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https://www.readbyqxmd.com/read/28217699/the-female-urinary-microbiota-urinary-health-and-common-urinary-disorders
#1
REVIEW
Linda Brubaker, Alan J Wolfe
This review provides the clinical context and updated information regarding the female urinary microbiota (FUM), a resident microbial community within the female bladder of many adult women. Microbial communities have variability and distinct characteristics in health, as well as during community disruption (dysbiosis). Information concerning characteristics of the FUM in health and disease is emerging. Sufficient data confirms that the microbes that compose the FUM are not contaminants and are cultivatable under appropriate conditions...
January 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/28216815/gracilis-muscle-transposition-as-a-workhorse-flap-for-anal-incontinence-quality-of-life-and-functional-outcome-in-adults
#2
Guru Dayal Singh Kalra, Amit Kumar Sharma, Kaustubh Sharad Shende
BACKGROUND/PURPOSE: Anal incontinence is one of the most psychologically and socially debilitating conditions in an otherwise healthy individual. It can lead to social isolation, loss of self-esteem, self-confidence and depression. This study is devoted to the problem of anal incontinence in the adult patients. The aim of our study is to analyse the results of gracilis muscle transposition for anal incontinence and improvement in quality of life (QOL) of patients. MATERIALS AND METHODS: This was a retrospective study...
September 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/28185237/use-of-bladder-antimuscarinics-in-older-adults-with-impaired-cognition
#3
Ariel R Green, Jodi Segal, Jing Tian, Esther Oh, David L Roth, Liam Hilson, Jennifer L Dodson, Cynthia M Boyd
OBJECTIVE: To examine the use of antimuscarinics for treating urinary incontinence (UI) in older adults with varying levels of cognition. DESIGN: Cross-sectional. SETTING: National Alzheimer's Coordinating Center from 2005 through 2015. PARTICIPANTS: Community-dwelling men and women aged 65 and older (N = 24,106). MEASUREMENTS: Clinicians and staff evaluated each participant's dementia status during annual in-person assessments...
February 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28167691/robotic-partial-nephrectomy-for-duplex-kidney-with-ectopic-ureter-draining-in-the-vagina-in-an-adult-patient-with-urinary-incontinence
#4
Humza Mahmood, Marios Hadjipavlou, Raj Das, Chris Anderson
A duplex kidney system with an ectopic ureter draining into the vagina is a congenital malformation that typically presents as refractory urinary incontinence. Diagnosis is often difficult to establish and delayed due to a low incidence. We present the case of a patient aged 26 years with a life-long history of persistent urinary incontinence. Initial presentation was at childhood; however, the diagnosis went undetermined for 22 years. CT urography revealed a duplex kidney with an atrophic upper pole associated with an ectopic ureter that drained into the vaginal vault...
February 6, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28131501/all-incontinence-is-not-created-equal-impact-of-urinary-and-fecal-incontinence-on-quality-of-life-in-adults-with-spina-bifida
#5
Konrad M Szymanski, Mark P Cain, Benjamin Whittam, Martin Kaefer, Richard C Rink, Rosalia Misseri
PURPOSE: We previously reported that the self-reported amount of urinary incontinence is the main predictor of lower health related quality of life in adults with spina bifida. In this study we sought to determine the impact of fecal incontinence on health related quality of life after correcting for urinary incontinence. MATERIALS AND METHODS: An international sample of adults with spina bifida was surveyed online in 2013 to 2014. We evaluated fecal incontinence in the last 4 weeks using clean intervals (less than 1 day, 1 to 6 days, 1 week or longer, or no fecal incontinence), amount (a lot, medium, a little or none), number of protective undergarments worn daily and similar variables for urinary incontinence...
