42,460 results match your criteria Urinary Incontinence


Cystoscopy real-time self-visualization and its impact in patient's pain perception.

J Endourol 2019 Feb 22. Epub 2019 Feb 22.

Hospital 12 de Octubre, Urology, Madrid, Madrid, Spain ;

Objectives: To determine if self-visualization of ambulatory cystoscopy provides a decrease in pain perception in male and female patients.

Methods: Quasi-Randomized controlled trial including patients scheduled for ambulatory cystoscopy from August to November 2017. The indications were: hematuria, bladder cancer surveillance, lower urinary tract symptoms, and incontinence. Read More

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http://dx.doi.org/10.1089/end.2018.0768DOI Listing
February 2019

The relative efficacy and safety of mirabegron and onabotulinumtoxinA in patients with overactive bladder who have previously been managed with an antimuscarinic: A network meta-analysis.

Urology 2019 Feb 18. Epub 2019 Feb 18.

Urologic Surgery, Vanderbilt University, Nashville, TN.

This study compared the efficacy and safety of mirabegron and onabotulinumtoxinA in the management of treatment-experienced patients with overactive bladder. The network meta-analysis was based on evidence from a systematic literature review of randomized controlled trials and a post-hoc analysis of treatment-experienced subpopulations from mirabegron studies. Nineteen trials described in 21 publications were included. Read More

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http://dx.doi.org/10.1016/j.urology.2019.02.005DOI Listing
February 2019

Expanded Prostate Cancer Index Composite-26 (EPIC-26) Online: Validation of an Internet-Based Instrument for Assessment of Health-Related Quality of Life after Treatment for Localized Prostate Cancer.

Urology 2019 Feb 18. Epub 2019 Feb 18.

Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215. Electronic address:

Objectives: To test the validity of an Internet-based version of EPIC-26 versus the phone-based version. Most men will survive for years after treatment for localized prostate cancer (PCa) and may experience lasting treatment-related toxicities affecting health-related quality of life (HRQoL). The Expanded Prostate Cancer Index Composite (EPIC-26) is a validated instrument that measures HRQoL across 5 PCa-specific domains. Read More

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http://dx.doi.org/10.1016/j.urology.2019.02.004DOI Listing
February 2019

The Clinical Role of LASER for Vulvar and Vaginal Treatments in Gynecology and Female Urology: An ICS/ISSVD Best Practice Consensus Document.

J Low Genit Tract Dis 2019 Feb 15. Epub 2019 Feb 15.

Department of Obstetrics and Gynecology, University of Iowa, Iowa City, IA.

In this best practice document, we propose recommendations for the use of LASER for gynecologic and urologic conditions such as vulvovaginal atrophy, urinary incontinence, vulvodynia, and lichen sclerosus based on a thorough literature review. Most of the available studies are limited by their design; for example, they lack a control group, patients are not randomized, follow-up is short term, series are small, LASER is not compared with standard treatments, and most studies are industry sponsored. Because of these limitations, the level of evidence for the use of LASER in the treatment of these conditions remains low and does not allow for definitive recommendations for its use in routine clinical practice. Read More

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http://dx.doi.org/10.1097/LGT.0000000000000462DOI Listing
February 2019

Male Slings for Post-prostatectomy Incontinence.

Rev Urol 2018 ;20(4):158-169

Department of Urology, Naval Medical Center San Diego San Diego, CA.

Stress urinary incontinence following radical prostatectomy can have a significant impact on a man's quality of life. Male slings offer a perceived minimally invasive treatment option and do not require the manual dexterity necessary to operate an artificial urinary sphincter. In this review, we outline the history of male slings and discuss the various fixed and adjustable slings that are available on the market. Read More

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http://dx.doi.org/10.3909/riu080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375003PMC
January 2018

Urodynamic characteristics of lower urinary tract of patients with idiopathic overactive bladder.

Urol Ann 2019 Jan-Mar;11(1):83-86

Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine.

Aims: The aims of this study were to determine the frequency and clinical significance of individual urodynamic signs, which revealed on the basis of the results of comprehensive urodynamic examination of patients with the idiopathic overactive bladder (IOAB), to produce definitions of these features, and to describe any necessary remedial action.

Materials And Methods: To identify the most common features and artifacts, we conducted a combined urodynamic examination of 137 patients with IOAB (105 women and 32 men). Age, comorbidities, and urodynamic parameters were analyzed to determine the association between bladder sensation and contractility. Read More

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http://dx.doi.org/10.4103/UA.UA_37_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362788PMC
February 2019

Analysis of anastomotic urethroplasty for pelvic fracture urethral distraction defect: Decadal experience from a high-volume tertiary care center.

