Academic literature on the topic 'Incontinenza'
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Journal articles on the topic "Incontinenza"
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Nicolanti, G., F. Sacco, G. Rigon, D. Sacchini, L. Villani, A. Carbone, L. Pontani, S. Nallo, and R. Sacco. "Obesità E Incontinenza." Urologia Journal 57, no. 3 (June 1990): 253–57. http://dx.doi.org/10.1177/039156039005700301.
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Pol Roux, S., and M. Mane. "Incontinenza urinaria del soggetto anziano." EMC - AKOS - Trattato di Medicina 9, no. 4 (January 2007): 1–6. http://dx.doi.org/10.1016/s1634-7358(07)70380-7.
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Zaroli, A., S. Fontana, L. Giussani, and E. Ballarati. "Incontinenza Urinaria Da Sforzo Nella Donna." Urologia Journal 53, no. 4 (August 1986): 583–94. http://dx.doi.org/10.1177/039156038605300418.
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Sacco, F., G. Rigon, G. Nicolanti, A. Carbone, D. Sacchini, P. A. Margariti, and C. Romanini. "Prevalenza E Incidenza Di Incontinenza Urinaria Femminile." Urologia Journal 56, no. 3 (June 1989): 303–9. http://dx.doi.org/10.1177/039156038905600306.
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Rigon, G., F. Sacco, G. Nicolanti, D. Sacchini, G. Plotti, F. Castaldo, and R. Sacco. "Cause Di Recidiva Di Incontinenza Urinaria Dopo Uretroplastica." Urologia Journal 54, no. 4 (August 1987): 444–50. http://dx.doi.org/10.1177/039156038705400410.
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Rigon, G., F. Sacco, G. Nicolanti, G. Plotti, F. Castaldo, D. Sacchini, and R. Sacco. "Incontinenza Nella Donna Adulta Con Pregressa Enuresi Infantile." Urologia Journal 54, no. 5 (October 1987): 533–42. http://dx.doi.org/10.1177/039156038705400502.
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Polito, M., E. Caraceni, and G. Gabrielloni. "Incontinenza Da Stress: Riabilitazione Perineale Mediante Biofeedback Pressorio." Urologia Journal 57, no. 2 (April 1990): 246–49. http://dx.doi.org/10.1177/039156039005700222.
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Gianneo, E., P. Belvisi, S. Cappoli, G. Conti, M. G. Rizzuti, and G. C. Comeri. "Incontinenza Urinaria Ed Elettrostimolazione Funzionale Del Pavimento Pelvico." Urologia Journal 57, no. 4 (August 1990): 467–70. http://dx.doi.org/10.1177/039156039005700416.
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BERNASCONI, F., G. PISANI, S. ARIENTI, B. VERONESE, S. PITTALIS, M. CONTI, M. TASSI, S. GELOSA, A. BIELLA, and C. CERRI. "Uro-rehabilitation and effort urinary incontinence: medium-term results and analysis of the failure risk factors." Urogynaecologia 15, no. 3 (July 1, 2010): 7. http://dx.doi.org/10.4081/uij.2000.7.
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Sono state studiate 110 pazienti consecutive giunte per la prima volta all’Ambulatorio di Uro-ginecologia dell’Ospedale di Desio per una incontinenza urinaria da sforzo e sottoposte a trattamento uroriabilitativo presso la Divisione di Neuroriabilitazione dell’Ospedale di Seregno negli anni 1998- 2000.
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Dell'Acqua, S., R. Bosia, and C. Zanoni. "Incontinenza Urinaria Post-Prostatectomia Radicale ad Inconsueta Insorgenza Tardiva." Urologia Journal 71, no. 1 (January 2004): 77–78. http://dx.doi.org/10.1177/039156030407100121.
Full textDissertations / Theses on the topic "Incontinenza"
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SPYROU, MARIA. "Chirurgia del prolasso rettale con o senza incontinenza anale associata." Doctoral thesis, Università degli Studi di Roma "Tor Vergata", 2010. http://hdl.handle.net/2108/1432.
