44,905 results match your criteria Urinary Incontinence


Serial Assessment of Urinary Incontinence in Breast Cancer Survivors Undergoing (Neo)Adjuvant Therapy.

J Natl Compr Canc Netw 2020 Jun;18(6):712-716

3Department of Medical Oncology, City of Hope National Medical Center, Duarte, California.

Background: Among breast cancer survivors, urinary incontinence (UI) is often attributed to cancer therapy. We prospectively assessed urinary symptoms before and after (neo)adjuvant treatment of early-stage breast cancer.

Methods: With consent, women with stage I-III breast cancer completed the Urogenital Distress Inventory and the Incontinence Impact Questionnaire before and 3 months after initiating (neo)adjuvant therapy. Read More

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http://dx.doi.org/10.6004/jnccn.2020.7535DOI Listing

Autologous Pubovaginal Sling For The Treatment Of Stress Urinary Incontinence In A Patient With High Risk Of Mesh Erosion.

Urology 2020 Jun 2. Epub 2020 Jun 2.

Advanced Urology Associates Pte Ltd, Singapore (formerly Department of Urology, Tan Tock Seng Hospital, Singapore.

Introduction: Autologous pubovaginal sling is a surgical option for patients with stress urinary incontinence (SUI), either as primary treatment, or in those who have failed synthetic sling placement. It is also favourable for patients at high risk of mesh erosion, for example in those who are immunocompromised or post-radiation. This video reviews the technical considerations in performing an autologous pubovaginal sling fashioned from rectus fascia in an immunocompromised patient with multiple previous abdominal surgeries. Read More

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http://dx.doi.org/10.1016/j.urology.2020.05.031DOI Listing

Female buccal mucosa graft urethroplasty: a new modified ventral onlay "AZ" technique.

Int Urogynecol J 2020 Jun 4. Epub 2020 Jun 4.

Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.

Introduction And Hypothesis: To present the surgical details and the outcomes of our modified ventral onlay buccal mucosal graft (BMG) urethroplasty technique in female patients with urethral strictures.

Methods: We included the first seven female patients who had BMG urethroplasty between January 2015 and April 2019 and had at least 6 months of follow-up. Patient age, stricture length, comorbidities, number of previous treatments, pre- and postoperative uroflowmetry data, and post-void residual volumes were recorded. Read More

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http://dx.doi.org/10.1007/s00192-020-04354-wDOI Listing

Dual implantation of penile prosthesis and ATOMS system for post-prostatectomy erectile dysfunction and urinary incontinence: a feasibility study.

Int J Impot Res 2020 Jun 4. Epub 2020 Jun 4.

A.O.U. Città della Salute e della Scienza di Torino-Presidio Unità Spinale Unipolare-SC Neurourologia, Turin, Italy.

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http://dx.doi.org/10.1038/s41443-020-0320-yDOI Listing

A Comparative Observational Study to Evaluate the Efficacy of Mid-Urethral Sling with Botulinum Toxin A Injection in Urinary Incontinence Patients.

Toxins (Basel) 2020 Jun 2;12(6). Epub 2020 Jun 2.

Department of Urology, China Medical University Hospital, Taichung 40447, Taiwan.

This study aimed to evaluate and compare the efficacy and safety of mid-urethral sling (MUS) with botulinum toxin A (BoNT-A) versus MUS only in women with mixed urinary incontinence. This was a comparative observational study, and total of 73 patients were enrolled. A total of 38 and 35 patients received MUS only and MUS with BoNT-A injection, respectively. Read More

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http://dx.doi.org/10.3390/toxins12060365DOI Listing

Short-term advantages of ELAPE over APR.

Acta Chir Belg 2020 Jun 4:1-18. Epub 2020 Jun 4.

Surgical-Oncosurgical Dept., Uzsoki Teaching Hospital, Budapest, Hungary.

Conventional abdominoperineal resection (APR) has a high rate of local recurrence. Extralevator abdominoperineal excision (ELAPE) can potentially diminish the rate of intraoperative tumour perforation (IOTP) and can provide wider circumferential resection margins (CRM) but at the price of higher perineal complication rate. The aim of our study was to compare the short term results of conventional APR to ELAPE. Read More

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Overactive bladder and sleep disturbance have a significant effect on indoor falls: Results from the community health survey in Japan.

Low Urin Tract Symptoms 2020 Jun 4. Epub 2020 Jun 4.

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Objectives: To evaluate the effect of overactive bladder (OAB) and frailty on indoor fall events in community-dwelling adults aged 50 or older.

