most of the guidelines, yet wide adoption of Holmium laser enucleation of the prostate (HoLEP) is hindered by learning difficulties. Herein, we prospectively assess its learning curve using multidimensional approach. PATIENTS AND METHODS: Prospective reporting of all perioperative safety and efficacy outcome measures as well as need for reoperation and continence status was performed. Case difficulty (CD) and learning curve characterization (LCC) variables were considered looking for predictors of different outcome measures...
November 4, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27808489/the-role-of-detrusor-overactivity-in-urinary-incontinence-after-radical-prostatectomy-a-systematic-review
#4
Antonio L Pastore, Giovanni Palleschi, Ester Illiano, Alessandro Zucchi, Antonio Carbone, Elisabetta Costantini
INTRODUCTION: The purpose of this review was to assess the evidence provided by Literature regarding the role of detrusor overactivity (DO) in determining urinary incontinence in patients submitted to radical prostatectomy. EVIDENCE ACQUISITION: The research was based on the online PubMed database spanning the period from November 1997 to May 2016.The review was conducted in accordance with the systematic review guidelines provided by the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)...
November 3, 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/27787187/overactive-bladder-in-women
#5
Julie C Jenks
Overactive bladder in women is a common chronic condition of urinary storage, affecting a significant proportion of the population. It is defined as a symptom diagnosis that indicates lower urinary tract dysfunction, in which patients experience urinary urgency, with or without urge incontinence, usually accompanied by frequency and nocturia. The diagnosis and treatment of overactive bladder are straightforward and systematic in line with national and international guidelines. However, women are required to disclose their bladder symptoms, and be motivated to make changes to their lifestyle to see improvements...
October 26, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27776848/-clinical-practice-guidelines-synthesis-of-the-guidelines-for-the-surgical-treatment-of-primary-pelvic-organ-prolapse-in-women-by-the-afu-cngof-sifud-pp-snfcp-and-scgp
#6
L Le Normand, M Cosson, F Cour, X Deffieux, L Donon, P Ferry, B Fatton, J-F Hermieu, H Marret, G Meurette, A Cortesse, L Wagner, X Fritel
OBJECTIVE: Develop guidelines for surgery for primary pelvic organ prolapse (POP). METHODS: Literature review, establishment of levels of evidence, external review, and grading of recommendations by 5 French academic societies: Association Française d'Urologie, Collège National des Gynécologues et Obstétriciens Français, Société Interdisciplinaire d'Urodynamique et de Pelvi-Périnéologie, Société Nationale Française de Colo-proctologie, and Société de Chirurgie Gynécologique et Pelvienne...
October 21, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27761229/neurosyphilis-with-normal-pressure-hydrocephalus-and-dementia-paralytica-serial-clinical-laboratory-and-radiological-correlations-in-the-21st-century
#7
Kamille Abdool, Karan Seegobin, Kanterpersad Ramcharan, Adrian Alexander, Leandra Julien-Legen, Stanley Lawrence Giddings, Samuel Aboh, Fidel Rampersad
We report a case of a 46-year-old man presenting with a progressive cognitive decline, ataxic gait, urinary incontinence for 4 months and neuroimaging consistent with normal pressure hydrocephalus. The atypical presentation of a progressively worsening dysphasia and a right hemiparesis dismissed as a vascular event 1 month earlier associated with normal pressure hydrocephalus prompted further investigations confirming neurosyphilis also manifesting as dementia paralytica. Treatment using consensus guidelines led to resumption of activities of daily living...
September 30, 2016: Neurology International
https://www.readbyqxmd.com/read/27734727/an-overview-of-urinary-incontinence
#8
Alison Bardsley
Urinary incontinence is a common problem that is often under-reported due to the embarrassing nature and social stigma attached. Urinary incontinence can have a considerable effect on an individual's quality of life, but can be significantly improved with correct assessment, treatment and management. Conservative treatment options, including pelvic floor exercises, bladder retraining and fluid modification, are recommended before referral to secondary services. This article provides an overview of the main types of urinary incontinence, and summarises recent guidelines for the assessment, diagnosis and effective conservative treatment options for them, and when a referral to specialist care is required...
