48,701 results match your criteria Urinary Incontinence

Morphological and histological changes in the urethra after intraurethral nonablative erbium YAG laser therapy: an experimental study in beagle dogs.

Lasers Med Sci 2022 May 26. Epub 2022 May 26.

Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No.1095 Jie Fang Avenue, Hankou, Wuhan, Hubei Province, 430030, People's Republic of China.

The purpose of this study was to investigate the morphological and histological changes in the urethra in beagle dogs after intraurethral Er:YAG laser irradiation in nonablative mode to confirm the safety of this therapy. Six 2-year-old healthy female virgin beagle dogs (13 ± 1.51 kg) were used in this study. Read More

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Factors associated with marital status of women with genital fistula after childbirth: a retrospective review in nine African countries.

BMJ Open 2022 May 25;12(5):e055961. Epub 2022 May 25.

Division for Statistical and Data Sciences, RTI International, Research Triangle Park, North Carolina, USA.

Objective: To examine characteristics associated with remaining married with fistula.

Design: Retrospective record review and logistic regression.

Setting: Tanzania, Uganda, Kenya, Malawi, Zambia, Rwanda, Ethiopia, Somalia and South Sudan. Read More

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Management of stress urinary incontinence in female patients with spinal cord injury by autologous fascial sling: time for a revival?

Spinal Cord Ser Cases 2022 May 24;8(1):57. Epub 2022 May 24.

Neuro-Urology, Schweizer Paraplegiker Zentrum, Nottwil, Switzerland.

Study Design: This study is a retrospective chart analysis.

Objectives: Surgical treatment of stress urinary incontinence (SUI) in women with neurogenic lower urinary tract dysfunction (NLUTD) is a challenge, as minimally invasive procedures do not seem to be effective, whereas synthetic implants are associated with substantial risks. Thus, we evaluated the results of an autologous sling procedure in this group of patients SETTING: This study was performed at a spinal cord injury rehabilitation center in Switzerland. Read More

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Usefulness of videourodynamic study in the decision-making of surgical intervention and bladder management for neurogenic lower urinary tract dysfunction among patients with myelomeningocele.

Int Urol Nephrol 2022 May 24. Epub 2022 May 24.

Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, 707, Section 3, Chung-Yang Road, Hualien, Taiwan.

Purpose: Neurogenic lower urinary tract dysfunction (NLUTD) is common among children with myelomeningocele (MMC). If NLUTD is not appropriately managed, recurrent urinary tract infection (UTI) can persist and may affect upper urinary tract function. This study investigated the usefulness of videourodynamic study (VUDS) in the urological management of MMC. Read More

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Urinary tract infection following intradetrusor onabotulinumtoxina injection for non-neurogenic urgency incontinence: single- vs. multi-dose prophylactic antibiotic treatment regimens.

Int Urogynecol J 2022 May 24. Epub 2022 May 24.

Division of Female Pelvic Medicine & Reconstructive Surgery, Cooper University Healthcare, Philadelphia, PA, USA.

Introduction And Hypothesis: Urinary tract infection is one of the most common adverse events following onabotulinumtoxinA injection for urgency incontinence. Our hypothesis was that those undergoing injection for urgency incontinence who received more than one dose of prophylactic antibiotics have lower post-procedure urinary tract infection rates compared to those who receive a single dose.

Methods: We conducted a multi-center retrospective cohort study in females who underwent onabotulinumtoxinA injection for non-neurogenic urgency incontinence to evaluate the effect of single- vs. Read More

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Longitudinal urinary microbiome characteristics in women with urgency urinary incontinence undergoing sacral neuromodulation.

Int Urogynecol J 2022 May 24. Epub 2022 May 24.

Duke University, Durham, NC, USA.

Introduction And Hypothesis: The objective was to evaluate the stability of the urinary microbiome communities in women undergoing sacral neuromodulation (SNM) for urgency urinary incontinence (UUI). We hypothesized that clinical response to SNM therapy would be associated with changes in the urinary microbiome.

Methods: Women completed the Overactive Bladder Questionnaire Short-Form, the International Consultation on Incontinence Questionnaire Short Form, and the Female Sexual Function Index at baseline and 3 months post-SNM implantation. Read More

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Effects of transobturator tape procedure on female sexual function at 2-year follow-up: A prospective cohort study with matched control group.

Low Urin Tract Symptoms 2022 May 23. Epub 2022 May 23.

Department of Obstetrics and Gynecology, Yıldırım Doruk Special Hospital, Bursa, Turkey.