Methods: We conducted a cross-sectional study involving 723 adults between 2016 and 2017 in Hirosaki, Japan. OAB symptoms and sleep disturbance were assessed using the Overactive Bladder Symptom Score (OABSS) and the Pittsburgh Sleep Quality Index (PSQI). Read More

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http://dx.doi.org/10.1111/luts.12326DOI Listing

Do voiding urodynamic parameters predict the success of adjustable transobturator male system (ATOMS) to treat postprostatectomy urinary incontinence?

Neurourol Urodyn 2020 Jun 4. Epub 2020 Jun 4.

Department of Urology, Hospital Universitario de Getafe, Madrid, Spain.

Objective: To evaluate whether urodynamic voiding risk factors can be predictive of failure of postprostatectomy urinary incontinence (PPI) treatment with adjustable transobturator male system (ATOMS).

Materials And Methods: We carried out a longitudinal study on 77 males treated for PPI with ATOMS. Patients were submitted preoperatively to a urodynamic study. Read More

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http://dx.doi.org/10.1002/nau.24416DOI Listing

Long-term outcome of adjustable transobturator male system for stress urinary incontinence in the Iberian multicentre study.

Neurourol Urodyn 2020 Jun 4. Epub 2020 Jun 4.

Department of Urology, Centro Hospitalar São João, Oporto, Portugal.

Aim: The aim of this study is to evaluate long-term durability and effectiveness of the adjustable transobturator male system (ATOMS).

Materials And Methods: The retrospective multicenter Iberian ATOMS study (n = 215) was updated to evaluate long-term continence status, complications, explants, and secondary treatments. Mean follow-up from surgery to March 2020 was 60. Read More

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http://dx.doi.org/10.1002/nau.24410DOI Listing

Performance of self-reported and unsupervised antenatal pelvic floor muscle training and its effects on postpartum stress urinary incontinence among Chinese women: a cohort study.

J Int Med Res 2020 Jun;48(6):300060520914226

Nursing Department, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, China.

Objectives: We investigated performance of antenatal pelvic floor muscle training (PFMT) among Chinese pregnant women, to explore its effects on postpartum stress urinary incontinence (SUI).

Methods: We conducted a prospective cohort study in Shenzhen, China among 815 singleton pregnant women age ≥18 years, who were continent before pregnancy. Telephone follow-up was conducted at 6 weeks postpartum. Read More

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http://dx.doi.org/10.1177/0300060520914226DOI Listing

Radical prostatectomy versus deferred treatment for localised prostate cancer.

Cochrane Database Syst Rev 2020 Jun 4;6:CD006590. Epub 2020 Jun 4.

Department of Research, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, Netherlands.

Background: Prostate cancer is a common cancer but is oftentimes slow growing. When confined to the prostate, radical prostatectomy (RP), which involves removal of the prostate, offers potential cure that may come at the price of adverse events. Deferred treatment, involving observation and palliative treatment only (watchful waiting (WW)) or close monitoring and delayed local treatment with curative intent as needed in the setting of disease progression (active monitoring (AM)/surveillance (AS)) might be an alternative. Read More

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http://dx.doi.org/10.1002/14651858.CD006590.pub3DOI Listing

Video and review of the surgical management of recurrent urethral diverticulum.

Int Urogynecol J 2020 Jun 3. Epub 2020 Jun 3.

Mercy Hospital for Women, Melbourne, Victoria, Australia.

Introduction: Recurrent urethral diverticulum has been reported in 23% of cases after primary repair and can be difficult to manage. The aim of this video is to demonstrate a surgical technique of repairing a recurrent diverticulum in a woman who had two previous procedures, one with a Martius labial fat pad graft.

Methods: A 40-year-old woman presented with a symptomatic recurrent urethral diverticulum after two previous repairs. Read More

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http://dx.doi.org/10.1007/s00192-020-04357-7DOI Listing

[Predictive factors of immediate post-operative acute urinary retention or voiding dysfunction following mid-urethral sling surgery: A literature review].

Prog Urol 2020 May 31. Epub 2020 May 31.

Université Paris-Saclay, faculté de médecine, 94270 Le Kremlin Bicêtre, France; Assistance publique Hôpitaux de Paris (AP-HP), GHU Sud, hôpital Antoine-Béclère, service de gynécologie-obstétrique, 157, rue de la porte de Trivaux, 92140 Clamart, France. Electronic address:

Objective: Immediate postoperative urinary retention (UR) and voiding dysfunction (VD) are some factors limiting outpatient procedure for mid-urethral sling (MUS) surgery in women presenting with stress urinary incontinence. The objective of the current review was to report the main predictive factors associated with immediate postoperative UR/VD following MUS surgery in women.

