46,699 results match your criteria urinary incontinence


Laparoscopic Rectal and Vaginal Pull-Through in the Same Setting in Cloaca with Common Channel of More Than 3 cm Separation.

Authors:
Ahmed Arafa

J Laparoendosc Adv Surg Tech A 2021 May 12. Epub 2021 May 12.

Department of Pediatric Surgery, Cairo University, Cairo, Egypt.

This study aims at evaluating the feasibility and outcome of a laparoscopically assisted rectal and vaginal pull-through procedure in the same setting for cases of long common channel in a cloaca >3 cm in length. I have 4 cases with a cloaca with long common channel >3 cm in length diagnosed by cloacogram and cystoscopy. As for the ages of our cases, two of them were 1 year old, and the other 2 cases were 2 years old. Read More

View Article and Full-Text PDF

A tailored flexible vaginal pessary treatment for pelvic organ prolapse in older women.

J Am Geriatr Soc 2021 May 12. Epub 2021 May 12.

Urogynecology and Pelvic Floor Unit, Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

Objectives: To present a flexible protocol of vaginal pessaries for older women with significant pelvic organ prolapse (POP).

Design: A prospective cohort study of 140 consecutive older women (aged ≥65 years) with significant POP treated with individually fitted vaginal pessaries. After initial insertion, each patient was invited for a first evaluation after 1 month and subsequent follow-ups at increasing intervals of 1 month. Read More

View Article and Full-Text PDF

A call for HoLEP: AEEP for mega-prostates (≥ 200 cc).

World J Urol 2021 May 12. Epub 2021 May 12.

Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 0QQ, UK.

Purpose: To evaluate the efficiency and efficacy of HoLEP, and methods of tissue retrieval, in patients with prostate volume (PV) ≥ 200 cc (Group 1) and to compare these to patients with PV 80-199 cc (Group 2).

Methods: A database of all cases performed under the care of two surgeons at a tertiary HoLEP centre was reviewed.

Results: 157 patients with PV ≥ 200 cc were compared to 157 of the most recent consecutive cases with PV 80-199 cc. Read More

View Article and Full-Text PDF

Auriculotherapy in adults and elderly people with lower urinary tract symptoms: an integrative review.

Rev Esc Enferm USP 2021 10;55:e03707. Epub 2021 May 10.

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil.

Objective: To analyze the evidence available in the literature on the use of auriculotherapy in adults and elderly people with lower urinary tract symptoms.

Method: An integrative literature review. Primary study search was carried out in nine relevant health databases. Read More

View Article and Full-Text PDF

Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot-assisted radical prostatectomy: A case study and analysis of relevant literature.

IJU Case Rep 2021 May 17;4(3):151-153. Epub 2021 Feb 17.

Department of Urology Wake Forest School of Medicine Winston-Salem North Carolina USA.

Introduction: Robot-assisted radical prostatectomy often causes damage to the neurovascular bundle which results in erectile dysfunction and urinary incontinence. Recovery may take months; however, dehydrated umbilical cord allografts appear to offer an advantage in terms of a faster return to continence and potency.

Case Presentation: A 67-year-old male, who presented with intermediate-risk prostate cancer, underwent a bilateral nerve-sparing radical prostatectomy and placement of dehydrated human umbilical cord graft. Read More

View Article and Full-Text PDF

Paper towel test as independently self-administered to quantify cough-related urine loss: Compliance and comparisons with survey-only data in SWAN.

Neurourol Urodyn 2021 May 11. Epub 2021 May 11.

Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.

Aims: The epidemiologic Study of Women's Health Across the Nation (SWAN) includes urinary incontinence (UI) questionnaire items. We introduced an independently self-administered paper towel test (PTT-ISA; invention disclosure #2021-347) to objectively demonstrate UI. Aims were to determine: (1) PTT-ISA compliance and (2) relationship to questionnaire results. Read More

View Article and Full-Text PDF

Geriatric conditions and treatment burden following diagnosis of non-muscle- invasive bladder Cancer in older adults: A population-based analysis.

