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Urinary incontinence diagnostic

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https://www.readbyqxmd.com/read/29623450/the-role-of-non-invasive-testing-in-evaluation-and-diagnosis-of-pediatric-lower-urinary-tract-dysfunction
#1
REVIEW
Jason P Van Batavia, Andrew J Combs
PURPOSE OF REVIEW: The symptoms of lower urinary tract dysfunction (LUTD) including urinary incontinence, frequency, and urgency are among the most common reasons children are referred to pediatric urologists. Despite this, the workup for LUTD is often time consuming and a source of frustration for patients, parents, and clinicians alike. In the current review, we summarize the important role non-invasive testing plays in the diagnosis and management of children with LUTD and to show how use of these tests can help avoid the need for more invasive testing in the majority of children...
April 6, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29616284/-urology-and-alternative-medicine-1900-1970
#2
REVIEW
F G Mildenberger
Disorders of the lower abdomen were often associated with sexually transmitted diseases (STDs) or related conditions. The urological diagnostic workup and treatment was based on the idea that technical devices and objective scientific examination methods would lead to targeted success. The fact that illnesses such as urinary retention, urinary incontinence, urge incontinence, orchitis or urethritis often implicated psychosomatic complications and had a possibly far more important impact on sexual life did not play a role in the early years of urology...
April 3, 2018: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29570127/successful-treatment-of-paradoxical-puborectalis-contraction-and-intractable-anorectal-pain-with-sacral-neuromodulation
#3
Ted M Roth
BACKGROUND: Paradoxical puborectalis contraction (PPC) is a syndrome of obstructed defecation associated with a cluster of complaints including rectal pain, incomplete evacuatory sensation, prolonged repetitive straining with bowel movements, and the need for digital manipulation. Traditional treatment has yielded mixed results. CASE: We present a case of PPC successfully treated with staged sacral neuromodulation and review her diagnostic features, medical regimen, and prior unsuccessful interventions tried...
March 21, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29534680/performance-of-a-brief-geriatric-evaluation-compared-to-a-comprehensive-geriatric-assessment-for-detection-of-geriatric-syndromes-in-family-medicine-a-prospective-diagnostic-study
#4
Yolanda K Mueller, Stefanie Monod, Isabella Locatelli, Christophe Büla, Jacques Cornuz, Nicolas Senn
BACKGROUND: Geriatric syndromes are rarely detected in family medicine. Within the AGE program (active geriatric evaluation), a brief assessment tool (BAT) designed for family physicians (FP) was developed and its diagnostic performance estimated by comparison to a comprehensive geriatric assessment. METHODS: This prospective diagnostic study was conducted in four primary care sites in Switzerland. Participants were aged at least 70 years and attending a routine appointment with their physician, without previous documented geriatric assessment...
March 13, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29512808/urethral-funneling-visualized-during-pelvic-floor-sonography-analysis-of-occurrence-among-urogynecological-patients
#5
Edyta Wlaźlak, Tomasz Kluz, Grzegorz Surkont, Jacek Kociszewski
OBJECTIVES: There are different diagnostic methods used in women with urinary incontinence symptoms such as: medical history, voiding diary, cough test, pad test, urodynamic testing. None of them is optimal. The aim of this study is to analyze the correlation between urethral funneling visualized during pelvic floor sonography and symptoms of stress urinary incontinence. MATERIAL AND METHODS: We have performed a retrospective analysis of 657 complete datasets of patients who attended our urogynecological clinic for diagnostics...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/29484057/ureterovaginal-fistula-secondary-to-retained-vaginal-foreign-body-in-a-young-girl
#6
Anjum N Bandarkar, Adebunmi O Adeyiga, Eglal Shalaby-Rana
We present the case of a 13-year-old girl with a recurrent urinary tract infection, malodorous vaginal discharge, and urinary incontinence caused by a retained vaginal foreign body. The foreign body, an aerosol cap retained for over 2 years, resulted in the formation of a ureterovaginal fistula, an extremely rare complication. The critical value of ultrasound and magnetic resonance urography in delineating the foreign body, the fistulous tract, and the intraperitoneal urine leak is described. Through this unique diagnostic dilemma, we wish to highlight that the evaluation of persistent unusual urinary symptoms and vaginal discharge in a young girl must include a thorough pelvic examination and focused imaging to look for retained vaginal foreign bodies...
December 2017: Radiology Case Reports
https://www.readbyqxmd.com/read/29458888/ureterovaginal-fistula-a-complication-of-a-vaginal-foreign-body
#7
Tsia-Shu Lo, Sukanda Bin Jaili, Rami Ibrahim, Chuan Chi Kao, Ma Clarissa Uy-Patrimonio
OBJECTIVE: To know the diagnostic tools and proper management of ureterovaginal fistula following neglected vaginal foreign body in order to achieve optimal outcome. CASE REPORT: A case of ureterovaginal fistula associated with a neglected vaginal foreign body. The patient was complaining of a foul-smelling vaginal discharge and lower abdominal pain. On vaginal examination, a hard and large foreign body was found. Examination under anesthesia was performed, and an aerosol cap was removed from her vagina...