Objectives: We aimed to compare the effect of elapsed time on sexual function in women who underwent a transobturator tape (TOT) procedure for stress urinary incontinence (SUI) with continent controls.

Methods: Urinary and sexual function of 70 females were assessed preoperatively at month 6 and postoperatively at month 24 in the study group. Forty-five patients without urinary incontinence and demographically matched with the study group were assessed for sexual function at first administration and 24 months later in the control group. Read More

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Monopolar electrocautery use in minimally invasive urosurgery: Case report of ectopic ureter management in a bitch.

Open Vet J 2022 Mar-Apr;12(2):182-187. Epub 2022 Mar 15.

Veterinary Department, Faculty of Agrotechnology, Vilnius College, Vilnius, Lithuania.

Background: Ureteral ectopy is a congenital anomaly, affecting young dogs, predominantly bitches. The main complication of the disease is urinary incontinence, which leads to low life quality for both animals and their owners. However, only two less invasive surgical management options are reported. Read More

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High prevalence of Pseudomonas aeruginosa carriage in residents of French and German long-term care facilities.

Clin Microbiol Infect 2022 May 18. Epub 2022 May 18.

Institute of Medical Microbiology and Hygiene, University Hospital Tübingen, Tübingen, Germany.

Objectives: To determine prevalence, incidence, and factors associated with Pseudomonas aeruginosa (PA) intestinal carriage in residents of long-term care facilities (LTCFs) and to understand the population structure of this pathogen in LTCFs from two European countries.

Methods: We assessed the prevalence of PA intestinal carriage and the incidence of acquisition by collecting fecal samples from 403 residents of 20 LTCFs. We collected 289 environmental samples from sinks and drinking water. Read More

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A Risk Calculator for Post-Operative Urinary Retention (POUR) Following Vaginal Pelvic Floor Surgery: Multivariable Prediction Modelling.

BJOG 2022 May 21. Epub 2022 May 21.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.

Objective: To determine the peri-operative characteristics associated with an increased risk of post-operative urinary retention (POUR) following vaginal pelvic floor surgery.

Design: A retrospective cohort study using multivariable prediction modelling.

Setting: A tertiary referral urogynaecology unit. Read More

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A Hybrid-Telerehabilitation Versus a Conventional Program for Urinary Incontinence: a Randomized Trial during COVID-19 Pandemic.

Int Urogynecol J 2022 May 21. Epub 2022 May 21.

Serviço de Medicina Física e de Reabilitação, Centro Hospitalar Universitário de São João, Porto, Portugal.

Introduction And Hypothesis: This study aimed to compare the effectiveness of a hybrid telerehabilitation program with a traditional face to face model in women with stress urinary incontinence (SUI) and mixed incontinence (MUI) with a predominance of SUI. The authors hypothesized that home pelvic floor muscle training (PFMT) would have a similar benefit to outpatient PFMT.

Methods: Parallel randomized controlled trial including 58 patients consecutively admitted to a tertiary academic hospital for pelvic floor rehabilitation consultation from 1 January to 30 April 2021 for conservative treatment of UI. Read More

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The evolution of stress urinary incontinence treatment techniques of the last three decades.

Int Braz J Urol 2022 Jul-Aug;48(4):660-661

Divisão de Urologia Feminina - Universidade de Campinas Faculdade de Ciências Médicas - UNICAMP, Campinas, SP, Brasil.

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Predictivity of the comorbidity indices for geriatric syndromes.

BMC Geriatr 2022 May 19;22(1):440. Epub 2022 May 19.

Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.

Background: The aging population and increasing chronic diseases make a tremendous burden on the health care system. The study evaluated the relationship between comorbidity indices and common geriatric syndromes.

Methods: A total of 366 patients who were hospitalized in a university geriatric inpatient service were included in the study. Read More

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Integrating single-cell RNA sequencing with spatial transcriptomics reveals immune landscape for interstitial cystitis.

Signal Transduct Target Ther 2022 May 20;7(1):161. Epub 2022 May 20.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, P.R. China.

Interstitial cystitis (IC) is a severely debilitating and chronic disorder with unclear etiology and pathophysiology, which makes the diagnosis difficult and treatment challenging. To investigate the role of immunity in IC bladders, we sequenced 135,091 CD45 immune cells from 15 female patients with IC and 9 controls with stress urinary incontinence using single-cell RNA sequencing (scRNA-seq). 22 immune subpopulations were identified in the constructed landscape. Read More

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[Autologous fascia pubovaginal slings in women with stress urinary incontinence at high risk of mesh/device-related complications].

Prog Urol 2022 May 16. Epub 2022 May 16.