J Geriatr Oncol 2021 May 7. Epub 2021 May 7.

Section of Geriatrics, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, United States of America.

Introduction: Treatment burden is emerging as an important patient-centered outcome for older adults with cancer who concurrently manage geriatric conditions. Our objective was to evaluate the contribution of geriatric conditions to treatment burden in older adults with non-muscle invasive bladder cancer (NMIBC).

Methods: We identified 73,395 Medicare beneficiaries age 66+ diagnosed with NMIBC (Stage Read More

View Article and Full-Text PDF

Effect of Pelvic Floor Symptoms on Women's Participation in Exercise: A Mixed-Methods Systematic Review With Meta-Analysis.

J Orthop Sports Phys Ther 2021 May 10:1-54. Epub 2021 May 10.

Department of Physiotherapy, Monash University, Melbourne, Australia.

Objective: To (i) review the effect of pelvic floor (PF) symptoms (urinary incontinence [UI], pelvic organ prolapse [POP], anal incontinence [AI]) on exercise participation in women, and (ii) explore PF symptoms as a barrier to exercising.

Design: Mixed-methods systematic review with meta-analysis.

Literature Search: Eight databases systematically searched to September 2020. Read More

View Article and Full-Text PDF

Using Preoperative Pelvic Floor Assessment to Predict Early Return of Continence after Robotic Radical Prostatectomy.

Urology 2021 May 7. Epub 2021 May 7.

Beth Israel Deaconess Medical Center. Electronic address:

Objective: To evaluate whether pre-operative pelvic floor physical therapy (PFPT) parameters may predict early return of urinary continence after RP. While long-term urinary continence is eventually achieved in most patients who undergo radical prostatectomy (RP), predicting when patients will become continent is challenging. Prior studies aiming to predict return of post-operative continence have not evaluated patient-specific pelvic floor strength parameters. Read More

View Article and Full-Text PDF

Salvage Enbloc Thulium Fiber Laser Enucleation of Prostate for Giant Prostatomegaly after Prostatic Urethral Lift.

Urology 2021 May 7. Epub 2021 May 7.

University of Miami, Miller School of Medicine-1400 NW 12th Ave, Miami, FL 33136. Electronic address:

Objective: Prostatic urethral lift (PUL) is an accepted treatment modality for benign prostatic hyperplasia (BPH) and is currently recommended for surgical management of prostates < 80 grams in size. However, in reality some patients with prostate > 80 gram also receive PUL. A substantial number of these patients may requirement re-treatment for recurrent or persistent lower urinary tract symptoms (LUTS) after PUL. Read More

View Article and Full-Text PDF

Study on the improvement of female stress urinary incontinence by pelvic floor muscle functional exercise and psychological nursing intervention.

Minerva Med 2021 May 10. Epub 2021 May 10.

Department of Urology Surgery, the Second Hospital of Nantong University (The First People's Hospital of Nantong), Nantong, China -

View Article and Full-Text PDF

Analysis of pelvic floor electrical physiological parameters in nulliparous women with stress urinary incontinence.

Transl Androl Urol 2021 Apr;10(4):1620-1626

The State Key Laboratory of Reproductive Medicine, Department of Obstetrics and Gynecology, Women's Rehabilitation Medical Center, Jiangsu Province People's Hospital, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210036, China.

Background: To investigate the changes in pelvic floor electrical physiological parameters in nulliparous women with stress urinary incontinence (SUI).

Methods: A retrospective survey was conducted on 922 women aged 20-40 years who received health examinations at the First Affiliated Hospital of Nanjing Medical University between July 2017 and December 2019. The women were split into two groups: those who had SUI (n=87) and those that did not (n=835). Read More

View Article and Full-Text PDF

Patient- and Tumour-related Prognostic Factors for Urinary Incontinence After Radical Prostatectomy for Nonmetastatic Prostate Cancer: A Systematic Review and Meta-analysis.