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L'incontinenza anale (IA), è definita come l'incapacità a controllare volontariamente l'emissione di gas e/o feci. L' IA si definisce totale se comporta la perdita di feci solide, parziale se solo di gas e feci liquide; potrà essere passiva (fecal soiling), oppure manifestarsi durante urgenza defecatoria. La gravità dell' IA si valuta con degli score. I più affidabili sono CCF score (Jorge & Wexner) da 0-20, il quale valuta anche l'impatto della IA sulla qualità di vita, il Pescatori score (1-6), AMS, Vaizey ( St. Mark's Hospital), Williams. I pazienti con IA che presentano sintomi da lievi a moderati, rispondono bene al trattamento conservativo, il trattamento chirurgico invece è riservato a quelli pazienti con IA grave. L'associazione tra prolasso rettale e IA rappresenta un entità clinica di non semplice risoluzione.
Matteriali e Metodi. L'esame obiettivo ano perineale, intergrato dall'esame anoscopico sarà mirato a cercare di identificare quale struttura anatomico-funzionale è principalmente coinvolta nella patogenesi del disturbo. L'ispezione potrà evidenziare: ano beante, cicatrici, ectropion mucoso, fistole, ascessi, emorroidi, patologie uro-ginecologiche (es. cistocele, prolasso utero-genitale), l'entità del prolasso del retto, perineo discendente. L'esplorazione rettale valuterà il tono sfinteriale (in condizioni basali, durante contrazione volontaria e sotto i colpi di tosse). L'esame endoscopico valuta la presenza di malattie infiammatorie,tumori, ulcera solitaria e prolasso mucoso del retto. Le indagini morfologiche quali la manometria anale, la colpocisto-defecografia, l'eletromiografia dei muscoli del pavimento pelvico,l'endosonografia anale,vaginale e perineale dinamica, potranno rivelarsi utili nello studio di lesioni organiche colo-rettali e dell'integrità anatomica della componente sfinteriale. Trattamento chirurgico: sfinterolpastica, levatorplastica anteriore, plicatura posteriore del pavimento pelvico sec. Park's, total pelvic floor repair, iniezioni di biomateriali, procedure di "encirclement". Nelle unità di coloproctologia della Società Italiana di Chirurgia Colo-Rettale (1983-2000), sono stati osservati 738 pazienti. Quarantasette (30 donne) pazienti, (6.4%), presentavano IA associata a prolasso rettale, di questo gruppo, venticinque pazienti (53%), sono stati sottoposti a trattamento chirurgico
Prolasso rettale (PR), il prolasso rettale è caratterizzato dalla fuoriuscita di vari strati della parete attraverso il canale anale. Può essere a tutto spessore (completo) o esterno, oppure occulto (interno).
I sintomi più frequenti sono dolore anale, perdite ematiche, perdite mucose, urgenza defecatoria. L' incontinenza anale associata è stata dimostrata nel 50-70% dei casi, il 25-50% dei paziente invece potrebbe presentare stipsi, valutata secondo il CCF score (0-30), per la stipsi.
Anamnesi accurata, esame obiettivo,valutazione di patologie genito-urinarie associate, abitudini intestinali. I pazienti vengono sottoposti ad anoscopia, colonscopia, cine-defecografia, misurazione dei tempi di latenza del nervo pudendo e tempi di transito intestinale. La manometria ano-rettale spesso risulta essere alterata. La terapia chirurgica del prolasso del retto è la cosiddetta terapia su misura (tailored surgery), tenendo in considerazione i disordini funzionali associati, in particolare se vi sia o no IA associata. Gli approcci perineali comprendono più frequentemente l'intervento secondo Delorme e Altemeier.