Service d'urologie, CHU de Rennes, Rennes, France.

Introduction: Very popular in many parts of the world, autologous fascial pubovaginal sling (AFPVS) remains marginally used in France. However, it may be of particular interest in patients carrying a high risk of mesh-related or device-related related complications. The aim of the present series was to report the outcomes of AFPVS in this high-risk population. Read More

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Patient-reported bowel and urinary function in long-term survivors of squamous cell carcinoma of the anus treated with definitive intensity-modulated radiotherapy and concurrent chemotherapy.

Int J Radiat Oncol Biol Phys 2022 May 16. Epub 2022 May 16.

Department of Gastrointestinal Radiation Oncology, Division of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.

Background: Definitive radiotherapy with concurrent chemotherapy is curative for non-metastatic squamous cell carcinoma of the anus (SCCA). However, the true impact of chemoradiation on long-term functional outcomes is poorly understood due to limited follow up and patient-reported outcomes (PROs).

Methods: We conducted a cross-sectional survey of 248 patients with SCCA treated with definitive intensity-modulated radiation (IMRT) and concurrent chemotherapy from 2010-2018 who were alive and without recurrence. Read More

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Long-term follow-up and success rate of ventral inlay buccal mucosal graft urethroplasty for female urethral stricture disease.

Urology 2022 May 16. Epub 2022 May 16.

M. Ch. Urology, Additional Professor and Head of the department, Department of Urology, AIIMS, Bhubaneshwar. Electronic address:

Objective: To determine the long-term success of ventral inlay buccal-mucosal graft urethroplasty (Vi-BMGU) for female urethral strictures (FUS).

Materials And Methods: We performed a retrospective analysis of prospectively maintained data on patients who underwent Vi-BMGU between May 2016 and January 2020 with a minimum follow-up of 2 years. The primary outcome was the long-term success after 2 to 5 years of surgery. Read More

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Stepped-wedge randomized controlled trial of laparoscopic ventral mesh rectopexy in adults with chronic constipation.

Tech Coloproctol 2022 May 19. Epub 2022 May 19.

Centre for Neuroscience, Surgery and Trauma, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Background: The effectiveness of laparoscopic ventral mesh rectopexy (LVMR) in patients with defecatory disorders secondary to internal rectal prolapse is poorly evidenced. A UK-based multicenter randomized controlled trial was designed to determine the clinical efficacy of LVMR compared to controls at medium-term follow-up.

Methods: The randomized controlled trial was conducted from March 1, 2015 TO January 31, 2019. Read More

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Correction to: Stress urinary incontinence and the forgotten female hormones.

Int Urogynecol J 2022 May 19. Epub 2022 May 19.

Department of Obstetrics, Gynecology and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, 125 Paterson Street, New Brunswick, NJ, 08901, USA.

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Toileting behaviors, urinary cues, overactive bladder, and urinary incontinence in older women.

Int Urogynecol J 2022 May 19. Epub 2022 May 19.

University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Introduction And Hypothesis: Overactive bladder (OAB) and urinary incontinence (UI) are prevalent in older women. We investigated relations of toileting behaviors and urinary urge cues to OAB and UI in women ≥ 65 years. We tested mediation hypotheses that toileting behaviors lead to higher sensitivity to urinary urge cues (the mediator), which leads to both OAB and UI. Read More

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Knowledge of women during the third trimester of pregnancy regarding pelvic floor disorders.

Int Urogynecol J 2022 May 2. Epub 2022 May 2.

Department of Obstetrics and Gynecology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba, Israel.

Introduction And Hypothesis: The objective was to examine knowledge regarding pelvic floor disorders (PFDs) among women during the third trimester of pregnancy.

Methods: A cross-sectional study was conducted at a large teaching medical center in Israel between June and September 2020. Women in their third trimester (N = 649) were asked to complete the validated Hebrew and Arabic versions of the Prolapse and Incontinence Knowledge Questionnaire (PIKQ). Read More

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Correlation between transurethral interventions and their influence on type and duration of postoperative urinary incontinence: results from a systematic review and meta-analysis of comparative studies.

J Endourol 2022 May 19. Epub 2022 May 19.

Ng Teng Fong General Hospital, 242949, Urology, Singapore, Singapore;

Objective To perform a systematic review to assess the incidence of transient (<6-month) and persistent (>6-month) stress (SUI), urge (UUI), and mixed urinary incontinence (MUI) after transurethral surgeries for benign prostatic hyperplasia (BPH). Materials and Methods A systematic literature search was performed using Embase, PubMed, and Web of Science. We included studies comparing monopolar(M)/bipolar(B) TURP vs ablation vs enucleation procedures. Read More

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Acute, Subchronic, and Chronic Complications of Radical Prostatectomy Versus Radiotherapy With Hormone Therapy in Older Adults With High-Risk Prostate Adenocarcinoma.