Urol Ann 2019 Jan-Mar;11(1):77-82

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Context: Pelvic fracture urethral distraction defect (PFUDD) may be challenging for the treating urologist. Anastomotic urethroplasty is the established surgical procedure for the treatment of PFUDD. Few studies in literature focus purely on PFUDD, and majority of the studies include anterior urethral stricture as well. Read More

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http://dx.doi.org/10.4103/UA.UA_48_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362775PMC
February 2019

Long-term (>5 years) outcomes of patients implanted with artificial urinary sphincter: A single-center experience.

Urol Ann 2019 Jan-Mar;11(1):15-19

Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Introduction: This study is conducted to evaluate the long-term outcomes, including effectiveness and complications, of artificial urinary sphincter (AUS) implantation in men with primarily stress urinary incontinence.

Materials And Methods: Consecutive patients with complete data sets and a continuous follow-up with the device in place for 5 years or more were included. We analyzed effectiveness through pads per day use, and complications were assessed based on device revisions and explantations. Read More

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http://dx.doi.org/10.4103/UA.UA_71_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362798PMC
February 2019

Combined Placement of Artificial Urinary Sphincter and Inflatable Penile Prosthesis Does Not Increase Risk of Perioperative Complications or Impact Long-term Device Survival.

Urology 2019 Feb 26;124:264-270. Epub 2018 Oct 26.

Northshore University Health System, Evanston, IL.

Objective: To determine the impact of concurrent inflatable penile prosthesis (IPP) and artificial urinary sphincter (AUS) implantation on perioperative complications and long-term device survival, among men with postprostatectomy erectile dysfunction and urinary incontinence.

Methods: We identified men older than 65 treated with radical prostatectomy in the Surveillance, Epidemiology, and End Results Medicare database between 2002 and 2016. IPP or AUS placement was determined by current procedural terminology (CPT) code, with dual implantation (DI) defined as IPP and AUS placement on the same date. Read More

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http://dx.doi.org/10.1016/j.urology.2018.10.033DOI Listing
February 2019

Evaluation of the effect of an antenatal pelvic floor muscle exercise programme on female sexual function during pregnancy and the first 3 months following birth: study protocol for a pragmatic randomised controlled trial.

Trials 2019 Feb 20;20(1):144. Epub 2019 Feb 20.

School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.

Background: Sexual dysfunction can have a negative impact on women's quality of life and relationships. There is limited information about female sexual function and treatment, particularly during pregnancy and the postpartum period. The effect of pelvic floor muscle exercise (PFME) on sexual function (SF) has not been studied adequately. Read More

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http://dx.doi.org/10.1186/s13063-019-3226-6DOI Listing
February 2019

[Regulatory effect of exosomes secreted by vaginal wall fibroblasts on angiogenesis in patients with stress urinary incontinence].

Zhonghua Yi Xue Za Zhi 2019 Feb;99(7):510-514

Department of Obstetrics & Gynecology, Shanxi Academy of Medical Sciences & Shanxi Da Yi Hospital, Shanxi Da Yi Hospital Affiliated to Shanxi Medical University, Taiyuan 030032, China.

Exosomes are considered to mediate intercellular communication by delivering biomolecules like mRNA, miRNA into recipient cells. The purpose of this study was to evaluate the effects of exosomes secreted by fibroblasts from women with stress urinary incontinence (SUI-EXO) on endothelial cells angiogenesis. Primary fibroblasts were acquired from periurethral vaginal wall tissues and exosomes were prepared by ultracentrifugation of fibroblasts cells conditioned medium. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.07.007DOI Listing
February 2019

Occult Urinary Incontinence Treatment: Systematic Review and Meta-analysis-Brazilian Guidelines.

Rev Bras Ginecol Obstet 2019 Feb 20;41(2):116-123. Epub 2019 Feb 20.

Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.

Objective:  To evaluate if performing anti-incontinence procedures during surgical anterior and/or apical prolapse correction in women with asymptomatic urinary incontinence (UI) may prevent stress urinary incontinence (SUI) postoperatively.

