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Male incontinence

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https://www.readbyqxmd.com/read/28724322/predictors-of-urinary-incontinence-between-abdominal-obesity-and-non-obese-male-adults
#1
Dongmei Li, Yi Xu, Qingbin Nie, Yan Li, Gengsheng Mao
OBJECTIVES: To investigate factors that may be associated with urinary incontinence (UI) in abdominal obese and non-obese adult males. METHODS: Data were analyzed for 2671 men (≥40 years of age) who participated in the National Health and Nutrition Examination Survey (2005-2008). We define abdominal obesity as a waist circumference >102 cm. Men with Incontinence Severity Index ≥3 were defined as having UI. Logistic regression analyses were used to identify factors associated with stress and urge UI...
July 20, 2017: Postgraduate Medicine
https://www.readbyqxmd.com/read/28723370/evaluation-and-management-of-postprostatectomy-incontinence-a-systematic-review-of-current-literature
#2
REVIEW
Alexander Kretschmer, Wilhelm Hübner, Jaspreet S Sandhu, Ricarda M Bauer
CONTEXT: Radical prostatectomy is the most common reason for male stress urinary incontinence. There is still uncertainty about its diagnostic and therapeutic management. OBJECTIVE: To evaluate current evidence regarding the diagnosis and therapy of postprostatectomy incontinence (PPI). EVIDENCE ACQUISITION: A systematic review of the literature was performed in October 2015 using the Medline database. EVIDENCE SYNTHESIS: Diagnosis and conservative treatment of PPI are currently mostly based on expert opinions...
August 2016: European Urology Focus
https://www.readbyqxmd.com/read/28712889/the-adjustable-transobturator-male-system-in-stress-urinary-incontinence-after-transurethral-resection-of-the-prostate
#3
Alexander Friedl, Jenifer Schneeweiss, Kathrin Stangl, Sandra Mühlstädt, Roman Zachoval, Stephan Hruby, Therese Gründler, Danijel Kivaranovic, Paolo Fornara, Lukas Lusuardi, Clemens Brössner
Objective To investigate the efficacy and safety of the adjustable transobturator male system (ATOMS) in males with stress urinary incontinence (SUI) after transurethral resection of the prostate (TURP). Materials and methods From a large international prospectively administrated ATOMS-register we identified 49 patients with an ATOMS device due to persistent SUI after TURP. For evaluation males were divided into standard TURP (sTURP) and palliative/post radiation TURP (pTURP). Baseline and follow-up measurements included continence parameters, urodynamics, quality of life surveys (PGI-I, ICIQ-SF) and pain ratings...
July 13, 2017: Urology
https://www.readbyqxmd.com/read/28712888/is-concealed-epispadias-a-rare-variant
#4
Ahmed Shahat, Ahmed S Safwat, Ahmad Elderwy, Islam F Abdelkawi, Ahmad Elbadry I Abonnoor, Mohamed F Abdelhafez, Ahmed Moeen, Hisham Hammouda
OBJECTIVE: To present our experience with concealed epispadias and to estimate its actual share in the isolated male epispadias cases and its effect on the surgical outcome. MATERIALS AND METHODS: Consecutive patients with isolated male epispadias treated in our center between 2008 and 2015 were classified into concealed and classic epispadias. The two groups were compared regarding age at presentation, meatal location, incontinence, dorsal curvature, success rate and complications...
July 13, 2017: Urology
https://www.readbyqxmd.com/read/28709851/waves-of-change-national-trends-in-surgical-management-of-male-stress-incontinence
#5
Susan MacDonald, Marc Colaco, Ryan Terlecki
OBJECTIVE: To determine the national trend in surgical management of male stress urinary incontinence (SUI) in the context of the rate of radical prostatectomy (RP) as reported by a national database. Traditionally the artificial urinary sphincter (AUS) has been the gold standard of surgical management, but the male sling represents a newer and popular alternative. Refinements in prostate surgery may reduce the incidence and degree of subsequent SUI. MATERIALS AND METHODS: A retrospective cross sectional analysis was performed using the National Inpatient Survey (NIS) database, which captures discharge data from inpatient and overnight admissions...