Eur Urol Focus 2021 May 6. Epub 2021 May 6.

Department of Urology, Antonius Hospital, Utrecht, The Netherlands.

Context: While urinary incontinence (UI) commonly occurs after radical prostatectomy (RP), it is unclear what factors increase the risk of UI development.

Objective: To perform a systematic review of patient- and tumour-related prognostic factors for post-RP UI. The primary outcome was UI within 3 mo after RP. Read More

View Article and Full-Text PDF

Effect of aging on lower urinary tract symptoms and urodynamic parameters in women.

Taiwan J Obstet Gynecol 2021 May;60(3):513-516

Department of Medicine, Mackay Medical College, New Taipei, 252, Taiwan; Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, 104, Taiwan; Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan. Electronic address:

Objective: Lower urinary tract symptoms (LUTS) are common in women. However, due to multifactorial etiologies, it is difficult to determine the prevalence, and functional changes with age. The aim of this study is to assess the effect of age on female LUTS, urethral and bladder function after their midlife. Read More

View Article and Full-Text PDF

Part I. Health-related quality of life in bladder cancer patients: general and cancer-specific instruments.

Curr Opin Urol 2021 May 6. Epub 2021 May 6.

Department of Urology, Federal Armed Services Hospital Koblenz, Koblenz, Germany Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria Department of Urology, The Jikei University School of Medicine, Tokyo, Japan Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran Department of Urology, Uro-Oncology, Robot-Assisted and Specialized Urologic Surgery, University Hospital Cologne, Cologne, Germany Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA Department of Urology, Second Faculty of Medicine, Charles University, Prague, Czech Republic Department of Urology, Weill Cornell Medical College, New York, New York, USA Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria Department of Urology, University of Jordan, Amman, Jordan.

Purpose Of Review: Although survival outcomes are the primary outcomes to determine the effectiveness of treatment options, quality of life (QoL) is gaining in importance in addition to classic oncological outcomes. The present review aims to state and critically assess the challenges in health-related QoL (HRQoL) assessment especially in bladder cancer (BC) patients.

Recent Findings: General QoL-instruments do not address concerns specific to cancer patients or BC patients. Read More

View Article and Full-Text PDF

Decreased urothelial cytoskeleton and cell proliferation protein expression suggest interstitial cystitis/bladder pain syndrome patients with Hunner's lesion and grade 3 glomerulation might be different from other types of patients.

Int J Urol 2021 May 8. Epub 2021 May 8.

Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan.

Objectives: To explore the expression of cytoskeletal and cell proliferation proteins in urothelial cells of patients diagnosed with various clinical subtypes of interstitial cystitis/bladder pain syndrome.

Methods: Biopsy specimens from 85 interstitial cystitis/bladder pain syndrome patients were classified according to findings on cystoscopy. Cytokeratins and cell proliferation proteins detected in the specimens were evaluated with immunofluorescence staining and quantified with western blotting. Read More

View Article and Full-Text PDF

Physical Activity, Diet, and Incident Urinary Incontinence in Postmenopausal Women: Women's Health Initiative Observational Study.

J Gerontol A Biol Sci Med Sci 2021 May 8. Epub 2021 May 8.

Department of Urology, University of California, San Francisco, California.

Background: Physical activity and macronutrient intake, important contributors to energy balance, may be independently associated with female urinary incontinence (UI).

Methods: We evaluated the association of baseline self-reported physical activity and macronutrient intake, via food-frequency questionnaire, with incident UI subtypes after 3 years among 19,741 post-menopausal women in the Women's Health Initiative Observational Study. Odds ratios (OR) for incident urgency, stress, and mixed UI were calculated using multivariable logistic regression. Read More

View Article and Full-Text PDF

[Functional results and satisfaction in 44 patients after implantation of a NS3-type sacral neurostimulator for refractory idiopathic overactive bladder followed at 43 months, single-center series].