Methods:  We have performed a systematic review of articles published in the PubMed, Cochrane Library, and Lilacs databases until March 31, 2016. Two reviewers performed the data collection and analysis, independently. Read More

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http://dx.doi.org/10.1055/s-0038-1676842DOI Listing
February 2019

Comparison of caesarean section and vaginal delivery for pelvic floor function of parturients: a meta-analysis.

Eur J Obstet Gynecol Reprod Biol 2019 Feb 12;235:42-48. Epub 2019 Feb 12.

Department of Obstetrics, Tai'an Central Hospital, Tai'an, China.

Objective: To compare the effects and complications of caesarean section (CSD) and vaginal delivery (VD) for pelvic floor function of parturients.

Methods: Multiple databases were searched for full-text articles regarding the clinical effects and complications of CSD and VD. Review Manager 5. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2019.02.003DOI Listing
February 2019

In vivo molecular engineering of the urethra for treatment of stress incontinence using novel biomimetic proteoglycans.

J Biomed Mater Res B Appl Biomater 2019 Feb 19. Epub 2019 Feb 19.

Materials Science and Engineering, Drexel University, Philadelphia, Pennsylvania 19104.

Stress urinary incontinence (SUI), a serious condition which affects ~56% of postmenopausal women, is the involuntary leakage of urine through urethra during physical activity that causes an increase in abdominal pressure. SUI is associated with a decrease in compliance and volume of urethral tissue, likely due to a reduced proteoglycan: collagen ratio in the extracellular matrix and collagen disorganization. Here, we investigated the use of biomimetic proteoglycans (BPGs) to molecularly engineer urethral tissue of New Zealand White rabbits to examine biocompatibility in vivo. Read More

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http://dx.doi.org/10.1002/jbm.b.34334DOI Listing
February 2019

Protracted postpartum urinary retention-a long-term problem or a transient condition?

Int Urogynecol J 2019 Feb 19. Epub 2019 Feb 19.

Department of Obstetrics and Gynecology, the Edith Wolfson Medical Center, Holon, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Ha'Lochamim 62, PO Box 5, 58100, Holon, Israel.

Introduction And Hypothesis: Protracted postpartum urinary retention (P-PUR) is a rare puerperal complication of overt urinary retention that proceeds beyond the 3rd postpartum day. Long-term consequences of P-PUR are poorly reported. The objective of the study was to compare the long-term outcome of patients with P-PUR with a matched control group, using a validated pelvic floor distress questionnaire. Read More

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http://dx.doi.org/10.1007/s00192-019-03903-2DOI Listing
February 2019

Knowledge of pelvic floor disorder in pregnancy.

Int Urogynecol J 2019 Feb 19. Epub 2019 Feb 19.

Department of Urogynaecology, KK Woman and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore.

Introduction And Hypothesis: Pelvic floor dysfunction is a common condition which can lead to distressing consequences such as urinary incontinence (UI), pelvic organ prolapse (POP) and fecal incontinence (FI). Pregnancy is a known major risk factor. This study aims to assess the level of knowledge about pelvic floor disorders among pregnant women in our local population. Read More

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http://dx.doi.org/10.1007/s00192-019-03891-3DOI Listing
February 2019

Impact of gynecologic cancer on pelvic floor disorder symptoms and quality of life: an observational study.

Sci Rep 2019 Feb 19;9(1):2250. Epub 2019 Feb 19.

Department of Obstetrics and Gynecology, Nîmes University Hospital, Univ., Montpellier, Nîmes, France.

The objective of our observational prospective study was to investigate the severity and prevalence of urinary and pelvic floor disorders in gynecologic cancer survivors. All patients surviving gynecological cancer in the region as well as women receiving invitations to attend breast-screening checkups as the control population were asked to fill-in questionnaires assessing pelvic prolapse symptoms (PFDI-20, Wexner) and associated quality of life (PFIQ-7). Eighty-nine women were included in the cancer survivor group and 1088 in the control group. Read More

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http://dx.doi.org/10.1038/s41598-019-38759-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381087PMC
February 2019

Effectiveness and cost-effectiveness of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: protocol for the OPAL randomised trial.

BMJ Open 2019 Feb 19;9(2):e024153. Epub 2019 Feb 19.

Consumer Representative, Ayrshire, UK.

Introduction: Accidental urine leakage is a distressing problem that affects around one in three women. The main types of urinary incontinence (UI) are stress, urgency and mixed, with stress being most common. Current UK guidelines recommend that women with UI are offered at least 3 months of pelvic floor muscle training (PFMT). Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024153DOI Listing
February 2019
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Effectiveness and cost-effectiveness randomised controlled trial of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: protocol for the OPAL (optimising pelvic floor exercises to achieve long-term benefits) trial mixed methods longitudinal qualitative case study and process evaluation.