Risultati. Nella nostra casistica Ospedale S. Eugenio (1987-2003), sedici pazienti (10 donne ) sono stati sottoposti ad intervento sec. Delorme. Il tasso di recidiva era 9% a 5 anni (range del follow-up 6-60 mesi). L'indice di soddisfazione nel postoperatorio era 73%, il 46-75% dei pazienti hanno avuto miglioramento della loro continenza. Dodici pazienti (8 donne) sono stati sottoposti ad intervento chirurgico sec. Altemeier, il tasso di recidiva era 1% (range del follow-up 6-60 mesi), sono stati raggiunti con questo tipo di tecnica ottimi risultati funzionali per incontinenza e stipsi. Nelle procedure addominali, la rettopessi secondo Orr-Loyge è stata effettuata in 25 pazienti (9 donne), il tasso di recidiva era 2,5%, (range del follow-up 8-80 mesi). La continenza è stata migliorata nel 58% dei casi, la stipsi invece nel 61% dei pazienti. Trentasei pazienti (16 donne), sono stati sottoposti a rettopessi secondo Wells, 12 pazienti hanno avuto recidiva di malattia (range del follow-up 8-80 mesi). La continenza è migliorata nel 35% dei casi, la stipsi invece è peggiorata nel 20% dei pazienti. L'approccio addominale ha dimostrato minor rischio di recidiva e migliori risultati funzionali, in termini di incontinenza anale e stipsi in confronto alle tecniche perineali. La chirurgia laparoscopica anche, dimostra essere una scelta affidabile, con ottimi risultati in termini di recidiva ed outcomes funzionali.
Conclusioni La chirurgia del prolasso rettale è la tipica chirurgia su misura. Lo specialista deve considerare varie tecniche in base al tipo di paziente,( se maschio o femmina, se giovane o anziano, se sano o fragile), del rischio operatorio, delle caratteristiche del prolasso (se interno o esterno, se mucoso o totale, se piccolo oppure di grandi dimensioni), i sintomi associati, in particolare la stipsi cronica o incontinenza anale. Questa risulta essere complessa e di eziologia multifattoriale, e potrebbe essere dovuta sia a difetti anatomici, sia funzionali. In alcuni casi il trattamento chirurgico esclusivo del prolasso rettale, potrebbe non essere sufficiente, a risolvere tutti i sintomi, per qui potrebbe essere indicato associare alla prolassectomia o rettopessi una sfinteroplastica, tenendo presente che dopo rettopessi, o Altemeier, o Delorme, ci si può attendere un miglioramento della continenza.
Parole chiave Incontinenza anale, stipsi, prolasso rettale, recidiva, rettopessi, laparoscopia, risultati funzionaliBackground. Anal Incontinence (AI) is the ability to defer the call to stool to a socially acceptable time and place. Loss of control of solid feces is complete anal incontinence, whereas loss of control over flatus or liquid is partial anal incontinence, incomplete and more associated with diarrheal syndromes and fecal impaction. The most frequently used score are the CCF (0-20) score (Jorge and Wexner), which takes in account also the quality of life, and the Pescatori score (0-6), which is simple an easily understandable by the patients, AMS, Vaizey (St.Mark’s Hospital), Williams. Severe incontinence is likely to require surgery, whereas mild and moderate AI are better managed conservatively. The association between rectal prolapse and AI represent a clinical entity difficult to manage. Methods History, the most important factor is determination of the etiology, by physical examination, inspection of perineus for soiling, scars, mucosal ectropion , size of the rectal prolapse muscular deficit, fistulae, prolapsing hemorrhoids. digital exploration will allow to assess anal sphincter’s function: such as resting tone and squeeze contraction endoscopic evaluation to esclude the existence of inflammatory bowel disease, tumors, solitary rectal ulcer syndrome, mucosal prolapse. Special Investigations: anal manometry, cine defecography, electromyography of the pelvic floor, rectal compliance, anal, vaginal and dynamic parineal endosonography. Surgical treatment: Park’s post anal repair, overlapping sphincteroplasty, total pelvic floor repair, encirclement procedures, injection of bulking agents. At the coloproctology units of the Italian society of Colorectal surgery, from 1983 to 2000, 738 patients were observed . Fortyseven (30 women) pts (6.4%), presented AI associated with rectal prolapse, twentyfive of those patients (53%), underwent surgical treatment. Rectal prolapse ( RP) may be full thickness, i.e. procidentia of the rectum through the sphincters, causes a variety of symptoms including pain, bleeding, mucous discharge, and urge to defecate. Associated AI, is experienced by 50% to 70% of the patients, and 25% to 50% of them have significant constipation according to CCF scoring system (0-30) for constipation. The specific causation has yet to be fully elucidated. The patients generally undergo baseline functional tests, following a detailed history and physical examination, as well as an evaluation of a comorbid history of genitourinary dysfunction and bowel