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Stress cough test

Aimee L Tieu, Aparna Hegde, Peter A Castillo, G Willy Davila, Vivian C Aguilar
INTRODUCTION AND HYPOTHESIS: To compare 1-year surgical outcomes following transobturator (TO) sling placement and single incision (SI) sling placement for the treatment of stress urinary incontinence (SUI). METHODS: We performed a randomized trial at a single institution. Patients with urodynamically proven SUI were offered participation and randomized to placement of a TO sling (Monarc™) or a SI sling (MiniArc™) between 2008 and 2011. The primary outcome measure was urinary leakage during standardized cough stress test (CST)...
October 6, 2016: International Urogynecology Journal
Daniela Ulrich, Vesna Bjelic-Radisic, Katrin Grabner, Alexander Avian, Gerda Trutnovsky, Karl Tamussino, Thomas Aigmüller
AIMS: To evaluate subjective and objective outcome after repeat surgery for stress urinary incontinence (SUI). METHODS: Patients who underwent a midurethral tape after failed Burch colposuspension or failed midurethal tape between 1999 and 2014 were invited for follow-up. Urogynecological examination and urodynamics was performed, and objective cure was defined as a negative cough stress test; subjective cure was defined as negotiation of SUI symptoms. Quality-of-life (QoL), sexual health, and subjective success was assessed with the King's Health Questionnaire, Incontinence Outcome Questionnaire, Female Sexual Function Index, and the Patient Global Impression of Improvement (PGI-I) score...
September 27, 2016: Neurourology and Urodynamics
Abdurrahman Hamdi Inan, Emrah Toz, Emrah Beyan, Tutku Gurbuz, Aykut Ozcan, Oznur Oner
OBJECTIVE: We investigated the impact of menopausal status on urinary continence following abdominal sacrocolpopexy (ASC) without an anti-incontinence procedure in continent women. METHODS: We conducted a clinical follow-up study of 137 patients diagnosed with stage 3 or higher pelvic organ prolapse (POP) without urinary incontinence between January 2012 and December 2014. Patients were provided with detailed a priori information pertaining to the abdominal sacrocolpopexy procedure and were invited to attend follow-up visits at 1, 3, 12, and 24 months...
July 2016: Pakistan Journal of Medical Sciences Quarterly
Gustavo Leibaschoff, Pablo Gonzalez Izasa, Jose Luis Cardona, John R Miklos, Robert D Moore
OBJECTIVE: The aim of this study was to evaluate the effects of non-ablative, monopolar transcutaneous temperature controlled radiofrequency (TTCRF) technology in the treatment of postmenopausal women suffering from genuine stress urinary incontinence (SUI) related to menopause and to evaluate histological changes vaginally associated with the treatment. MATERIALS AND METHODS: Subjective and objective symptoms of SUI were assessed in study subjects before and after TTCRF, (1 treatment every 30 days, for 3 months; n=10) and compared with the effects of a placebo treatment on a control group of demographically similar women (n =10)...
September 10, 2016: Surgical Technology International
Emanuel C Trabuco, Christopher J Klingele, Roberta E Blandon, John A Occhino, Amy L Weaver, Michaela E McGree, Maureen A Lemens, John B Gebhart
OBJECTIVE: To compare efficacy and safety of retropubic Burch urethropexy and a midurethral sling in women with stress urinary incontinence (SUI) undergoing concomitant pelvic floor repair with sacrocolpopexy. METHODS: Women were randomly assigned to Burch retropubic urethropexy (n=56) or retropubic midurethral sling (n=57) through dynamic allocation balancing age, body mass index, history of prior incontinence surgery, intrinsic sphincter deficiency, preoperative incontinence diagnosis, and prolapse stage...
October 2016: Obstetrics and Gynecology
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
Ilias Giarenis, Patrick Musonda, Heleni Mastoroudes, Dudley Robinson, Linda Cardozo
OBJECTIVE: Traditionally, urodynamic studies (UDS) have been used to assess lower urinary tract symptoms (LUTS), but their routine use is now discouraged. While urodynamic stress incontinence is strongly associated with the symptom of stress urinary incontinence (SUI) and a positive cough test, there is a weak relationship between symptoms of overactive bladder and detrusor overactivity (DO). The aim of our study was to develop a model to predict DO in women with LUTS. STUDY DESIGN: This prospective study included consecutive women with LUTS attending a urodynamic clinic...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Elnaz Ayati, Zinat Ghanbari, Mohsen Ayati, Erfan Amini, Maryam Deldar Pesikhani
PURPOSE: To compare clinical and urodynamic study (UDS) findings in Iranian women with mixed or stress UI (Urinary Incontinence). MATERIALS AND METHODS: A total of 132 patients with either stress or mixed type of UI were enrolled. After accurate examination, data regarding age, parity, mode of delivery and menopausal state were recorded. Furthermore the presence and severity of UI was evaluated with empty bladder supine stress test (ESST) and cough test in supine and standing positions in all patients...