BMJ Open 2019 Feb 19;9(2):e024152. Epub 2019 Feb 19.

Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.

Introduction: Female urinary incontinence (UI) is common affecting up to 45% of women. Pelvic floor muscle training (PFMT) is the first-line treatment but there is uncertainty whether intensive PFMT is better than basic PFMT for long-term symptomatic improvement. It is also unclear which factors influence women's ability to perform PFMT long term and whether this has impacts on long-term outcomes. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-024152DOI Listing
February 2019

Pelvic floor muscle activation in stress urinary incontinent women: Impact of a distraction task.

Neurourol Urodyn 2019 Feb 19. Epub 2019 Feb 19.

GRC-UPMC 01, GREEN (Group of Clinical Research in Neuro-Urology, University Pierre and Marie Curie), Paris, France.

Aims: Our purpose was to explore the involvement of cognition in voluntary and involuntary pelvic floor muscle (PFM) contraction in stress urinary incontinent women.

Methods: PFM contraction monitored by surface electromyography (EMG) was measured without a mental distraction task (DT), and with a DT called "paced auditory serial additional test" (PASAT). Forty stress incontinent women performed voluntary contractions of the external anal sphincter (EAS), and reflex EAS contractions induced by means of coughing were studied using the external intercostal muscle (EIC) EMG pattern. Read More

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http://dx.doi.org/10.1002/nau.23936DOI Listing
February 2019

Mechanical impact of parturition-related strains on rat pelvic striated sphincters.

Neurourol Urodyn 2019 Feb 19. Epub 2019 Feb 19.

Department of Obstetrics, Gynecology and Reproductive Sciences, Division of Female Pelvic Medicine and Reconstructive Surgery, University of California, San Diego, California.

Aims: To define the operational resting sarcomere length (L ) of the female rat external urethral sphincter (EUS) and external anal sphincter (EAS) and to determine the mechanism of parturition-related injury of EUS and EAS using a simulated birth injury (SBI) vaginal distention model.

Methods: EUS and EAS of 3-month-old Sprague-Dawley control and injured rats were fixed in situ, harvested, and microdissected for L measurements and assessment of ultrastructure. EUS and EAS function was determined at baseline, and immediately and 4 weeks after SBI, using leak point pressure (LPP) and anorectal manometry (ARM), respectively. Read More

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http://dx.doi.org/10.1002/nau.23946DOI Listing
February 2019

Urethral regions with differential tissular composition may underlie urinary continence and voiding function in female rats.

Neurourol Urodyn 2019 Feb 19. Epub 2019 Feb 19.

Centro Tlaxcala de Biología de la Conducta, Universidad Autónoma de Tlaxcala, Tlaxcala, México.

Aims: To analyze, in female rats, the anatomical and histological features of the urethra and its relationship with the vagina and clitoris, and its innervation.

Methods: Seventeen adult female Wistar rats were used. Gross anatomy and acetylcholinesterase (AchE) histochemistry were performed to describe the urethral features, adjacent structures, and innervation. Read More

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http://dx.doi.org/10.1002/nau.23934DOI Listing
February 2019

'Mini' extravesical reimplant with 'mini' tapering for infants younger than 6 months.

Authors:
C A Villanueva

J Pediatr Urol 2019 Jan 23. Epub 2019 Jan 23.

University of Nebraska Medical Center/Children's Hospital and Medical Center, 8200 Dodge Street, Omaha, NE 68114, USA. Electronic address:

Introduction: Some infants with obstructed megaureters or ectopic ureters requiring surgery undergo a cutaneous ureterostomy followed by definitive repair after 12 months of age. Since 2013, a 'mini' extravesical reimplant with or without 'mini' tapering (MER) was performed instead of cutaneous ureterostomy in such infants.

Objective: To describe the technique and outcomes for MER. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.01.004DOI Listing
January 2019

Limited evidence for diagnosing bacterial skin infections in older adults in primary care: systematic review.

BMC Geriatr 2019 Feb 18;19(1):45. Epub 2019 Feb 18.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK.