October 13, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27726965/the-role-of-urodynamics-in-the-evaluation-of-urinary-incontinence-the-european-association-of-urology-recommendations-in-2016
#9
Arjun K Nambiar, Gary E Lemack, Christopher R Chapple, Fiona C Burkhard
This article summarises the European Association Urology guidelines position on the role of urodynamic studies in investigating the problem of urinary incontinence. The guidelines recommend that urodynamics should not be necessary to help decide the best treatment for uncomplicated urinary incontinence, but may help if there is any uncertainty over the choice of invasive treatments. The guidelines also stress the importance of conducting urodynamic tests to the highest possible quality standards for the results to be useful in the decision-making process...
October 7, 2016: European Urology
https://www.readbyqxmd.com/read/27721639/role-of-urodynamics-in-stress-urinary-incontinence-a-critical-appraisal
#10
Shirish Dattatraya Yande, Omkar Vinay Joglekar, Maya Joshi
INTRODUCTION: Role of urodynamics prior to surgery of stress urinary incontinence (SUI) is under constant debate. Demonstration of the presence of detrusor overactivity is the only aspect that has been emphasized in the literature so far. We believe that there are number of other factors which may influence the evaluation and in turn the choice of surgical management and prediction of outcome of treatment. They are as follows: (1) Presence of voiding inefficiency, (2) asymptomatic detrusor overactivity, (3) and severity of SUI...
July 2016: Journal of Mid-life Health
https://www.readbyqxmd.com/read/27696355/surgery-for-women-with-apical-vaginal-prolapse
#11
Christopher Maher, Benjamin Feiner, Kaven Baessler, Corina Christmann-Schmid, Nir Haya, Julie Brown
BACKGROUND: Apical vaginal prolapse is a descent of the uterus or vaginal vault (post-hysterectomy). Various surgical treatments are available and there are no guidelines to recommend which is the best. OBJECTIVES: To evaluate the safety and efficacy of any surgical intervention compared to another intervention for the management of apical vaginal prolapse. SEARCH METHODS: We searched the Cochrane Incontinence Group's Specialised Register of controlled trials, which contains trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, ClinicalTrials...
October 1, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27595630/-treatment-of-urinary-incontinence-associated-with-genital-prolapse-clinical-practrice-guidelines
#12
A Cortesse, V Cardot, V Basset, L Le Normand, L Donon
INTRODUCTION: Prolapse and urinary incontinence are frequently associated. Patente (or proven) stress urinary incontinence (SUI) is defined by a leakage of urine that occurs with coughing or Valsalva, in the absence of any prolapse reduction manipulation. Masked urinary incontinence results in leakage of urine occurring during reduction of prolapse during the clinical examination in a patient who does not describe incontinence symptoms at baseline. The purpose of this chapter is to consider on the issue of systematic support or not of urinary incontinence, patent or hidden, during the cure of pelvic organs prolapse by abdominal or vaginal approach...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27595629/-assessment-before-surgical-treatment-for-pelvic-organ-prolapse-clinical-practice-guidelines
#13
L Donon, S Warembourg, J-F Lapray, A Cortesse, J-F Hermieu, B Fatton, M Cayrac, X Deffieux, M Geraud, L Le Normand
INTRODUCTION: The issue addressed in this chapter of recommendations is: What is the clinical and para-clinical assessment to achieve in women with genital prolapse and for whom surgical treatment has been decided. What are the clinical elements of the examination that must be taken into account as a risk factor of failure or relapse after surgery, in order to anticipate and evaluate possible surgical difficulties, and to move towards a preferred surgical technique? MATERIAL AND METHODS: This work is based on a systematic review of the literature (PubMed, Medline, Cochrane Library, Cochrane Database of Systemactic Reviews, EMBASE) for meta-analyzes, randomized trials, registries, literature reviews, controlled studies and major not controlled studies, published on the subject...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27595623/-clinical-practice-guidelines-summary-of-recommendations-for-first-surgical-treatment-of-female-pelvic-organ-prolapse-by-5-french-academic-societies-afu-cngof-sifud-pp-snfcp-and-scgp
#14
L Le Normand, M Cosson, F Cour, X Deffieux, L Donon, P Ferry, B Fatton, J-F Hermieu, H Marret, G Meurette, A Cortesse, L Wagner, X Fritel
OBJECTIVE: Providing clinical practice guidelines for first surgical treatment of female pelvic organ prolapse. METHODS: Systematic literature review, level of evidence rating, external proofreading, and grading of recommendations by 5 French academic societies: Association française d'urologie, Collège national des gynécologues et obstétriciens français, Société interdisciplinaire d'urodynamique et de pelvi-périnéologie, Société nationale française de coloproctologie, and Société de chirurgie gynécologique et pelvienne...