Prog Urol 2021 May 4. Epub 2021 May 4.

Service d'urologie, Clinique Pasteur, 17200 Royan, France.

Objectives: Sacred neuromodulation (SNM) has been used in France since 1997 for the management of non-neurogenic urinary disorders that do not respond to first-line pharmacological treatment. The aim of this study is to analyze the clinical efficacy and satisfaction of patients with refractory idiopathic overactive bladder (OAB) treated with SNM.

Methods: This single-center retrospective series included 59 patients with refractory OAB of idiopathic origin and eligible for the SNM between January 2010 and December 2017. Read More

View Article and Full-Text PDF

Surgical treatment and outcome of sterile prostatic cysts in dogs.

Vet Surg 2021 May 7. Epub 2021 May 7.

Department of Veterinary Science, University of Turin, Turin, Italy.

Objective: To describe the surgical treatment and outcome of a large cohort of dogs with sterile prostatic cysts (PCs).

Study Design: Retrospective study.

Animals: Forty-four client-owned dogs. Read More

View Article and Full-Text PDF

[Overactive bladder pathogenetic features and choice of drug therapy].

Authors:
V V Borisov

Urologiia 2021 May(2):120-127

FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

The information about the founders of studies of the bladder function in our country, the features of the nervous and humoral regulation of the lower urinary tract activity, the cholinergic and adrenergic effects of mediators are presented in the article in the form of a clinical lecture. The pathogenetic features of detrusor dysfunction in overactive bladder and the principles of choosing drug therapy are described. Special attention is paid to the comparative characteristics of modern M-anticholinergics. Read More

View Article and Full-Text PDF

[Features of surgical treatment of urinary incontinence in women with urethral destruction].

Urologiia 2021 May(2):86-89

Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia.

Urethral destruction in women is a rare pathology which is result of traumatic damage of the urethra during pelvic fractures, sexual trauma, iatrogenic effects (operative vaginal delivery, prolonged catheterization of the bladder, complicated surgical interventions on the urethra, etc.). The main symptom of urethral destruction is involuntary urinary incontinence. Read More

View Article and Full-Text PDF

[Diagnosis and surgical treatment of hypospadia in girls].

Authors:
A E Soloviev

Urologiia 2021 May(2):78-81

Ryazan State Medical University, Ryazan, Russia.

Aim: To suggest new method of surgical correction of hypospadias in girls.

Materials And Methods: For 50 years under our supervision there were 220 girls diagnosed with hypospadias of various forms. In the diagnosis used anamnesis, examination, catheterization and cystoscopy of the bladder, vaginoscopy, ultrasound and X-ray research methods. Read More

View Article and Full-Text PDF

Adding mirabegron after intravesical onabotulinumtoxinA injection improves therapeutic effects in patients with refractory overactive bladder.

Low Urin Tract Symptoms 2021 May 6. Epub 2021 May 6.

Department of Urology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, and Buddhist Tzu Chi University, Hualien, Taiwan.

Objectives: To investigate whether adding an anticholinergic or beta-3 agonist can improve the therapeutic effect of intravesical onabotuliumtoxinA injection in patients with refractory overactive bladder (OAB).

Methods: Ninety OAB patients who received an intravesical 100-U onabotulinumtoxinA injection 1 month previously were consecutively invited into a prospective, randomized, open-label study. They were randomly adding on solifenacin 5 mg daily (QD) (30 patients), mirabegron 50 mg QD (31 patients), or no medication (29 patients, control). Read More

View Article and Full-Text PDF

Surgical treatment for huge vaginal stone secondary to vaginal mesh exposure with stress urinary incontinence.

Int Urol Nephrol 2021 May 7. Epub 2021 May 7.

Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

View Article and Full-Text PDF

Aging-Related Concerns of People Living with HIV Referred for Geriatric Consultation.