February 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29447724/no-127-the-evaluation-of-stress-incontinence-prior-to-primary-surgery
#8
Scott A Farrell
OBJECTIVE: To provide clinical guidelines for the evaluation of women with stress urinary incontinence prior to primary anti-incontinence surgery. OPTIONS: The modalities of evaluation range from basic pelvic examination through to the use of adjuncts including ultrasound and urodynamic testing. OUTCOMES: These guidelines provide a comprehensive approach to the preoperative evaluation of urinary incontinence to ensure that excessive evaluation is avoided without sacrificing diagnostic accuracy...
February 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29411425/urotherapy-in-children-with-dysfunctional-voiding-and-the-responsiveness-of-two-condition-specific-questionnaires
#9
Toscane C Noordhoff, Lisette A 't Hoen, Joop van den Hoek, Jacintha T C M Verhallen-Dantuma, Marjan J van Ledden-Klok, Bertil F M Blok, Jeroen R Scheepe
AIMS: We sought to establish the responsiveness of the Dutch Vancouver Symptom Score for Dysfunctional Elimination Syndrome (VSSDES) and Pediatric urinary incontinence Quality of life (PinQ) questionnaires. Secondary, we evaluated the outcome of urotherapy extended for children with dysfunctional voiding (DV). METHODS: This cross-sectional multicenter study was done in one tertiary and two community hospitals. Children with DV were included, also when refractory to previous urotherapeutic treatment...
February 7, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29400404/total-prostatectomy-as-a-treatment-for-prostatic-carcinoma-in-25-dogs
#10
Tristram C Bennett, Brad M Matz, Ralph A Henderson, Rodney C Straw, Julius M Liptak, Laura E Selmic, Francesco Collivignarelli, Paolo Buracco
OBJECTIVE: To describe the complications and outcome after total prostatectomy in dogs with histologically confirmed prostatic carcinoma. STUDY DESIGN: Multi-institutional retrospective case series. ANIMALS: 25 client-owned dogs. METHODS: Medical records of dogs undergoing total prostatectomy were reviewed from 2004 to 2016. Data retrieved included signalment, presenting signs, preoperative clinical findings, laboratory data, diagnostic imaging, surgical technique, histologic diagnosis, postoperative complications, occurrence of postoperative metastasis, and survival...
February 5, 2018: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29398262/eau-guidelines-on-assessment-and-nonsurgical-management-of-urinary-incontinence
#11
Arjun K Nambiar, Ruud Bosch, Francisco Cruz, Gary E Lemack, Nikesh Thiruchelvam, Andrea Tubaro, Dina A Bedretdinova, David Ambühl, Fawzy Farag, Riccardo Lombardo, Marc P Schneider, Fiona C Burkhard
CONTEXT: The European Association of Urology guidelines on urinary incontinence (UI) have been updated in cyclical fashion with successive major chapters being revised each year. The sections on assessment, diagnosis, and nonsurgical treatment have been updated as of mid-2016. OBJECTIVE: We present a condensed version of the full guideline on assessment and nonsurgical management of UI, with the aim of improving accessibility and increasing their dissemination. EVIDENCE ACQUISITION: Our literature search was updated from the previous cut-off of July 2010 up to April 2016...
February 2, 2018: European Urology
https://www.readbyqxmd.com/read/29390592/unusual-brain-images-of-a-boy-with-adolescent-cerebral-x-linked-adrenoleukodystrophy-presenting-with-exhibitionism-a-care-compliant-case-report
#12
Feixia Zheng, Zhongdong Lin, Xiuyun Ye, Xulai Shi
RATIONALE: The respective involvements of both the thalamus and exhibitionism in cerebral X-linked adrenoleukodystrophy (X-ALD) have not been reported. PATIENT CONCERNS: An 11-year-old boy initially presented with exhibitionism and progressive neurobehavioral symptoms. He subsequently developed transient urinary and fecal incontinence, and an unwillingness to eat or communicate. DIAGNOSES: We conducted contrast-enhanced brain magnetic resonance imaging (MRI), which revealed symmetrical altered signal intensities in bilateral frontal white matter, the basal ganglia, and dorsal thalami, as well as a peripheral rim of contrast enhancement...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390222/-vesicouterine-fistula-after-caesarean-section
#13
Leonidas Karapanos, Daniel Porres, Johannes Salem, Ilgar Akbarov, Axel Heidenreich, Vahudin Zugor
Vesicouterine fistulas (VUFs) are a pathological communication between uterus and urinary bladder, which are mainly related to iatrogenic lesions during caesarean sections or occur during vaginal deliveries after a previous caesarean section. The main symptoms are menstruation through the bladder (menouria), amenorrhea and urinary incontinence. Treatment can be conservative, hormonal or surgical; however, a spontaneous closure of the fistula is rare (5 %). We report a case of a female VUF with menouria after caesarean section with a successful surgical fistula excision...