2016: Urology Journal
Stephen M Friedman, Mark R Farfel, Carey Maslow, Hannah T Jordan, Jiehui Li, Howard Alper, James E Cone, Steven D Stellman, Robert M Brackbill
OBJECTIVES: The prevalence of persistent lower respiratory symptoms (LRS) among rescue/recovery workers, local area workers, residents and passers-by in the World Trade Center Health Registry (WTCHR) was analysed to identify associated factors and to measure its effect on quality of life (QoL) 10 years after 9/11/2001. METHODS: This cross-sectional study included 18 913 adults who completed 3 WTCHR surveys (2003-2004 (Wave 1 (W1)), 2006-2007 (Wave 2 (W2)) and 2011-2012 (Wave 3 (W3))...
October 2016: Occupational and Environmental Medicine
Rita Luz, Inês Pereira, Alexandra Henriques, Ana Luísa Ribeirinho, Alexandre Valentim-Lourenço
INTRODUCTION AND HYPOTHESIS: Midurethral slings (MUS) are the mainstay of treatment for stress urinary incontinence, but the definition of success varies widely amongst studies. The King's Health Questionnaire (KHQ) was designed to evaluate the impact of urinary incontinence on the quality of life. We hypothesised that the KHQ could be useful for postoperative quantitative assessment of subjective outcomes. MATERIALS AND METHODS: This is a retrospective analysis of 204 patients who underwent incontinence surgery with transobturator MUS between 2004 and 2013...
July 16, 2016: International Urogynecology Journal
Hsiu-Ying Yeh, Wei-Fen Ma, Jing-Long Huang, Kai-Chung Hsueh, Li-Chi Chiang
BACKGROUND: Empowerment can be an effective strategy for changing an individual's health behaviours. However, how to empower whole families to manage their children's asthma is a challenge that requires innovative nursing intervention based on family-centred care. AIMS: To evaluate the effectiveness of a family empowerment program on family function and pulmonary function of children with asthma compared to those receiving traditional self-management only. DESIGN: A randomized control trial...
August 2016: International Journal of Nursing Studies
Helena Luginbuehl, Jean-Pierre Baeyens, Annette Kuhn, Regula Christen, Bettina Oberli, Patric Eichelberger, Lorenz Radlinger
OBJECTIVES: Activities that provoke stress urinary incontinence (SUI) rapidly increase the intra-abdominal pressure and the impact loading on the pelvic floor muscles (PFMs). Coughing can cause urinary leakage and is often used to test SUI. However, PFM characteristics during coughing, including their reliability, have not been investigated. Here, we used electromyography (EMG) to describe PFM pre-activity and reflexivity during coughing and examined the reliability of the measurements...
June 2, 2016: Annals of Physical and Rehabilitation Medicine
Reza Bidaki, Ehsan Zarepur, Maryam Akrami, Mohammad Mohammad
Objective Conversion disorder (CD) is a mental disorder in which patient displays neurological symptoms such as blindness, mutism, paralysis and seizure. It starts when our mind converts our mental stress into a physical symptom. A 15-year-old single white female with chronic cough, which had begun 5 months ago, was brought to our clinic. She had no history of hospitalization. His daily cough was without sputum production or fever, rhinorrhea and stopped during sleep. There was no recent exposure to tobacco smoke or a person with a chronic productive cough...
2016: Iranian Journal of Child Neurology
Liv Rimstad Moksnes, Rune Svenningsen, Hjalmar A Schiøtz, Kjartan Moe, Anne C Staff, Sigurd Kulseng-Hanssen
OBJECTIVE: To compare intermittent catheterization, sling mobilization, and sling transection for treatment of urinary retention after mid-urethral sling surgery. METHODS: Data registered in the Norwegian Female Incontinence Registry from 1998 to 2013 were analyzed in this cohort study to compare subjective and objective outcomes after intermittent catheterization, sling mobilization, and sling transection as management of postoperative urinary retention after mid urethral sling surgery...