July 11, 2017: Urology
https://www.readbyqxmd.com/read/28708202/experience-after-12-cases-with-the-adjustable-transobturator-male-sling-for-postprostatectomy-stress-urinary-incontinence
#6
Andrea Vismara Fugini, Luca Giovanessi, Michelangelo Tosana
OBJECTIVES: The aim of the study was the prospective evaluation of the efficacy of the adjustable transobturator male system (ArgusT®) for the treatment of postprostatectomy stress urinary incontinence (PPI). METHODS: Twelve consecutive patients were treated with ArgusT system for PPI. All patients were comprehensively evaluated preoperatively and after 3 and 6 months regarding daily pad use, residual urine, Incontinence Quality of Life Scale (I-QoL) score and International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) score...
July 1, 2017: Urologia
https://www.readbyqxmd.com/read/28703110/cell-therapy-in-surgical-treatment-of-fistulas-preliminary-results
#7
Marcin Piejko, Michał Romaniszyn, Julia Borowczyk-Michałowska, Justyna Drukała, Piotr Wałęga
Risk of recurrence after surgical treatment of a recurrent fistula is up to 50%. It has be known that more aggressive surgical treatment is associated with a high risk of anal sphincter damage and leads to incontinence. Several studies have been designed to elaborate minimally invasive treatment of rectovaginal and anal fistulas. The properties of Adipose-derived Stem Cells (ASC) significantly enhance a natural healing potency. Here, we present our experience with combined surgical and cell therapy in the treatment of fistulas...
June 30, 2017: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/28687156/-description-of-a-clinical-typology-specific-to-men-whose-urinary-symptoms-require-anticholinergic-treatment
#8
J-N Cornu, A Descazeaud, E Chartier-Kastler, R Bourouina
OBJECTIVES: To describe, using cluster analysis methods, the existence of a clinical typology specific to men, who are responding or not to anticholinergic treatment, and identify predictive factors associated with treatment success. METHODS: An observational study was conducted in consecutive male patients who were prescribed anticholinergics for the first time. Sociodemographic data, patient characteristics, urinary symptom profile (USP) questionnaire, Ditrovie scale and symptom severity were assessed at inclusion and after 3 months of treatment...
July 4, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28684289/change-in-psychologic-physiologic-and-situational-factors-in-adults-after-treatment-of-chronic-cough
#9
Cynthia L French, Sybil L Crawford, Carol Bova, Richard S Irwin
BACKGROUND: We hypothesized that addressing anxiety and depressive mood disorders will improve chronic cough severity and cough quality of life (CQOL). METHODS: Major tenets of the Theory of Unpleasant symptoms were examined in a longitudinal observational study of consecutive adults with cough of > 8 weeks treated in our cough clinic. At baseline, 3 and 6 months, subjects completed 3 Punum Ladders rating cough severity, CQOL Questionnaire, the Depression, Anxiety, and Stress Scales - 21, and the Duke Functional Social Support Questionnaire...
July 3, 2017: Chest
https://www.readbyqxmd.com/read/28673058/targeting-moderate-and-severe-male-stress-urinary-incontinence-with-adjustable-male-slings-and-the-perineal-artificial-urinary-sphincter-focus-on-perioperative-complications-and-device-explantations
#10
Alexander Kretschmer, Tanja Hüsch, Frauke Thomsen, Dominik Kronlachner, Alice Obaje, Ralf Anding, Tobias Pottek, Achim Rose, Roberto Olianas, Alexander Friedl, Wilhelm Hübner, Roland Homberg, Jesco Pfitzenmaier, Fabian Queissert, Carsten M Naumann, Carola Wotzka, Torben Hofmann, Roland Seiler, Axel Haferkamp, Ricarda M Bauer
PURPOSE: To analyze perioperative complications and postoperative explantation rates for selected readjustable male sling systems and the perineal single-cuff artificial urinary sphincter (AUS) in a large, contemporary, multi-institutional patient cohort. METHODS: Two hundred eighty-two male patients who underwent implantation between 2010 and 2012 in 13 participating institutions were included in the study (n=127 adjustable male sling [n=95 Argus classic, n=32 Argus T], n=155 AUS)...