Methods: A systematic review was performed using Medline database, according to PRISMA methodology, using following keywords midurethral sling; tension-free vaginal tape; TVT; transobturator tape; TOT; predicting factor; voiding dysfunction; urinary retention; postvoid residual; postoperative residue of urine. Read More

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http://dx.doi.org/10.1016/j.purol.2020.05.008DOI Listing

Improving early urinary continence recovery after radical prostatectomy by applying a sutureless technique for maximal preservation of the intrapelvic urethra: A 17-year single-surgeon experience.

Urologia 2020 Jun 3:391560320925570. Epub 2020 Jun 3.

Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: There is a growing concern about postsurgical outcomes of radical prostatectomy, especially in the younger population and patients with earlier tumor stages. Here, we present our 17 years' experience of sutureless vesico-urethral alignment after radical prostatectomy with a focus on postoperative functional urinary outcomes.

Methods: Data of 784 patients who underwent radical prostatectomy during 2001-2017 were evaluated retrospectively. Read More

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http://dx.doi.org/10.1177/0391560320925570DOI Listing

Urease-Powered Polydopamine Nanomotors for Intravesical Therapy of Bladder Diseases.

ACS Nano 2020 Jun 3. Epub 2020 Jun 3.

The intravesical therapeutic delivery has been extensively investigated for various bladder diseases such as bladder cancer, overactive bladder, urinary incontinence, and interstitial cystitis. However, conventional drug carriers have a low therapeutic delivery efficiency because of the passive diffusion of drug molecules in bladder and the rapid clearance by the periodic urination. Here, we report biocompatible and bioavailable enzyme-powered polymer nanomotors which can deeply penetrate into a mucosa layer of bladder wall and remain for a long-term period in the bladder. Read More

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http://dx.doi.org/10.1021/acsnano.9b09726DOI Listing

The effect of sacrospinous ligament fixation during vaginal hysterectomy on postoperative de-novo stress incontinence occurrence: A prospective study with two-year follow up.

Turk J Med Sci 2020 Jun 3. Epub 2020 Jun 3.

Background/aim: To investigate the risk of de novo stress urinary incontinence (SUI) occurrence in women who were treated for pelvic organ prolapse (POP) with sacrospinous ligament fixation (SSLF) in addition to vaginal hysterectomy (VAH) and antero-posterior colporrhaphy (CAP) over a 24 month follow up period.

Materials And Methods: A prospective randomized study was designed. Women without occult or obvious SUI were randomized into either one of the study groups: Group1: VAH+CAP, and Group2: VAH+CAP+SSLF. Read More

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http://dx.doi.org/10.3906/sag-2005-117DOI Listing

Effects of surface electrical stimulation during sitting on pelvic floor muscle function and sexual function in women with stress urinary incontinence.

Obstet Gynecol Sci 2020 May 30;63(3):370-378. Epub 2020 Mar 30.

Sophie-Marceau Women's Clinic, Daegu, Korea.

Objective: Dysfunction of the pelvic floor muscles (PFM) is associated with sexual dysfunction in women with stress urinary incontinence (SUI). The EasyK7 device was developed to stimulate the PFM by surface electrical stimulation during sitting (SESdS). We investigated the effects of SESdS on PFM function and sexual function in women with SUI. Read More

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http://dx.doi.org/10.5468/ogs.2020.63.3.370DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231947PMC

Focal ablation of apical prostate cancer lesions with irreversible electroporation (IRE).

World J Urol 2020 Jun 2. Epub 2020 Jun 2.

St. Vincent's Prostate Cancer Centre, Darlinghurst, NSW, Australia.

Introduction And Objective: To assess the safety, oncological and quality-of-life (QoL) outcomes of focal ablation of apical prostate cancer (PCa) lesions with irreversible electroporation (IRE).

Methods: Patients were included in the study if they had a PCa lesion within 3 mm of the apical capsule treated with IRE. The IRE procedure was performed in our institution by a single urologist. Read More

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http://dx.doi.org/10.1007/s00345-020-03275-zDOI Listing

Validation and cultural translation for the Brazilian Portuguese version of the Questionnaire for Urinary Incontinence Diagnosis.

Int Urogynecol J 2020 Jun 2. Epub 2020 Jun 2.

Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (UNICAMP), Rua Alexander Fleming, 101, Cidade Universitária, Campinas, SP, 13083-881, Brazil.

Introduction And Hypothesis: Short questionnaires are important for validating the clinical diagnosis of urinary incontinence (UI). We sought to validate and culturally translate the Questionnaire for Urinary Incontinence Diagnosis (QUID) for the Brazilian Portuguese language.