Background: Older adults with bacterial skin infections may present with atypical symptoms, making diagnosis difficult. There is limited authoritative guidance on how older adults in the community present with bacterial skin infections. To date there have been no systematic reviews assessing the diagnostic value of symptoms and signs in identifying bacterial skin infections in older adults in the community. Read More

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http://dx.doi.org/10.1186/s12877-019-1061-yDOI Listing
February 2019

Laser Treatment of Female Stress Urinary Incontinence: Optical, Thermal, and Tissue Damage Simulations.

Proc SPIE Int Soc Opt Eng 2016 Feb 29;9689. Epub 2016 Feb 29.

Department of Physics and Optical Science, University of North Carolina at Charlotte.

Treatment of female stress urinary incontinence (SUI) by laser thermal remodeling of subsurface tissues is studied. Light transport, heat transfer, and thermal damage simulations were performed for transvaginal and transurethral methods. Monte Carlo (MC) provided absorbed photon distributions in tissue layers (vaginal wall, endopelvic fascia, urethral wall). Read More

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http://dx.doi.org/10.1117/12.2208126DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377167PMC
February 2016

Comparison of Four Lasers (λ = 650, 808, 980, and 1075 nm) for Noninvasive Creation of Deep Subsurface Lesions in Tissue.

Proc SPIE Int Soc Opt Eng 2015 Jun 15;9542. Epub 2015 Jul 15.

Department of Physics and Optical Science, University of North Carolina at Charlotte, NC.

Lasers have been used in combination with applied cooling methods to preserve superficial skin layers (100's μm's) during cosmetic surgery. Preservation of a thicker tissue surface layer (millimeters) may also allow development of other noninvasive laser procedures. We are exploring noninvasive therapeutic laser applications in urology (e. Read More

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http://dx.doi.org/10.1117/12.2183478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377074PMC

Relationship between transversus abdominis muscle thickness and urinary incontinence in females at 2 months postpartum.

J Phys Ther Sci 2019 Jan 29;31(1):108-111. Epub 2019 Jan 29.

Division of Health Sciences, Graduate School of Medical Science, Kanazawa University: 5-11-80 Kodatsuno, Kanazawa, lshikawa 920-0942, Japan.

[Purpose] Urinary incontinence is a frequent postpartum complication. Thus, this study aimed to examine the associations of transversus abdominis muscle thicknesses at rest and during an abdominal drawing-in maneuver with urinary incontinence in females at 2 months postpartum. [Participants and Methods] The participants included 18 females at 2 months postpartum with or without urinary incontinence, and 10 nulliparous females as controls. Read More

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http://dx.doi.org/10.1589/jpts.31.108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348182PMC
January 2019

Optical Clearing of Vaginal Tissues in Cadavers.

Proc SPIE Int Soc Opt Eng 2018 Jan-Feb;10468. Epub 2018 Feb 7.

Department of Physics and Optical Science, University of North Carolina at Charlotte, NC.

A nonsurgical laser procedure is being developed for treatment of female stress urinary incontinence (SUI). Previous studies in porcine vaginal tissues, ex vivo, as well as computer simulations, showed the feasibility of using near-infrared laser energy delivered through a transvaginal contact cooling probe to thermally remodel endopelvic fascia, while preserving the vaginal wall from thermal damage. This study explores optical properties of vaginal tissue in cadavers as an intermediate step towards future pre-clinical and clinical studies. Read More

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http://dx.doi.org/10.1117/12.2285079DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377076PMC
February 2018
1 Read

Current treatments for female primary stress urinary incontinence.

Climacteric 2019 Feb 18:1-7. Epub 2019 Feb 18.

a Department of Obstetrics and Gynaecology, Helsinki University Hospital , Helsinki University , Helsinki , Finland.

Stress urinary incontinence (SUI) affects millions of women worldwide. Pelvic floor muscle training is the first-line treatment for SUI, and if this fails, midurethral sling surgery has become the gold-standard treatment. More recently, complications from midurethral mesh slings, particularly chronic pain and dyspareunia, have become a major concern. Read More

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http://dx.doi.org/10.1080/13697137.2019.1568404DOI Listing
February 2019
2 Reads

Are Slings Still the Gold Standard for Female Stress Urinary Incontinence? Con: Artificial Urinary Sphincter for Female Incontinence.

Eur Urol Focus 2019 Feb 13. Epub 2019 Feb 13.

Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.

As slings are the most frequent first-line treatment for management of female urinary incontinence, an artificial urinary sphincter may be indicated in cases of failure and sphincter deficiency. The level of evidence has to improve and prospective studies or new devices are awaited. Read More

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http://dx.doi.org/10.1016/j.euf.2019.01.017DOI Listing
February 2019

The effect of a self-care programme on urinary incontinence and self-esteem in elderly men dwelling in nursing homes in Iran.