June 2017: International Neurourology Journal
https://www.readbyqxmd.com/read/28669487/-functional-and-aesthetic-evaluation-of-sacrococcygeal-teratomas-not-everything-ends-with-surgery
#11
Vanesa Villamil, Oscar Girón Vallejo, María Fernández-Ibieta, Ángela Sánchez Sánchez, Paulo Y Reyes Ríos, Irene Martínez Castaño, Javier Rojas-Ticona, Ramón Ruiz Pruneda, José I Ruiz Jiménez
INTRODUCTION: Sacrococcygeal teratoma is the most common solid neonatal tumour. The improvement in survival has meant that postoperative sequelae can be diagnosed and treated. The aim of this article is to evaluate the long-term outcomes of patients treated in our centre. MATERIAL AND METHODS: Records of patients treated for a sacrococcygeal teratoma in our hospital from 1977 to 2014 were retrospectively reviewed. Personal data was collected and a telephone questionnaire was used to assess long-term bowel and urinary habits, as well as an aesthetic and functional self-assessment...
June 29, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28667697/sexual-and-regional-differences-in-myosin-heavy-chain-expression-in-the-rat-external-urethral-sphincter
#12
Toshiko Tsumori, Wakako Tsumiyama
The external urethral sphincter is a unique striated muscle surrounding the urethra that plays a crucial role in urinary continence, and a comprehensive understanding of its morphology is needed to determine the pathophysiology underlying urinary incontinence and find suitable therapies. Differences between the sexes and among species regarding the fiber types present remain controversial. This study used triple immunofluorescence labeling to visualize one slow (type 1) and two fast (types 2A and 2B) myosin isoforms in rat external urethral sphincters from both sexes...
July 1, 2017: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/28666062/a-populational-based-survey-on-the-prevalence-incidence-and-risk-factors-of-urinary-incontinence-in-older-adults-results-from-the-sabe-study
#13
José Tadeu Nunes Tamanini, Letícia Valério Pallone, Marair Grácio Ferreira Sartori, Manoel João Batista Castello Girão, Jair Lício Ferreira Dos Santos, Yeda Aparecida de Oliveira Duarte, Philip E V A van Kerrebroeck
AIMS: To estimate the prevalence and incidence of urinary incontinence (UI) and identify the associated risk factors in a cohort of elderly individuals in Brazil. METHODS: In 2006, individuals aged ≥60 years were selected from the SABE Study (Health, Well-being, and Aging). The dependent variable was reported UI in 2009. UI was assessed using the International Consultation on Incontinence Questionnaire Urinary Incontinence-Short Form (ICIQ-UI SF). Incidence was measured in units of 1000 person-years, and Cox regression was applied for data analysis...
June 30, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28661264/efficacy-of-solifenacin-in-the-prevention-of-short-term-complications-after-laparoscopic-radical-prostatectomy
#14
Ranxing Yang, Lijie Liu, Gaofeng Li, Jianjun Yu
Objective To evaluate the efficacy of solifenacin in the prevention of short-term complications after laparoscopic radical prostatectomy (LRP). Methods This randomized placebo-controlled study enrolled patients with histologically proven prostate cancer who underwent LRP. The patients were randomized to receive either solifenacin (5 mg once daily; study group) or placebo (control group) for the 15-day period beginning on the first day after surgery. The mean duration of detrusor overactivity (DO), the frequency of DO, the duration of macroscopic haematuria, and the days before catheter removal were recorded...
January 1, 2017: Journal of International Medical Research
https://www.readbyqxmd.com/read/28660675/objectively-improving-appropriateness-of-absorbent-products-provision-to-patients-with-urinary-incontinence-the-diapper-study
#15
Emilio Sacco, Riccardo Bientinesi, Carlo Gandi, Giuseppe Palermo, Francesco Pierconti, Pierfrancesco Bassi
AIMS: To objectively assess and enhance the appropriateness of continence products provision to sufferers from urinary incontinence (UI) managed with containment strategies. METHODS: Incontinent patients of five Italian continence care services were included in this industry-supported study from 01/2012 to 03/2016. All patients/carers have been invited to perform a 48-h home-based pad test and to fill in a diary. The primary outcome was the product appropriateness defined as the use of a pad with maximum absorbent capacity (MAC) from 30% to 50% higher than the individually measured urine load...