May 31, 2016: Neurourology and Urodynamics
Ramanathan Kannan Suppiah, Sunil Rajan, Jerry Paul, Lakshmi Kumar
BACKGROUND: Traditional awake extubation leads to respiratory complications and hemodynamic response which are detrimental in neurosurgery, ENT surgery and patients with comorbidities. AIMS: The primary objective was to compare the respiratory complications and hemodynamic stress response between traditional awake extubation of a endotracheal tube (ETT) and that following exchange extubation of ETT by using a laryngeal mask airway (LMA). SETTINGS AND DESIGN: This prospective randomized study was conducted in a Tertiary Care Centre in 60 American Society of Anesthesiologists I and II patients coming for general surgery...
May 2016: Anesthesia, Essays and Researches
Daniela Ulrich, Ayman Tammaa, Susanne Hölbfer, Gerda Trutnovsky, Vesna Bjelic-Radisic, Karl Tamussino, Thomas Aigmüller
PURPOSE: Suburethral tapes are a standard surgical treatment for stress urinary incontinence. The aim of the study was to evaluate subjective and objective cure rates 10 years after a tension-free vaginal tape-obturator procedure. MATERIALS AND METHODS: All 124 patients who underwent the tension-free vaginal tape-obturator procedure at a total of 2 centers in 2004 and 2005 were invited for followup. Objective cure was defined as a negative cough stress test at 300 ml...
October 2016: Journal of Urology
Vatché A Minassian, Xiaowei S Yan, James Pitcavage, Walter F Stewart
PURPOSE: We sought to understand variations in the expression and temporal relation of bladder control episodes among women with mixed urinary incontinence. MATERIALS AND METHODS: A random sample of women 40 years old or older with mixed urinary incontinence on GLOBE-UI (General Longitudinal Overactive Bladder Evaluation-Urinary Incontinence) was recruited in a digital daily diary study using a smartphone application. When a bladder control event occurred, women were instructed to answer episode specific questions...
October 2016: Journal of Urology
Maria K van de Waarsenburg, Mariëlla I J Withagen, Anique T M Grob, Karlijn J Schweitzer, Greetje A van Veelen, Carl H van der Vaart
INTRODUCTION AND HYPOTHESIS: Pregnancy and childbirth are risk factors for the development of stress urinary incontinence (SUI). Urinary continence depends on normal urethral support, which is provided by normal levator ani muscle function. Our objective was to compare mean echogenicity and the area of the puborectalis muscle between women with and those without SUI during and after their first pregnancy. METHODS: We examined 280 nulliparous women at a gestational age of 12 weeks, 36 weeks, and 6 months after delivery...
May 5, 2016: International Urogynecology Journal
Kuralay Sharipova, Zane Pilsetniece, Ye Bekmukhambetov, Egils Vjaters
INTRODUCTION: The aim of the study was to analyse the correlation of subjective complaints and urethral pressure profilometry (UPP) data in women with different types of urinary incontinence (UI): stress UI (SUI), urgency UI (UUI), and mixed UI (MixUI). METHODS: A study group of 405 women with complaints about UI were surveyed (UDI-6; ICIQ-UI) to determine the subjectively dominant type of UI, and UPP was performed for all these women. The variables analysed by UPP were the maximum urethral closure pressure at rest (MUCPrest), maximum urethral closure pressure at cough stress (MUCPstress), functional urethral length at rest (FULrest), functional urethral length during cough stress (FULstress) test and pressure transmission ratio (PTR)...
2016: Urologia Internationalis
Farzaneh Sharifiaghdas, Farzam Tajalli, Maryam Taheri, Mohammad Naji, Reza Moghadasali, Nasser Aghdami, Hossein Baharvand, Vajihe Azimian, Neda Jaroughi
OBJECTIVES: To evaluate the effect of autologous muscle-derived cells injection in the treatment of complicated stress urinary incontinence in female patients. METHODS: Female patients presenting with severe and complicated stress urinary incontinence secondary to the bladder neck and/or urethral trauma or congenital epispadias (with or without exstrophy) were enrolled in this prospective study. They underwent transurethral injection of autologous muscle-derived cells...
July 2016: International Journal of Urology: Official Journal of the Japanese Urological Association
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