habits. In addition anoscopy and full colonoscopy should be performed to exclude other sources of rectal bleeding or the presence of masses that may initiate an intussusception. Cinedefecography, pudendal nerve terminal motor latency assessment and colonic transit studies are generally performed to better evaluate the concomitant presence of enterocele, paradoxical puborectalis contraction, pudendal nerve injury and denervation of the pelvic floor muscles and sphincter. Anorectal manometry is usually abnormal in the incontinent rectal prolapse patients. Surgical therapy of rectal prolapse is often non standard, but rather, tailored after careful consideration of the patient’s operative risk, life expectancy, associated functional disorders, and previous operative history.The goals of the surgical treatment are to eradicate the external prolapse of the rectum and to reduce the risk of recurrence, without causing an adverse impact on bowel function and continence. Perineal approaches, including Delorme’s procedure and perineal rectosigmoidectomy according to Altemeier, with or without levatorplasty (in case of incontinence) are usually carried out and may be tailored according to the presence and the degree of AI. Results Sixteen patients (10 women), at St. Eugenio Hospital (Rome) from 1987 to 2003, underwent Delorme’s procedure. Recurrence rate was 9% at 5 years (range of follow-up 6-60 months). Postoperative overall satisfaction was 73%, 46-75% of the patients experienced an improvement in continence. Twelve patients (8 women) underwent Altemeier procedure, recurrence rate was 1% with excellent results in terms of functional outcome regarding constipation and incontinence rates. Twenty five patients (9 women), underwent abdominal rectopexy according Orr-Loygue, recurrence rate at 5 years, was 2.5%, (range of follow-up 8-80 months).Continence was improved in 58% and constipation was improved in 61% of the patients. Satisfaction rate was 72%. Thirty six patients (16 women),underwent rectopexy according to Wells technique, 12 patients developed recurrence (range of follow-up 8-80 months). Continence was improved in 35%, constipation was worsened in 20% of the cases. Transabdominal open repair, has gained acceptance by most clinicians as the standard surgical procedure for patients with acceptable surgical risks, and is considered to have lower recurrence rates and better functional results than perineal approaches. In addition low recurrence rates, better functional outcome can be safely achieved using laparoscopic surgical techniques to repair full thickness rectal prolapse. Conclusion Selecting an operative approach based on clinical criteria provides satisfactory functional outcomes with regard to symptoms of constipation and incontinence. Anal incontinence is a complex dysfunction with multiple causes, and in rectal prolapse, it may be difficult to understand if it is due anatomical defect (full rectal eversion, internal and external anal sphincter and anal canal integrity in their anatomy and nerve supply) or to a functional lesion (abnormal anal and rectal sensitivity, loss of rectal reservoir function and rectal compliance). This may explain why in some cases treating just the prolapse may not be sufficient to cure all symptoms. A combination of both rectal excision or rectopexy and sphincteroplasty may be required to cure some patients with rectal prolapse and severe anal incontinence due to sphincters weakness, taking in account that rectopexy and other rectal prolapse procedure may improve anal continence. Keywords Anal incontinence, constipation, rectal prolapse, recurrence, rectopexy, laparoscopy, treatment outcomes.
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RANAVOLO, RAFFAELE. "Effetti della stimolazione percutanea del nervo tibiale (PTNS) su pazienti affetti da urge incontinence: risultati di uno studio doppio cieco controllato con placebo." Doctoral thesis, Università degli Studi di Roma "Tor Vergata", 2010. http://hdl.handle.net/2108/1323.
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OBIETTIVI DELLO STUDIO. Questo è uno studio prospettico, doppio cieco, controllato con placebo, basato su una tecnica placebo originale, con lo scopo di valutare l’efficacia della stimolazione percutanea del nervo tibiale (PTNS) in pazienti di sesso femminile con incontinenza da iperattività detrusoriale.
PAZIENTI E METODI.
35 pazienti di sesso femminile, con incontinenza da iperattività detrusoriale , non rispondenti alla terapia con antimuscarinici, sono state assegnate a caso al gruppo PTNS o al gruppo controllo.
Il gruppo PTNS (18 pazienti) è stato trattato con 12 sessioni di PTNS. Il gruppo controllo (17 pazienti) è stato sottoposto ad un trattamento placebo originale, utilizzando un ago 34 G posizionato nella parte mediale del muscolo gastrocnemio. Le sessioni sono durate 30 minuti e sono state eseguite tre volte a settimana così come per le sessioni PTNS.