Methods: A cross-sectional study with 457 women (330 with urinary incontinence and 127 controls) was performed in a Southeastern Brazilian outpatient clinic. Read More

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http://dx.doi.org/10.1007/s00192-020-04344-yDOI Listing

Twenty years later: is the scrotal one-incision AUS of value?

Int J Impot Res 2020 Jun 2. Epub 2020 Jun 2.

Department of Urology, University of Alabama, Birmingham, AL, USA.

The artificial urinary sphincter, known as AMS 800, has been the gold standard for treating moderate to severe stress urinary incontinence in males for 40 years. Yet, the number of sphincters done globally is quite small and the majority of urologists doing them are infrequent implanters. Estimates for 2019 showed half of implanters did only one implant that year and worldwide only around 13,000 implantations were performed. Read More

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http://dx.doi.org/10.1038/s41443-020-0317-6DOI Listing

The First Injection: Rates of Urinary Retention in Women With Urgency Incontinence Treated With Intravesical OnabotulinumtoxinA Injection.

Female Pelvic Med Reconstr Surg 2020 Jun 1. Epub 2020 Jun 1.

From the Northwestern University, Chicago, IL.

Objective: The aim of the study was to describe the rate of symptomatic and asymptomatic urinary retention and catheterization in women undergoing initial intravesical onabotulinumtoxinA (BnTA) injection for urgency urinary incontinence (UUI).

Methods: This retrospective chart review included women receiving initial 100 U of BnTA injection for UUI for 5 years. Straight-catheterized postvoid residuals (PVRs) were performed 2 weeks after the injection. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000847DOI Listing

Prevalence of possible idiopathic normal pressure hydrocephalus in older inpatients with schizophrenia: a replication study.

BMC Psychiatry 2020 Jun 1;20(1):273. Epub 2020 Jun 1.

Department of Neuropsychiatry, Molecules and Function, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime, 791-0295, Japan.

Background: We recently reported that older patients with schizophrenia (SZ) show possible idiopathic normal pressure hydrocephalus (iNPH) more frequently than the general population. In this study, we estimated the prevalence of iNPH in a larger number of older SZ patients and explored useful examination values for diagnosis in the SZ population.

Methods: We enrolled older inpatients with SZ (n = 39, mean age = 68. Read More

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http://dx.doi.org/10.1186/s12888-020-02690-1DOI Listing

Prostatic Artery Embolization for Benign Prostatic Hyperplasia Treatment: A Russian Multicenter Study in More Than 1,000 Treated Patients.

Am J Mens Health 2020 May-Jun;14(3):1557988320923910

Urology and Andrology Department, Faculty of Medicine, Lomonosov Moscow State University, Moscow, Russia.

Benign prostatic hyperplasia (BPH) is one of the most common diseases of the genitourinary system. The prevalence of BPH increases in men with advancing age. While transurethral resection of the prostate gland entails complications such as retrograde ejaculation, urinary incontinence, hematuria, urethral strictures, bladder neck sclerosis, and other adverse events, it is necessary to apply minimally invasive surgical methods such as superselective embolization of the prostatic arteries (PAE), particularly Proximal Embolization First Then Distal Embolization (PErFecTED). Read More

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http://dx.doi.org/10.1177/1557988320923910DOI Listing

Neural pathway of bellows response during SNM treatment revisited: Conclusive evidence for direct efferent motor response.

Neurourol Urodyn 2020 Jun 2. Epub 2020 Jun 2.

Department of Urology, Antwerp University Hospital, Edegem, Belgium.

Background: In sacral neuromodulation (SNM) patients, it is thought the bellows response elicited upon sacral spinal nerve stimulation is reflex-mediated. Therefore the mechanism of action of SNM is considered to be at the spinal or supraspinal level. These ideas need to be challenged. Read More

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http://dx.doi.org/10.1002/nau.24408DOI Listing

Prostatic Artery Embolization for the Treatment of Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia: 10 Years' Experience.

Radiology 2020 Jun 2:191249. Epub 2020 Jun 2.

From the Department of Radiology (F.C.C., A.M.M., A.M.d.A., V.C.d.P.R., G.G.C.) and Division of Urology (A.A.A., M.S.), University of São Paulo Medical School, Av. Dr. Enéas Carvalho de Aguiar, 255, São Paulo, SP 05403-000, Brazil.