Aging Male 2019 Feb 15:1-7. Epub 2019 Feb 15.

b Department of Nursing, Faculty of Nursing and Midwifery , Ilam University of Medical Sciences , Ilam , Iran.

Introduction: Whilst self-care programme involving comprehensive lifestyle plans including physical and behavioural interventions have reported positive outcomes for the aged suffering from urinary incontinence (UI), very few programmes have been implemented amongst Iranian nursing home residents, particularly in men.

Objectives: The aim of this study was to examine the effect of a self-care programme on UI and self-esteem in elderly men dwelling in nursing homes in Iran.

Materials And Methods: Sixty-one elderly men (aged 60-75 years of age), at two different sites and living in nursing homes in the west of Iran, suffering from urinary incontinence were included in this study. Read More

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http://dx.doi.org/10.1080/13685538.2019.1573891DOI Listing
February 2019

Outcome of posterior urethral valve in 64 children. Single center experience of 22 years.

Minerva Urol Nefrol 2019 Feb 14. Epub 2019 Feb 14.

Department of Pediatric Nephrology, Faculty of Medicine, Kocaeli University, Kocaeli, Turchia.

Background: Posterior urethral valve (PUV) is the most serious form of congenital anomalies of kidney and urinary tract (CAKUT) in boys with significant risk of progression to chronic kidney disease (CKD). We present our long term results in children with PUV.

Methods: Retrospective chart review of 113 children with PUV followed within the years of 1996-2018 was performed. Read More

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http://dx.doi.org/10.23736/S0393-2249.19.03272-7DOI Listing
February 2019
2 Reads
0.700 Impact Factor

Effect of Er:YAG Laser for Women with Stress Urinary Incontinence.

Biomed Res Int 2019 15;2019:7915813. Epub 2019 Jan 15.

Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Purpose: The aim of our study is to assess efficacy of noninvasive erbium-doped yttrium aluminium garnet laser (Er:YAG laser) for female stress urinary incontinence (SUI).

Materials And Methods: Forty-one women with SUI were included in the study and scheduled for vaginal Er:YAG laser treatment. The procedure was performed with a 2940 nm, Er:YAG laser (Fotona Smooth ™ XS, Fotona, Ljubljana, Slovenia), designed to heat up the vaginal mucosa to around 60°C. Read More

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http://dx.doi.org/10.1155/2019/7915813DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350556PMC
January 2019

Stress and the menopausal transition in Campeche, Mexico.

Womens Midlife Health 2018 18;4. Epub 2018 Jun 18.

4Department of Anthropology, University of Hawai'i at Hilo, Hilo, HI USA.

Background: Stress has been implicated as a factor in the presence and severity of symptoms during the menopausal transition. Our primary aim was to test the hypothesis that stress-sensitive biological measures and self-reported stress would be positively associated with a greater likelihood and intensity of hot flashes. Our secondary aim was to examine measures of stress in relation to the most often reported symptoms in Campeche, Mexico. Read More

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http://dx.doi.org/10.1186/s40695-018-0038-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298015PMC
June 2018
1 Read

Transurethral resection of the prostate with preservation of the bladder neck decreases postoperative retrograde ejaculation.

Wideochir Inne Tech Maloinwazyjne 2019 Jan 14;14(1):96-101. Epub 2018 Nov 14.

Department of Geriatric Medicine, Xiang Ya Hospital, Central South University, Changsha, China.

Introduction: Even though transurethral resection of the prostate (TURP) is the standard surgical treatment for benign prostatic hyperplasia (BPH), there is a high rate of postoperative retrograde ejaculation.

Aim: To evaluate the effectiveness of TURP with preservation of the bladder neck in comparison with that of standard TURP.

Material And Methods: This is a retrospective study. Read More

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http://dx.doi.org/10.5114/wiitm.2018.79536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372866PMC
January 2019

Classification of descent and mobility of urethrovesic junction in women with stress urinary incontinence - an ultrasound study.

Ceska Gynekol 2018 ;83(3):188-194

Objective: Detect urethrovesical junction descent and mobility values in women with stress incontinence prior to surgical treatment.

Design: Retrospective study.

Settings: Department of Gynecology and Obstetrics, First Medical Faculty, Charles University, General Teaching Hospital, Prague. Read More

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January 2018

[Psychosomatic urology: how to treat chronic urological diseases].