February 2018: Aktuelle Urologie
https://www.readbyqxmd.com/read/29390220/-surgical-management-of-female-stress-urinary-incontinence
#14
Vahudin Zugor, Ilgar Akbarov, Leonidas Karapanos, Axel Heidenreich
Stress urinary incontinence in women is a common problem in Germany, with approx. 5 million women suffering from incontinence symptoms. These numbers are increasing, due to demographic changes; the suspected numbers are even higher. Prior to treatment, an extended diagnostic approach - including urodynamics and cystoscopy when necessary - is essential for optimal treatment selection.Primary treatment should be conservative, with pelvic floor training as an essential part of a multi-modal treatment concept. If conservative treatment fails, surgery is necessary and an increasing number of women are being treated with sub-urethral slings...
February 2018: Aktuelle Urologie
https://www.readbyqxmd.com/read/29329897/-botulinium-toxin-and-idiopathic-overactive-bladder-multicentric-contempory-management-in-bourgogne
#15
A Schneider, B Tourlonias, L Cormier, E Mourey, N Koutlidis, E Delorme, J Pasquale, I Kermarec, A-D Foahom-Kamwa, V Bonniaud
INTRODUCTION: Since 2014, OnabotulinumtoxinA Botox® (Allergan, Inc., Irvine, USA) represents a new therapeutic option for second-line treatment of idiopathic overactive bladder. The purpose of the current study was to evaluate practices of surgeons using onabotulinium toxin (BoNTA) in this indication. MATERIAL AND METHODS: All urogynecology centers of the country were asked in order to list all patients who were treated since marketing autorisation. Patient symptoms, previous treatments, paraclinic evaluations, data of surgery and the characteristics of the follow up were collected and analyzed...
March 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/29305250/diagnosis-and-treatment-of-urinary-tract-infections-across-age-groups
#16
REVIEW
Christine M Chu, Jerry L Lowder
Urinary tract infections are the most common outpatient infections, but predicting the probability of urinary tract infections through symptoms and test results can be complex. The most diagnostic symptoms of urinary tract infections include change in frequency, dysuria, urgency, and presence or absence of vaginal discharge, but urinary tract infections may present differently in older women. Dipstick urinalysis is popular for its availability and usefulness, but results must be interpreted in context of the patient's pretest probability based on symptoms and characteristics...
January 2, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29285596/differential-diagnostics-of-female-sexual-fluids-a-narrative-review
#17
REVIEW
Zlatko Pastor, Roman Chmel
INTRODUCTION AND HYPOTHESIS: Women expel various kinds of fluids during sexual activities. These are manifestations of sexual arousal and orgasm or coital incontinence. This study is aimed at suggesting a diagnostic scheme to differentiate among these phenomena. METHODS: Web of Science and Ovid (MEDLINE) databases were systematically searched from 1950 to 2017 for articles on various fluid expulsion phenomena in women during sexual activities, which contain relevant information on sources and composition of the expelled fluids...
December 28, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/29211399/oab-score-a-clinical-model-that-predicts-the-probability-of-presenting-overactive-detrusor-in-the-urodynamic-study
#18
Leandro Cristian Arribillaga, Marta Ledesma, Ariel Montedoro, Florencia Pisano, Rubén Guillermo Bengió
PURPOSE: To create a predictive model of involuntary detrusor contraction (IDC) to improve the diagnostic accuracy of overactive detrusor (OAD), associating overactive bladder (OAB) symptoms with other clinical parameters in the female population. MATERIALS AND METHODS: A total of 727 women were studied retrospectively. In all of them, urodynamic study was conducted for urogynecological causes. Demographics information, personal history, symptoms, physical exam, a 3-day frequency/volume chart and urinary culture, were collected in all patients and they subsequently underwent uroflowmetry and urodynamic studies...
December 7, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29175541/a-randomized-comparative-study-evaluating-various-cough-stress-tests-and-24-hour-pad-test-with-urodynamics
#19
Joseph W Henderson, Sarah M Kane, Jeffrey M Mangel, Elias G Kikano, Jorge A Garibay, Robert R Pollard, Sangeeta T Mahajan, Sara M Debanne, Adonis K Hijaz
PURPOSE: The cough stress test (CST) is a common and accepted tool to evaluate stress urinary incontinence but there is no agreement on how the test should be conducted. We assessed the diagnostic ability of different CSTs performed varying patient's position and bladder volumes using urodynamic stress urinary incontinence (USI) as the gold standard. The 24-hour pad test was also evaluated. MATERIALS AND METHODS: Women presenting to specialty outpatient clinics with complaints of urinary incontinence and recommended to undergo urodynamic testing were recruited...
November 23, 2017: Journal of Urology
https://www.readbyqxmd.com/read/29094359/primary-stabilisation-for-tail-avulsion-in-15-cats
#20
J Caraty, R Hassoun, P Meheust
OBJECTIVES: To evaluate the effects of a primary tail stabilisation technique in relieving pain and supporting nerve recovery in cats that have lost voluntary motor function and pain sensation in the tail without caudal nerve transection. MATERIALS AND METHODS: Retrospective review of medical records and preoperative diagnostic tests, including clinical examination results and tail radiographs of cats suffering from tail avulsion with loss of pain perception in the tail between 2009 and 2015...
January 2018: Journal of Small Animal Practice
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