Background Long-term experience with prostatic artery embolization (PAE) for benign prostatic hyperplasia remains limited. Purpose To evaluate the efficacy, safety, and long-term results of PAE for benign prostatic hyperplasia. Materials and Methods This retrospective single-center study was conducted from June 2008 to June 2018 in patients with moderate to severe benign prostatic hyperplasia-related symptoms. Read More

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http://dx.doi.org/10.1148/radiol.2020191249DOI Listing

Effects of home-based pelvic floor muscle training on decreasing symptoms of stress urinary incontinence and improving the quality of life of urban adult Omani women: A randomized controlled single-blind study.

Neurourol Urodyn 2020 Jun 1. Epub 2020 Jun 1.

Department of Family Medicine and Public Health, Sultan Qaboos University Hospital, Muscat, Oman.

Aim: This study aims to determine the effectiveness of home-based pelvic floor muscle training (PFMT) on decreasing the severity of symptoms and improving the quality of life (QOL) among Omani women with stress urinary incontinence (SUI).

Methods: A randomized controlled single-blind trial was conducted in three primary health care centers in Muscat. Eligible women who were diagnosed with SUI (from a concurrent phase-I study which was a cross-sectional study to determine the prevalence of urinary incontinence in Oman) were invited to take part. Read More

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http://dx.doi.org/10.1002/nau.24404DOI Listing

The Influence of Vaginal Native Tissue Repair (VNTR) on Various Aspects of Quality of Life in Women with Symptomatic Pelvic Organ Prolapse-A Prospective Cohort Study.

J Clin Med 2020 May 28;9(6). Epub 2020 May 28.

Second Department of Gynecology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland.

Pelvic organ prolapse (POP) and the associated functional disorders are a major epidemiological problem that compromises the quality of life (QoL). The aim of this study was to assess the impact of lower urinary tract symptoms (LUTS) related to POP and vaginal native tissue repair (VNTR) on QoL. Two hundred patients with symptomatic POP were stratified into four groups according to the dominant storage phase function disorders: Urgency; stress urinary incontinence (SUI); mixed urinary incontinence (MUI), and without clinically significant symptoms from lower urinary tract (LUT). Read More

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http://dx.doi.org/10.3390/jcm9061634DOI Listing

Surgical stabilization of spinal metastasis in diffuse idiopathic skeletal hyperostosis ("Mets-on-DISH"): Two case reports.

Medicine (Baltimore) 2020 May;99(22):e20397

Department of Orthopedic Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Rationale: Diffuse idiopathic skeletal hyperostosis (DISH) is characterized by ossification along the anterolateral aspect of at least 4 contiguous vertebral bodies. A fracture involving the fused vertebra in patients with DISH often leads to severe instability and spinal cord injury. Spinal metastasis (Mets) and DISH can coexist in elderly patients and increase their risk of pathologic vertebral fractures. Read More

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http://dx.doi.org/10.1097/MD.0000000000020397DOI Listing

Management of locally advanced synchronous colorectal and prostate cancers: A case report.

Medicine (Baltimore) 2020 May;99(22):e20336

Department of Radiation Oncology, National University Cancer Institute, Singapore (NCIS), National University Health Systems (NUHS), Singapore.

Introduction: Synchronous colorectal and prostate malignancies are uncommon, with standard treatment guidelines not yet established. Chemoradiation therapy is involved in both colorectal and prostate cancers. However, differing dosage regimens and effects of irradiation field on anatomical planes for surgery makes management of the synchronous cancers challenging. Read More

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http://dx.doi.org/10.1097/MD.0000000000020336DOI Listing

Vitamin D and stress urinary incontinence in pregnancy: a cross-sectional study.

BJOG 2020 Jun 1. Epub 2020 Jun 1.

Department for Physical Medicine and Rehabilitation, Østfold Hospital Trust, Sarpsborg, Norway.

Objective: To assess the association between levels of vitamin D and urinary incontinence (UI) in pregnancy.

Design: A cross-sectional study. Secondary analysis of a randomised controlled trial. Read More

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http://dx.doi.org/10.1111/1471-0528.16340DOI Listing

Tendon incontinence repair - First experience with an autologous semitendinosus tendon transplant for urinary stress incontinence treatment.

Urol Case Rep 2020 Sep 21;32:101257. Epub 2020 May 21.

Department of Obstetrics and Gynecology, University Medical Center Mannheim, Heidelberg University, Mannheim, Germany.

In a 40-year-old caucasian patient with stress incontinence was a TVT operation performed with an autologous semitendinosus tendon transplant. The operation was done with spinal anesthesia. The tendon of the right musculus semitendinosus was stripped from the popliteal fossa and used instead of a synthetic tape as midurethral sling, as it is done in a classical retropubic TVT procedure. Read More

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http://dx.doi.org/10.1016/j.eucr.2020.101257DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7248658PMC
September 2020

A rare complication of the AMS Advance™ male sling system for the treatment of stress urinary incontinence: A case report.