January 25, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28128904/robotic-assisted-laparoscopic-augmentation-ileocystoplasty
#6
Peter A Caputo, Daniel Ramirez, Matthew Maurice, Onder Kara, Ryan Nelson, Ercan Malkoc, Jihad Kaouk
INTRODUCTION: Augmentation ileocystoplasty is a common treatment in adults with low capacity bladders due to neurogenic bladder dysfunction. We describe here our technique for robotic assisted laparoscopic augmentation ileocystoplasty in an adult with a low capacity bladder due to neurogenic bladder dysfunction. MATERIALS AND METHODS: The patient is a 35 years-old man with neurogenic bladder due to a C6 spinal cord injury in 2004. Cystometrogram shows a maximum capacity of 96cc and Pdet at maximum capacity of 97cmH2O...
January 27, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28118213/a-case-report-subanesthetic-ketamine-infusion-for-treatment-of-cancer-related-pain-produces-urinary-urge-incontinence
#7
Barbara A Vickers, Wayne Lee, Joann Hunsberger
Oncology patients undergoing treatment can experience substantial pain related to their disease or prescribed therapy. Ketamine infusions at subanesthetic doses have been used at our institution to supplement the pain management regimens of 262 patients. We present 2 cases in which young adult patients being treated with subanesthetic ketamine for cancer-related pain experienced urinary urgency and incontinence after initiation or increase of the ketamine infusion. This adverse effect has not been reported previously at this dosing range...
January 23, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28097469/laparoscopic-assisted-percutaneous-endoscopic-cecostomy-lapec-in-children-and-young-adults
#8
Shifra Koyfman, Kristen Swartz, Allan M Goldstein, Kyle Staller
OBJECTIVE: We evaluated the safety and efficacy of the laparoscopic-assisted percutaneous endoscopic cecostomy (LAPEC) procedure both in children and young adults, along with review of their pre-operative motility profiles, antegrade continence enema (ACE) regimen, and postoperative complications. METHODS: This retrospective review investigated 38 patients (32 children and 6 young adults) that underwent the LAPEC procedure. Primary outcomes evaluated were success versus failure of the procedure and post-operative complications...
January 17, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28096256/chronic-symptoms-in-a-representative-sample-of-community-dwelling-older-people-a-cross-sectional-study-in-switzerland
#9
Yves Henchoz, Christophe Büla, Idris Guessous, Nicolas Rodondi, René Goy, Maurice Demont, Brigitte Santos-Eggimann
OBJECTIVES: The burden of multiple diagnoses is well documented in older people, but less is known about chronic symptoms, many of which are even not brought to medical attention. This study aimed to determine the prevalence of chronic symptoms, their relationships with disability in basic activities of daily living (BADL) and quality of life (QoL), and their public health impact. DESIGN: A large cross-sectional population-based study. SETTING: Community in 2 regions of French-speaking Switzerland...
January 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28094084/incontinence-and-psychological-symptoms-in-individuals-with-mowat-wilson-syndrome
#10
Justine Niemczyk, Stewart Einfeld, David Mowat, Monika Equit, Catharina Wagner, Leopold Curfs, Alexander von Gontard
BACKGROUND: Mowat-Wilson Syndrome (MWS) is caused by deletion/mutation of the ZEB2 gene on chromosome 2q22. MWS is characterized by a distinctive facial appearance, severe intellectual disability and other anomalies, e.g. seizures and/or Hirschsprung disease (HSCR). Most individuals have a sociable demeanor, but one third show psychological problems. AIMS: The aim was to investigate incontinence and psychological problems in MWS. METHODS AND PROCEDURES: 26 children (4-12 years), 13 teens (13-17 years) and 8 adults (>18years) were recruited through a MWS support group...