July 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27570251/guideline-based-strategies-in-the-surgical-treatment-of-female-urinary-incontinence-the-new-gold-standard-is-almost-the-same-as-the-old-one
#15
V Viereck, W Bader, K Lobodasch, F Pauli, R Bentler, H Kölbl
The modern sling procedures for treating female stress urinary incontinence encompass numerous methods, materials and manufacturers. On the basis of the current S2e guidelines, the methods used most frequently in the diagnosis of and therapy for stress urinary incontinence in women are critically illustrated. An individualised procedure is necessary for the choice of the surgical method, especially in the presence of accompanying pathologies. This article is intended to help the treating physician to carry out quality-assured diagnostics and therapy for the patient and to offer the best possible urogynaecological management...
August 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27566035/a-systematic-review-and-meta-analysis-of-quality-of-life-outcomes-after-radical-cystectomy-for-bladder-cancer
#16
Linda S Yang, Bernard L Shan, Leonard L Shan, Peter Chin, Spencer Murray, Nariman Ahmadi, Akshat Saxena
BACKGROUND: Radical cystectomy and urinary diversion is the treatment of choice for invasive bladder cancer. Quality of life (QOL) is an important outcome of surgery. This review compares the QOL after continent and incontinent urinary diversion in radical cystectomy for patients with primary invasive bladder cancer. METHODS: A systematic review and meta-analysis of clinical studies published after January 2000 was performed according to the PRISMA guidelines. Quality appraisal and data tabulation were performed using pre-determined forms...
September 2016: Surgical Oncology
https://www.readbyqxmd.com/read/27484432/-practice-guideline-urinary-incontinence-in-women-from-the-dutch-college-of-general-practitioners
#17
Z Damen-van Beek, Tj Wiersma
- The Dutch College of General Practitioners' (NHG) practice guideline 'Urinary incontinence in women' provides guidelines for diagnosis and management of stress, urgency and mixed urinary incontinence in adult women.- General practitioners (GPs) should be alert to signals for urinary incontinence in women and offer active diagnosis and treatment if necessary.- Shared decision making is central in the guideline; the GP and the patient should discuss therapeutic options and decide on treatment policy in mutual consultation...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27479401/re-guideline-of-guidelines-urinary-incontinence
#18
Alan J Wein
No abstract text is available yet for this article.
August 2016: Journal of Urology
https://www.readbyqxmd.com/read/27466081/full-thickness-and-unstageable-pressure-injuries-that-develop-in-nursing-home-residents-despite-consistently-good-quality-care
#19
Margaret W Baker, JoAnne D Whitney, Jeanne R Lowe, Solomon Liao, David Zimmerman, Laura Mosqueda
PURPOSE: The purpose of this study was to determine whether stage 3, 4, and unstageable pressure injuries develop despite consistently good quality care (CGQC); ascertain whether these wounds occur without prior recognition of a lower-stage pressure injury; and to describe and analyze characteristics of nursing home residents and their higher-stage pressure injuries. DESIGN: Descriptive, nonexperimental, prospective analysis. SUBJECTS AND SETTING: A convenience sample of 20 residents from facilities participated in the study; research sites were located in 7 counties in Western Washington and Orange County, along with a single site in Wisconsin...
September 2016: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/27416639/focalyx-dx-bx-tx-et-apps-a-novel-contemporary-fusion-paradigm-for-the-management-of-prostate-cancer
#20
F J Bianco, J I Martínez-Salamanca
FocalyxTM conceived as a response to emerging evidence data across numerous cancer lesions that questions current standard treatment approaches that too often lead to detrimental quality of life yet delivering limited survival benefit, especially in-lieu of advances in imaging technology applicable to cancer patients. The Focalyx paradigm aims to control cancer with improvement in quality of life. We initially devised 5 milestones: 1- Consistently optimize Prostate MRI imaging using the novel published protocols adopted as guidelines by societies such as the European Society of Urology and Radiology; 2- Evaluate fusion platform software solutions that existed; 3- Determine best fusión platform for Focalyx on practicality, precision, and workflow premises; 4- Evaluate commercially available FDA approved ablative technologies to implement our treatment vision; 5- Design a treatment option that can be performed in the office setting under local anesthesia, which would not impact negatively QOL outcomes of Prostate Cancer patients and seamless constant nonintrusive practical patient-physician interaction by the Focalyx app that facilitates follow up and provides early warning signals shall any change in the disease dynamics emerge...
July 2016: Archivos Españoles de Urología
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