Urol Case Rep 2020 Sep 15;32:101250. Epub 2020 May 15.

Mohamed V University, Faculty of Medicine and Pharmacy of Rabat Morocco, Ibn Sina Hospital, Departement of Urology A, Morocco.

Radical prostatectomy is the most common reason for male stress urinary incontinence. It affects around 10% of operated patients and can have a major impact on the quality of life of patients and affect various daily activities. There is still insecurity about its therapeutic management. Read More

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http://dx.doi.org/10.1016/j.eucr.2020.101250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251389PMC
September 2020

Mirror-Image Lesions in Sequential Relapses of AQP4-Positive Neuromyelitis Optica Spectrum Disorder.

Front Neurol 2020 12;11:414. Epub 2020 May 12.

Division of Neurology, Department of Medicine, University of Toronto, Toronto, ON, Canada.

A 25 year-old Nigerian woman with aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder (NMOSD) presented with a 6 week history of nausea, vomiting, and refractory hiccups; as well as progressive lower extremity sensory loss, weakness, saddle anesthesia, and urinary incontinence. She had experienced her first NMOSD relapse seven years prior with bilateral lower extremity weakness and area postrema syndrome. After pulse steroids and plasma exchange she made a complete neurologic recovery and was started on azathioprine. Read More

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http://dx.doi.org/10.3389/fneur.2020.00414DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235314PMC

Efficacy of telemedicine for urinary incontinence in women: a systematic review and meta-analysis of randomized controlled trials.

Int Urogynecol J 2020 May 31. Epub 2020 May 31.

RN, Nursing Department, Lingnan Branch of the Third Affiliated Hospital of Sun Yat-sen University, No. 2693 Kaichuang Street, Huangpu District, Guangzhou, China.

Objectives: The systematic review and meta-analysis were performed to summarize the available evidence and assess the efficacy of telemedicine for urinary incontinence in women.

Methods: PUBMED, EMBASE, Web of Science, The Cochrane Library, CBM, CNKI, WanFang, and VIP databases were electronically searched to identify eligible studies updated to February 2020 to collect RCTs regarding the efficacy of telemedicine for urinary incontinence in women. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of included studies with the Cochrane Handbook for Systematic Reviews of Interventions. Read More

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http://dx.doi.org/10.1007/s00192-020-04340-2DOI Listing

The Clinical Features and Predictive Factors of Nocturnal Enuresis in Adult Men.

BJU Int 2020 May 31. Epub 2020 May 31.

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

Objectives: To characterize the clinical features and to discover predictive factors of adult male with nocturnal enuresis (NE).

Subjects And Methods: Forty-three eligible adult male subjects (mean age was 57.8 years), were recruited prospectively over a 2-year period. Read More

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http://dx.doi.org/10.1111/bju.15126DOI Listing

Childhood nocturnal enuresis-a marker for pelvic floor disorders and urinary tract symptoms in women?

Int Urogynecol J 2020 May 30. Epub 2020 May 30.

Gothenburg Continence Research Centre, Institute of Clinical Sciences, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.

Introduction And Hypothesis: A systematic survey on the association between childhood nocturnal enuresis (CNE) and adult pelvic floor disorders (PFDs) has not been presented previously. The aim was to describe the prevalence of PFDs and lower urinary tract symptoms in nulliparous women, with or without a history of CNE, at the age of ≥ 5 years.

Methods: This national survey of urinary (UI) and fecal incontinence (FI) and symptoms of pelvic organ prolapse (sPOP) was a random sample of 20,000 nulliparous women aged 25-64 years conducted in 2014. Read More

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http://dx.doi.org/10.1007/s00192-020-04345-xDOI Listing

Obstructive sleep apnea syndrome as a potential cause of nocturia in younger adults.

Urology 2020 May 28. Epub 2020 May 28.

Department of Urology, Kagawa University Faculty of Medicine, Kagawa, Japan.

Objectives: To investigate the impact of age on the relationship between obstructive sleep apnea syndrome (OSAS), nocturia, and other lower urinary tract symptoms (LUTSs).

Methods: This was a secondary analysis study based on data derived from a previously conducted prospective observational cohort study on OSAS and nocturia. We analyzed 90 subjects who were suspected of having OSAS. Read More

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http://dx.doi.org/10.1016/j.urology.2020.04.116DOI Listing

EAU-ESPU guidelines recommendations for daytime lower urinary tract conditions in children.

Eur J Pediatr 2020 May 29. Epub 2020 May 29.

Division of Pediatric Urology, Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.