Aktuelle Urol 2019 Feb 14. Epub 2019 Feb 14.

Ambulantes Rehabilitations-Zentrum für Urologie und Gynäkologie Heidelberg, Facharztpraxis für Urologie, Heidelberg.

In specialist urology clinics, 50 - 70 % of patients have chronic urological diseases such as recurrent urinary tract infections, a somatoform overactive bladder, adult and infantile enuresis, a chronic pelvic pain syndrome, and the psychosomatic form of post-prostatectomy incontinence. The 12-month prevalence of psychological disorders in the general adult population is 28 % 1. As many as 20 % of children and adolescents are found to have psychological abnormalities 2. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0834-5989
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http://dx.doi.org/10.1055/a-0834-5989DOI Listing
February 2019
2 Reads

Predicting continence decline in institutionalized older people: A longitudinal analysis.

Neurourol Urodyn 2019 Feb 14. Epub 2019 Feb 14.

Department of Odontology, Postgraduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal, RN, Brazil.

Aims: To verify the incidence of urinary continence decline and the probability of maintaining urinary continence, as well as identify the prognostic factors of urinary continence decline in institutionalized older people.

Methods: A 2-year longitudinal study (with five 6-month waves) was conducted with subjects ≥60 years old who lived in 10 nursing homes in the city of Natal-RN (Brazil). Urinary incontinence was assessed by the Minimum Data Set version 3. Read More

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http://dx.doi.org/10.1002/nau.23941DOI Listing
February 2019

[Lower urinary tract symptoms among women in the Russian Federation: data from an online survey].

Urologiia 2018 Oct(4):5-8

Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.

Aim: To estimate the prevalence and severity of lower urinary tract symptoms in the female population using a LUTS-specific questionnaire.

Materials And Methods: The study analyzed the prevalence of LUTS in the population of women residing in the Russian Federation. Information about voiding disorders in women, which was announced on federal television health-related programs, was posted on the website of the medical portal zdorovieinfo. Read More

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October 2018

High-Low Impact Exercise Program Including Pelvic Floor Muscle Exercises Improves Pelvic Floor Muscle Function in Healthy Pregnant Women - A Randomized Control Trial.

Front Physiol 2018 30;9:1867. Epub 2019 Jan 30.

Department of Physiology and Pharmacology, Gdansk University of Physical Education and Sport, Gdańsk, Poland.

Pregnancy and high-impact activity are considered as risk factors for pelvic floor dysfunctions, including urinary incontinence. To investigate whether a structured exercise program, including high- and low-impact aerobics and supported by pelvic floor muscle exercises, improves the neuromuscular activity of the pelvic floor and does not reduce the quality of life in terms of urinary incontinence in healthy pregnant women. This was a randomized control trial among 97 Caucasian healthy nulliparas in uncomplicated pregnancies (age 30 ± 4 years, 21 ± 5 weeks of gestation; mean ± SD). Read More

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http://dx.doi.org/10.3389/fphys.2018.01867DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363702PMC
January 2019
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Anal Sphincteroplasty in the Minimally Invasive Era: Assessment of National Trends and Complications.

Am Surg 2019 Jan;85(1):46-51

Fecal incontinence is a debilitating and underreported condition. Despite introduction of novel therapies in recent years, anal sphincteroplasty (AS) remains the surgical choice for certain patients. Previous reports have primarily focused on single-surgeon or single-center experience with AS. Read More

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January 2019
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Complications related to use of mesh implants in surgical treatment of stress urinary incontinence and pelvic organ prolapse: infection or inflammation?

World J Urol 2019 Feb 13. Epub 2019 Feb 13.

Department of Material Science and Engineering, Kroto Research Institute, University of Sheffield, Sheffield, UK.

The surgical mesh material used in the surgical treatment of stress urinary incontinence (SUI) and pelvic organ prolapse (POP) in women is associated with significant complications in some women. This has recently become a public health issue with involvement of national parliaments and regulatory bodies. The occurrence of mesh complications is thought to be a result of multifactorial processes involving problems related to the material design, the surgical techniques used and disease, and patient-related factors. Read More

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http://dx.doi.org/10.1007/s00345-019-02679-wDOI Listing
February 2019

Pelvic floor myofascial pain in patients with symptoms of urinary tract infection.

Int J Gynaecol Obstet 2019 Feb 13. Epub 2019 Feb 13.