June 29, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28659571/chest-pain-and-sudden-onset-paraplegia-at-the-emergency-department-an-uncommon-presentation
#16
Feng Han Chiu, Shih Hung Tsai, Cheng Hsuan Ho
BACKGROUND Coarctation of the aorta is characterized by narrowing of the descending aorta. The narrowing typically is at the isthmus, the segment just distal to the left subclavian artery. Adults with undiagnosed aortic coarctation are asymptomatic or may present with nonspecific hypertension. We present a case that highlights the uncommon complication of aortic coarctation with spinal compression syndrome. CASE REPORT A 45-year-old male presented to the emergency department (ED) with acute-onset chest pain; he experienced urinary incontinence and bilateral lower limb weakness during his ED visit...
June 29, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28629351/assessing-health-related-quality-of-life-in-urology-a-survey-of-4500-german-urologists
#17
A Schmick, M Juergensen, V Rohde, A Katalinic, A Waldmann
BACKGROUND: Urological diseases and their treatment may negatively influence continence, potency, and health-related quality of life (HRQOL). Although current guidelines recommend HRQOL assessment in clinical urology, specific guidance on how to assess HRQOL is frequently absent. We evaluated whether and how urologists assess HRQOL and how they determine its practicality. METHODS: A random sample of 4500 (from 5200 identified German urologists) was drawn and invited to participate in a postal survey (an initial letter followed by one reminder after six weeks)...
June 19, 2017: BMC Urology
https://www.readbyqxmd.com/read/28627397/long-term-efficacy-of-young-dees-bladder-neck-reconstruction-role-of-the-associated-bladder-neck-injection-for-the-treatment-of-children-with-urinary-incontinence
#18
A Faure, G Hery, E Mille, P Orillac, B Da Silva, T Merrot, M Haddad, J M Guys
OBJECTIVE: To compare the long-term efficacy of Young-Dees bladder neck reconstruction (YDBNR) alone versus YDBNR plus BNI in patients with urinary incontinence caused by urethral sphincter insufficiency. PATIENTS AND METHODS: Between 1987 and 2006, we assessed the continence rates obtained with YDBNR and BNI as a supplementary treatment for persistent outlet insufficiency in patients with neurogenic bladder (group-1, n = 35) and bladder exstrophy (group-2, n = 20)...
June 13, 2017: Urology
https://www.readbyqxmd.com/read/28616722/duhamel-operation-for-children-with-distal-colonic-dysmotility
#19
Yew-Wei Tan, Osvaldo Borrelli, Keith Lindley, Nikhil Thapar, Joe Curry
PURPOSE: To report outcomes of children with constipation refractory to medical management and manometrically proven distal colonic dysmotility, managed with rectosigmoidectomy followed by Duhamel operation (Duhamel). METHODS: Children who underwent a Duhamel from 2009 onwards for intractable constipation and left colonic dysmotility were retrospectively reviewed. The primary end point was resolution of constipation, and secondary end point was postoperative complications...
August 2017: Pediatric Surgery International
https://www.readbyqxmd.com/read/28601324/predictive-factors-for-recurrence-of-high-transsphincteric-anal-fistula-after-placement-of-seton
#20
Sameh Hany Emile, Hossam Elfeki, Waleed Thabet, Ahmed Sakr, Alaa Magdy, Tito M Abd El-Hamed, Waleed Omar, Wael Khafagy
BACKGROUND: The optimal surgical treatment for high transsphincteric fistula-in-ano (FIA) should attain complete eradication of the fistulous track and, in the same time, not compromising the anal sphincters. The present study aimed to investigate the predictive factors for recurrence of high transsphincteric FIA after placement of draining seton and to evaluate the efficacy and complications of seton treatment for high cryptoglandular anal fistula. MATERIALS AND METHODS: This is a retrospective case-control study of patients with high transsphincteric FIA who were treated with seton placement...
June 1, 2017: Journal of Surgical Research
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