The objective is to review the literature related to lower urinary tract (LUT) conditions in children to conceptualize general practice guidelines for the general practitioner, pediatrician, pediatric urologist, and urologist. PubMed was searched for the last 15-year literature by the committee. All articles in peer-review journal-related LUT conditions (343) have been retrieved and 76 have been reviewed extensively. Read More

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http://dx.doi.org/10.1007/s00431-020-03681-wDOI Listing

Activation patterns of pelvic floor muscles in women with incontinence while running: a randomized controlled trial.

Int Urogynecol J 2020 May 29. Epub 2020 May 29.

Bern University of Applied Sciences, Department of Health Professions, Division of Physiotherapy, Murtenstrasse 10, 3008, Bern, Switzerland.

Introduction And Hypothesis: Running is known to cause urinary leakage in women with stress urinary incontinence (SUI). Task-specific fiber-type recruitment while running can be estimated using wavelets. The aim of this study was to compare the effect of a new physiotherapy program including involuntary, reflexive training with a standard physiotherapy program on pelvic floor muscle (PFM) activation patterns and fiber-type recruitment behavior while running. Read More

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http://dx.doi.org/10.1007/s00192-020-04334-0DOI Listing

Paula Method (Circular Muscle Exercise) for Urinary Incontinence Symptoms of Women with Multiple Sclerosis: A Pilot Study.

J Altern Complement Med 2020 May 29. Epub 2020 May 29.

Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

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http://dx.doi.org/10.1089/acm.2020.0069DOI Listing

Urinary incontinence in men with Duchenne and Becker muscular dystrophy.

PLoS One 2020 29;15(5):e0233527. Epub 2020 May 29.

School of Life Sciences, Queens Medical Centre, University of Nottingham, Nottingham, United Kingdom.

The prevalence of urinary incontinence in Duchenne and Becker muscular dystrophy (D/BMD) is reported to be between 15-29%, this however includes ages across the lifespan, and with no description of impact on daily life. The present study, aimed to determine the prevalence of urinary incontinence in men with D/BMD, and to identify which aspects of daily life were impacted by urinary incontinence. Twenty-seven adult males, 11 with BMD and 16 with DMD, aged 20-57 years, volunteered to participate in this study. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0233527PLOS

Grading Severity and Bother Using the IPSS and ICIQ-MLUTS Scores in Men Seeking Lower Urinary Tract Symptoms Therapy.

J Urol 2020 May 29:101097JU0000000000001149. Epub 2020 May 29.

Bristol Urological Institute, North Bristol NHS Trust, Level 3, Southmead Hospital, Bristol, UK.

Purpose: To establish severity banding ranges, bother assessment and key item content in principal patient reported outcomes measures (PROMs) in men seeking therapy for lower urinary tract symptoms (LUTS).

Materials And Methods: Data for International Prostate Symptom Score (IPSS) and International Consultation on Incontinence Questionnaire Male LUTS (ICIQ-MLUTS) were derived from a study evaluating 820 men at 26 UK hospitals. Receiver operating characteristic (ROC) curves were used to establish severity bandings. Read More

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http://dx.doi.org/10.1097/JU.0000000000001149DOI Listing

Economic analysis of Innovo® neuromuscular external electrical stimulation device for the treatment of stress urinary incontinence: A UK-based cost-utility analysis.

J Med Econ 2020 May 29. Epub 2020 May 29.

Device Access UK Ltd, Market Access Consultancy, University of Southampton Science Park, Chilworth Hampshire, UK.

: Stress urinary incontinence (SUI) is a debilitating and highly prevalent condition in the UK. The condition is associated with a significant economic burden for affected patients and society. Current treatment options for SUI include minimally invasive therapies, medication and surgical intervention for the most serious cases. Read More

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http://dx.doi.org/10.1080/13696998.2020.1776298DOI Listing

Fecal Urgency: Clinical and Manometric Characteristics in Patients With and Without Diarrhea.

Dig Dis Sci 2020 May 28. Epub 2020 May 28.

Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA.

Background: Fecal urgency is classically associated with diarrhea, but is also common in individuals with normal bowel habits or constipation. Its etiology, particularly in non-diarrhea individuals, is unclear.

Methods: We examined data from 368 individuals with and without diarrhea who underwent three-dimensional high-resolution anorectal manometry and balloon expulsion test. Read More

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http://dx.doi.org/10.1007/s10620-020-06349-5DOI Listing

Serum Copper and Zinc Levels and Urinary Incontinence in Adult Women.

Biol Trace Elem Res 2020 May 28. Epub 2020 May 28.

Department of Urology, Weifang People's Hospital, Guangwen Street, No.151, Weifang, 261000, China.