January 13, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/28093307/the-impact-of-baseline-functional-bladder-capacity-on-short-term-neuromodulation-outcomes
#11
Kim A Killinger, Priyanka Gupta, Jason P Gilleran, Jamie Bartley, Michael Ehlert, Judith A Boura, Kenneth M Peters
OBJECTIVES: To evaluate the impact of functional bladder capacity (FBC) on clinical outcomes after a staged neuromodulation procedure. METHODS: Adults in our prospective neuromodulation database were evaluated. Data were collected from medical records, voiding diaries (FBC defined as average volume per void), Interstitial Cystitis Symptom/Problem Indices (ICSI-PI), Overactive Bladder Questionnaires (OAB-q), and Global Response Assessments over 3 months. Descriptive statistics, Pearson's Chi-square tests, Wilcoxon rank sum tests, logistic regression, repeated measures analyses and Spearman Correlation Coefficients were performed...
January 13, 2017: Urology
https://www.readbyqxmd.com/read/28060444/mediating-effect-of-decline-in-social-activities-on-urinary-incontinence-and-negative-mood-do-sex-and-marital-differences-exist
#12
Xue Bai, Doris Yin Ping Leung, Claudia Kam Yuk Lai, Alice Ming Lin Chong, Iris Chi
AIM: We tested the mediating effect of decline in social participation on urinary incontinence (UI) and negative mood in older adults by sex and marital status. METHODS: We carried out secondary analysis of data collected from 5301 Chinese adults aged 60 years or older in Hong Kong who had completed an initial screening instrument for subsidized long-term care services in 2010. Path analysis within structural equation modeling was carried out. RESULTS: Satisfactory model fit was obtained: male-married group (n = 1949, standardized root means squared residual [SRMR] = 0...
January 6, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28057127/-prevalence-and-associated-factors-of-female-urinary-incontinence-in-hebei-province
#13
Y Jiang, L Yan, F D Du, P T Zheng, L Zhang, L Jiang, X H Huang
Objective: To estimate the prevalence and associated factors of adult female urinary incontinence in Hebei province. Methods: Stratified and multistage sampling method was used, between January 2016 to May 2016, to investigate the target population in Hebei province. While, logistic regression was used to analyse datas. Results: A population-based survey was conducted in 2 450 women in Hebei province, there were 2 408 effective questionnaires after deleting 48 invalid questionnaires. According to the results, the average age of subjects was (56±15) years old, and the urinary incontinence prevalence of adult female in Hebei province was 27...
December 25, 2016: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/28043108/the-prevalence-of-nocturia-and-nocturnal-polyuria-can-new-cutoff-values-be-suggested-according-to-age-and-sex
#14
Ali Ersin Zumrutbas, Ali Ihsan Bozkurt, Okan Alkis, Cihan Toktas, Bulent Cetinel, Zafer Aybek
PURPOSE: The aims of this study were to assess the prevalence of nocturia and nocturnal polyuria (NP) and to define new cutoff values according to age and sex for both conditions. METHODS: Data from a population-based prevalence survey conducted among a random sample of 2,128 adults were analyzed in this study. Participants were requested to fill out a questionnaire including the International Continence Society (ICS) definitions of lower urinary tract symptoms and the International Consultation on Incontinence Questionnaire - Short Form...
December 2016: International Neurourology Journal
https://www.readbyqxmd.com/read/28032425/absorbent-products-use-and-symptom-distress-in-women-who-have-urinary-incontinence-and-heart-failure
#15
Qinghui Meng, Jan Busby-Whitehead, Mary H Palmer
AIMS: The aim of this study was to identify and describe characteristics of women with heart failure (HF) and urinary incontinence (UI) who used absorbent products to manage UI and to explore the relationship between absorbent products use and women's perceptions about UI. METHODS: Secondary analyses were conducted on an existing dataset from a study of adults with HF. Descriptive statistics, univariate analyses, binary and multivariate logistic regression were used to identify factors and explore factors related to UI absorbent products use...