Front Oncol 2022 2;12:875036. Epub 2022 May 2.

International PhD Program in Biotech and Healthcare Management, School of Health Care Administration, College of Management, Taipei Medical University, Taipei, Taiwan.

Purpose: To compare acute, subchronic, and chronic complications between older patients with high-risk localized prostate cancer (HR-LPC) receiving radical prostatectomy (RP) and high-dose intensity-modulated radiotherapy (IMRT) combined with long-term hormone therapy (HT).

Patients And Methods: We recruited older patients (≥80 years) with HR-LPC from the Taiwan Cancer Registry database. After propensity score matching, logistic regression analysis was used to compare the acute, subchronic, and chronic complication rates between patients who underwent RP (the RP group) and high-dose IMRT combined with long-term HT (the IMRT+HT group). Read More

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High dose chemoradiotherapy increases chance of organ preservation with satisfactory functional outcome for rectal cancer.

Radiat Oncol 2022 May 18;17(1):98. Epub 2022 May 18.

Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, 651 Dongfeng Road East, Guangzhou, 510060, People's Republic of China.

Background: High dose chemoradiotherapy offers a curative chance for patients with rectal cancer that are unfit or unwilling to undergo surgical resection, yet its long-term survival and functional outcomes have been rarely investigated.

Methods: Patients with non-metastatic rectal adenocarcinoma who received pelvic radiation for curative intent from April 2006 to July 2017 were retrospectively investigated. Survival rates were analyzed using the Kaplan-Meier method. Read More

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Pathologically Verified Corticobasal Degeneration Mimicking Richardson's Syndrome Coexisting with Clinically and Radiologically Shunt-Responsive Normal Pressure Hydrocephalus.

Mov Disord Clin Pract 2022 May 12;9(4):508-515. Epub 2022 Apr 12.

Department of Neurology National Center Hospital, National Center of Neurology and Psychiatry Tokyo Japan.

Background: Normal pressure hydrocephalus (NPH) manifests as gait instability, cognitive impairment, and urinary incontinence. This clinical triad of NPH sometimes occurs with ventriculomegaly in patients with neurodegenerative disease. Patients with pathologically verified neurodegenerative diseases, such as progressive supranuclear palsy (PSP), have received antemortem diagnoses of NPH. Read More

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Screening and management of bladder and bowel dysfunction in general pediatric outpatient clinic: a prospective observational study.

BMC Pediatr 2022 May 17;22(1):288. Epub 2022 May 17.

Division of Nephrology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok, 10700, Thailand.

Background: Bladder and bowel dysfunction (BBD) is a common disorder in children that is often associated with psychosocial and behavioral problems. Data specific to BBD in Asian children are comparatively scarce. Accordingly, this study aimed to investigate the prevalence of BBD and the response to standard urotherapy among Thai children attending the general pediatric outpatient clinic of Siriraj Hospital - Thailand's largest national tertiary referral center. Read More

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Alzheimer's disease amyloidogenesis is linked to altered lower urinary tract physiology.

Neurourol Urodyn 2022 May 17. Epub 2022 May 17.

UConn Center on Aging, UConn Health, Farmington, Connecticut, USA.

Aims: While most Alzheimer's disease (AD) research emphasizes cognitive and behavioral abnormalities, lower urinary tract symptoms (LUTS) are observed in a third of AD patients, contributing to morbidity, poor quality of life, and need for institutionalization. Alzheimer's disease-associated urinary dysfunction (ADUD) has been assumed to be due to cognitive decline alone. While mouse studies have suggested that bladder innervation and voiding behavior may be altered in AD models, technical challenges precluded voiding reflex assessments. Read More

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Initial experience using the Axonics sacral neuromodulation system in patients with multiple sclerosis.

Neurourol Urodyn 2022 May 17. Epub 2022 May 17.

Department of Urology, Stony Brook University Hospital, Stony Brook, New York, USA.

Introduction: Sacral neuromodulation (SNM) is third-line therapy approved for urge urinary incontinence (UUI) and urgency, and nonobstructive urinary retention. Multiple sclerosis (MS) patients often suffer from neurogenic lower urinary tract dysfunction (NLUTD). The utility of SNM in the MS population is limited by magnetic resonance imaging (MRI) incompatibility as routine MRIs to evaluate for disease progression are required. Read More

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