Recent findings show that oxidative damage may contribute to lower urinary tract symptoms. Copper can induce oxidative stress while zinc is involved in the defense against oxidative stress. We examined the associations between serum copper and zinc levels and urinary incontinence (UI) in adult women. Read More

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http://dx.doi.org/10.1007/s12011-020-02205-9DOI Listing

Translation of the ICIQ-bladder diary and its validation among Chinese females with lower urinary tract symptoms.

Int Urogynecol J 2020 May 28. Epub 2020 May 28.

Peking University Third Hospital, Beijing, China.

Purpose: To translate the International Consultation of Incontinence Questionnaire (ICIQ)-bladder diary into Chinese and validate it among Chinese women with lower urinary tract symptoms.

Methods: After receiving permission to translate and validate the ICIQ-bladder diary from Bristol Urological Institute, a Chinese ICIQ-bladder diary was developed through translation, re-translation and cultural adaption. Subsequently, we tested its reliability, validity and responsiveness and evaluated its optimal record duration among females with lower urinary tract symptoms. Read More

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http://dx.doi.org/10.1007/s00192-020-04339-9DOI Listing

Underactive Bladder and Bladder Outlet Procedures in Women.

Curr Bladder Dysfunct Rep 2020 Mar 30;15(1):21-24. Epub 2020 Jan 30.

University of Pittsburgh Medical Center, Department of Urology, Pittsburgh, PA.

Purpose Of Review: This review outlines current options for women suffering from both stress urinary incontinence (SUI) and underactive bladder (UAB). This is often a challenging patient population; however, many treatment options are available including behavioral, pharmacologic, and surgical. Therapies can be divided into those specifically targeting either the bladder or the bladder outlet. Read More

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http://dx.doi.org/10.1007/s11884-019-00572-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255415PMC

Pelvic floor disorders in women who consult primary care clinics: development and validation of case definitions using primary care electronic medical records.

CMAJ Open 2020 Apr-Jun;8(2):E414-E419. Epub 2020 May 28.

Departments of Obstetrics and Gynecology (Ross, Fast, Slade) and Family Medicine (Miyagishima, Soos, Taylor, Drummond), University of Alberta; Women & Children's Health Research Institute (Ross), Edmonton, Alta.; Departments of Family Medicine (Garies, Jackson, Doraty, Drummond) and Community Health Sciences (Williamson), University of Calgary, Calgary, Alta.

Background: To date, there has been no validated method to identify cases of pelvic floor disorders in primary care electronic medical record (EMR) data. We aimed to develop and validate symptom-based case definitions for urinary incontinence, fecal incontinence and pelvic organ prolapse in women, for use in primary care epidemiologic or clinical research.

Methods: Our retrospective study used EMR data from the Southern Alberta Primary Care Research Network (SAPCReN) and the Canadian Primary Care Sentinel Surveillance Network (CPCSSN) in southern Alberta. Read More

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http://dx.doi.org/10.9778/cmajo.20190145DOI Listing

Comparison of parasacral transcutaneous electrical stimulation and transcutaneous posterior tibial nerve stimulation in women with overactive bladder syndrome: A randomized clinical trial.

Eur J Obstet Gynecol Reprod Biol 2020 May 7;250:203-208. Epub 2020 May 7.

Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Faculty of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

Objective: To compare the effects of parasacral transcutaneous electrical stimulation with the effects of transcutaneous posterior tibial nerve stimulation in women with overactive bladder syndrome (OAB).

Studydesign: A randomized clinical trial was performed with 50 women aged 40-76 years with symptoms of OAB, divided into two groups: the parasacral transcutaneous electrical stimulation (PS) group and the transcutaneous posterior tibial nerve stimulation (PTN) group. Both groups underwent the same protocol, at home, for 6 weeks, applying electrical stimulation three times per week. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2020.05.005DOI Listing

Understanding Virtual Urology Clinics: A Systematic Review.

BJU Int 2020 May 28. Epub 2020 May 28.

Division of Surgery, Imperial Prostate, Department of Surgery and Cancer, Imperial College London, Charing Cross Campus, W6 8RF, UK.

Objective: To perform a systematic review to identify the clinical, fiscal and environmental evidence on the use of urological telehealth and/or virtual clinic strategies. Our secondary aim was to highlight research gaps in this rapidly evolving field.

Methods: Our PROSPERO registered (CRD42019151946) systematic search of Embase, Medline and Cochrane Review Database was performed for original research articles pertaining to adult urology telehealth or virtual clinic strategies. Read More

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http://dx.doi.org/10.1111/bju.15125DOI Listing