December 2016: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/28000035/incontinence-in-persons-with-angelman-syndrome
#16
C Wagner, J Niemczyk, M Equit, L Curfs, A von Gontard
: Angelman syndrome (AS) is a congenital syndrome with a prevalence of 1:15,000. Individuals with AS often have severe intellectual disability, typical dysmorphic signs, and behavioral problems. The aim of the study was to investigate the rate of incontinence and associated psychological problems in children and adults with AS. Ninety children (4-18 years) and 54 adults (18-31 years) with AS were recruited through a parent support group (55.6% male, mean age 15.1 years). The Parental Questionnaire: Enuresis/Urinary Incontinence, the Incontinence Questionnaire-Pediatric Lower Urinary Tract Symptoms (ICIQ-CLUTS), as well as the Developmental Behaviour Checklist for parents (DBC-P) or for adults (DBC-A) were filled out by parents or caregivers...
February 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/27988385/polypharmacy-in-older-adults-association-rule-and-frequent-set-analysis-to-evaluate-concomitant-medication-use
#17
Fabian Held, David G Le Couteur, Fiona M Blyth, Vasant Hirani, Vasi Naganathan, Louise M Waite, Markus J Seibel, David J Handelsman, Robert G Cumming, Heather G Allore, Danijela Gnjidic
The aim of this study was to apply Association Rule and Frequent-Set analysis, and novel means of data visualisation to ascertain patterns of medication use and medication combinations contributing to medication group clusters according to geriatric syndrome status in older adults. Participants were community-dwelling men (aged ≥70 years, n=1686), Sydney, Australia. Medication exposure was categorised at medication class level and data were analysed according to geriatric syndrome status (presence of at least one syndrome including frailty, falls, cognitive impairment and urinary incontinence)...
February 2017: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/27986585/sexual-functioning-of-men-and-women-with-severe-obesity-before-bariatric-surgery
#18
Kristine J Steffen, Wendy C King, Gretchen E White, Leslee L Subak, James E Mitchell, Anita P Courcoulas, David R Flum, Gladys Strain, David B Sarwer, Ronette L Kolotkin, Walter Pories, Alison J Huang
BACKGROUND: Obesity may impair sexual function through multiple mechanisms, but little is known about sexual dysfunction among adults with severe obesity seeking bariatric procedures. OBJECTIVES: To describe sexual function and associated factors before bariatric surgery. SETTING: Ten U.S. clinical facilities. METHODS: Before bariatric surgery, 2225 of 2458 Longitudinal Assessment of Bariatric Surgery-2 study participants (79% female, median age 45 years and median body mass index 46 kg/m(2)) completed a survey about sexual function over the past month...
February 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27977546/consensus-review-of-best-practice-of-transanal-irrigation-in-children
#19
Giovanni Mosiello, David Marshall, Udo Rolle, Célia Crétolle, Bruno G Santacruz, Jason Frischer, Marc A Benninga
Pediatric patients with either functional or organic bowel dysfunction may suffer from constipation and fecal incontinence and represent a complex group in whom management is often difficult. Many non-invasive and invasive treatments have been proposed, with variable efficacy and side-effects. Transanal irrigation (TAI) is now an accepted alternative, in both children and adults, for bowel dysfunction that has not responded to conservative and medical therapies. However, there is still some uncertainty about the use of TAI in pediatric populations...
December 13, 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/27935188/characteristics-of-physical-prefrailty-among-japanese-healthy-older-adults
#20
Eiji Matsushita, Kiwako Okada, Yui Ito, Shosuke Satake, Nariaki Shiraishi, Takahisa Hirose, Masafumi Kuzuya
AIM: The purpose of the present study was to clarify the characteristics of frailty at an early stage (prefrailty) in a healthy elderly Japanese population. METHODS: The participants were 620 healthy older adults (age range 60-89 years) who were current students or graduates of a community college for older adults in Japan. All participants were evaluated using the Kihon Checklist, a tool developed to screen for frailty in Japan. The participants were categorized by the Fried criteria (lost weight, handgrip strength, walking speed, exhaustion, physical activity) into either a prefrailty (1-2 criteria) or a non-frailty (0 criterion) group...
December 9, 2016: Geriatrics & Gerontology International
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