HIV AIDS (Auckl) 2021 30;13:467-474. Epub 2021 Apr 30.

Division of Infectious Diseases, Weill Cornell Medicine, New York, NY, 10065, USA.

Purpose: People with HIV (PWH) are living longer lives and likely experiencing accentuated aging. Comprehensive geriatric assessment (CGA) has been proposed as a way to identify and help meet each individual patient's needs.

Patients And Methods: We performed a retrospective review of the results of CGA in an HIV clinic in New York City. Read More

View Article and Full-Text PDF

Serial Tap Test of patients with idiopathic normal pressure hydrocephalus: impact on cognitive function and its meaning.

Fluids Barriers CNS 2021 May 6;18(1):22. Epub 2021 May 6.

Neurology Service, Internal Medicine Department, Hospital Clinics, Federal University of Paraná, Curitiba, Paraná, Brazil.

Background: Idiopathic normal pressure hydrocephalus (INPH) is characterized by gait disturbance, urinary incontinence and cognitive decline. Symptoms are potentially reversible and treatment is based on cerebrospinal fluid shunting. The tap test (TT) is used to identify patients that will benefit from surgery. Read More

View Article and Full-Text PDF

Psychopathology and Parental Stress in 3-6-Year-Old Children with Incontinence.

Z Kinder Jugendpsychiatr Psychother 2021 May 7:1-10. Epub 2021 May 7.

Governor Kremers Centre, Department of Urology, Maastricht University Medical Centre, The Netherlands.

Incontinence and functional gastrointestinal disorders are common in young children and are associated with higher rates of psychological symptoms and mental disorders. This article focuses on the mutual association between incontinence and related toilet refusal syndrome, parental stress, and children's psychopathology especially in young children. Children's psychological symptoms, mental disorders, and parental stress levels were assessed in 38 parent-child dyads involving children with incontinence and 42 dyads of typically developing (TD) children. Read More

View Article and Full-Text PDF

Adverse Events Associated With Synthetic Male Slings: An Analysis of the FDA MAUDE Database.

Int Neurourol J 2021 May 5. Epub 2021 May 5.

Division of Urology, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Purpose: We sought to describe and analyze the adverse events associated with synthetic male slings reported to the Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database.

Methods: We queried the MAUDE database for all entries including the terms "Male Sling," "Invance," "Virtue," or "Advance" from January 1st, 2009 to December 31st, 2018. We collected and analyzed information about the event type, date received, report source, source type, and manufacturer. Read More

View Article and Full-Text PDF

[A Case of Detrusor Hyperactivity with Impaired Contractility (DHIC) after Transverse Myelitis].

Hinyokika Kiyo 2021 Mar;67(3):109-112

The Department of Urology, Sapporo Medical University School of Medicine.

A 44-year-old man was carried to the hospital in an ambulance because of dyspnea, paralysis and dysuria after signs of the flu. Acute encephalomyelitis was diagnosed by examination of magnetic resonance imaging. Antimicrobial treatment and respirator management was carried out with indwelling of urethral catheter for urinary retention. Read More

View Article and Full-Text PDF

Female Sexual Function following Sling Surgery: A Prospective Parallel Cohort, Multi-Center Study of the Solyx™ Single Incision Sling System Vs. the Obtryx™ II Sling System (FDA- Mandated 522 Results at 36 Months).

J Urol 2021 May 6:101097JU0000000000001830. Epub 2021 May 6.

Department of Women's Health, Monash Medical Centre and Cabrini Hospital, Melbourne, Australia.

Purpose: Limited data exist regarding sexual function after single incision sling surgery. We compared sexual function 36 months postoperatively between patients undergoing single incision and transobturatorsling for treatment of stress urinary incontinence.

Materials And Methods: Assessment of sexual function was a planned secondary objective of this prospective, multi-center study that enrolled women to Solyx single incision sling or Obtryx II transobturator sling. Read More

View Article and Full-Text PDF