Department of Obstetrics/Gynecology and Urology, Loyola University, Chicago Stritch School of Medicine and Loyola University Medical Center, Maywood, IL, USA.

Objective: To correlate lower urinary tract symptoms typically associated with a urinary tract infection (UTI) with physical examination findings of pelvic floor myofascial pain (PFMP).

Methods: This retrospective review included all new patients presenting to a urogynecology clinic between August 2 and December 19, 2016. Patients completed validated questionnaires, had a catheterized urine specimen, and underwent pelvic examination. Read More

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http://dx.doi.org/10.1002/ijgo.12784DOI Listing
February 2019

Laparoscopic management of a large urethral leiomyoma.

Int Urogynecol J 2019 Feb 12. Epub 2019 Feb 12.

Department of Obstetrics and Gynecology, University of Brescia, Brescia, Italy.

Introduction And Hypothesis: A 42-year-old female presented with a 12-cm mass bulging the anterior vaginal wall and causing urgency urinary incontinence and bulk symptoms.

Methods: Imaging showed a tumor originating from the dorsal and cranial part of the urethra and developing in the vesicouterine space and vesicovaginal septum, dislocating the bladder ventrally and the uterus cranial-dorsally.

Results: Tranvaginal biopsy showed a benign leiomyoma. Read More

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http://dx.doi.org/10.1007/s00192-019-03889-xDOI Listing
February 2019
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Genitourinary Fistula: A Curse to Neglected Pregnancy.

Mymensingh Med J 2019 Jan;28(1):206-213

Dr Nasrin Akhter, Associate Professor, Department of Obstetrics & Gynecology, Dhaka Medical College, Dhaka, Bangladesh.

Genitourinary fistula is a psychophysiosocial distress that results in prolonged labour. Gradually, it has become a public health issue globally with advancing of its incidence day by day. A handsome number of mothers are also suffering in Bangladesh from genitourinary fistula. Read More

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January 2019
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STEP as a Useful Tool to Screen for Diabetes-Specific Health-Related Problems in Community-Based Geriatric Patients- An Exploratory Secondary Analysis of Cross-Sectional Data.

Exp Clin Endocrinol Diabetes 2019 Feb 12. Epub 2019 Feb 12.

Institute of General Practice and Family Medicine, Medical Faculty of Martin-Luther-University Halle-Wittenberg, Halle, Germany.

Background And Aims: Comprehensive geriatric assessments are established tools for the identification of health problems in the elderly. So far, little is known about tailoring and targeting to facilitate their application. As a starting point for a tailored assessment of patients with diabetes, a highly prevalent health condition, we aimed to assess if the Standardized Assessment of Elderly People (STEP) is able to identify relevant differences in self-reported health problems between diabetic and non-diabetic patients. Read More

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http://dx.doi.org/10.1055/a-0803-0362DOI Listing
February 2019
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Comparison of Serum Vitamin D Levels in Relation to Bowel and Bladder Symptoms in Women with Vulvar Diseases.

Int J Vitam Nutr Res 2019 Feb 12:1-7. Epub 2019 Feb 12.

1 Michigan Medicine Department of Obstetrics and Gynecology, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, 734-647-9727 (fax).

Objectives: We sought to investigate associations between vitamin D levels and bowel and bladder disorders in women with vulvar diseases.

Methods: This is a planned sub-analysis of a cross-sectional study comparing the prevalence of bowel and bladder symptoms in women with biopsy-proven vulvar lichen sclerosus (LS) to a control group of women with non-lichenoid vulvar diseases. All subjects were recruited from a tertiary referral vulvar care clinic in a university-based practice. Read More

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http://dx.doi.org/10.1024/0300-9831/a000527DOI Listing
February 2019
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A Nationwide Survey of Parkinson's Disease Medicines Availability and Affordability in Nigeria.

Mov Disord Clin Pract 2019 Jan 16;6(1):27-33. Epub 2018 Nov 16.

Lagos State University Teaching Hospital Ikeja Lagos State Nigeria.

Background And Objectives: Limited access to medicines can impact negatively on outcomes in people with Parkinson's disease (PD). The study objectives were to determine the availability and assess the affordability of antiparkinsonian medications in pharmacies across Nigeria.

Methods: This was a cross-sectional nationwide study utilizing the World Health Organization/Health Action Initiative methodology. Read More

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http://dx.doi.org/10.1002/mdc3.12682DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335528PMC
January 2019
2 Reads