Tutte le pazienti sono state valutate con diario minzionale e questionario sulla qualità di vita (I-QoL) prima e dopo il trattamento. Le pazienti che hanno mostrato una riduzione >50% degli episodi di urge incontinence sono state considerate "responders."
RISULTATI.
3 pazienti (1 nel gruppo PTNS e 2 nel gruppo placebo) non hanno completato lo studio per ragioni non riferite alla tecnica. 12/17 pazienti (71%) nel gruppo PTNS e 0/15 nel gruppo placebo (p <0.001) sono state considerate "responders" secondo la definizione prima riportata. Il miglioramento del numero degli episodi di incontinenza, del numero di minzioni, del volume vuotato e del punteggio I-QoL è stato statisticamente significativo nel gruppo PTNS ma non nel gruppo placebo.
CONCLUSIONI.
PTNS può essere considerato un trattamento efficace dell'incontinenza da iperattività detrusoriale, con il 71% delle pazienti considerate “responders”, mentre nessuno dei pazienti trattati con placebo è stato considerato "responder". La rilevanza di un effetto placebo sembra essere trascurabile in questo gruppo di pazienti.PURPOSE. This is a prospective double blind, placebo controlled study, based on an original placebo technique, aimed to evaluate the efficacy of percutaneous tibial nerve stimulation (PTNS) in female patients with detrusor overactivity incontinence. PATIENTS AND METHODS. 35 female patients presenting with detrusor overactivity incontinence non responding to antimuscarinic therapy, were randomly assigned either to PTNS or to control group. PTNS group (18 patients) was treated with 12 PTNS sessions. Control group (17 patients) underwent an original placebo treatment, using a 34 G needle placed in the medial part of the gastrocnemius muscle. The sessions lasted for 30 minutes and were performed 3-times per week as PTNS sessions. All patients were evaluated with bladder diaries and quality of life scores (I-QoL) before and after treatment. Patients showing a reduction >50% of urge incontinence episodes were considered responders. RESULTS. 3 patients (1 in PTNS group and 2 in placebo group) did not complete the study for reasons not related to the technique. 12/17 patients (71%) in PTNS group and 0/15 in placebo group (p<0.001) were considered �responders� according to the previously reported definition. Improvement in number of incontinence episodes, number of voids, voided volume and I-QoL score were statistically significant in PTNS group but not in placebo group. CONCLUSIONS. PTNS can be considered an effective treatment of detrusor overactivity incontinence with 71% of patients considered responders, whilst none of the patients treated with placebo was considered responders. The relevance of a placebo effect seems to be negligible in this patient population.
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Pirastu, Francesca. "Ideazione e design di uno sfintere extrauretrale impiantabile a comando magnetico." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2019.
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L’incontinenza urinaria viene considerata come uno dei disturbi urologici che hanno maggior impatto sulla qualità della vita dei pazienti, sia uomini sia donne, anche a causa del variegato e complesso quadro patologico da cui deriva. I soggetti più colpiti sono gli anziani, i bambini autistici e i diabetici, ma anche pazienti paraplegici e tetraplegici: secondo l’Organizzazione Mondiale della Sanità, il totale degli individui affetti da tale patologia risulta essere di oltre 300 milioni nel mondo.
Nel caso in cui le terapie farmacologiche si rivelino inefficaci, è possibile ricorrere all’impianto di uno sfintere urinario artificiale (AUS), scegliendo tra quelli localizzati internamente all’uretra (intrauretrali), in prossimità dello sfintere vescico-uretrale naturale, e quelli che occludono l’uretra esternamente a essa (extrauretrali), nel tratto in cui scorre adiacente al pavimento pelvico. A oggi, tra le soluzioni extrauretrali, lo sfintere artificiale AMS800 rappresenta il gold standard, pur non essendo esso stesso esente da difetti. Tra le complicanze più frequenti correlate alla sua applicazione si annoverano infatti infezioni ed erosioni uretrali dovute alla compressione dell’uretra.
Nell’ultimo decennio sono state quindi proposte alcune apparecchiature che permettono di avere gli stessi vantaggi del AMS800, riducendo al contempo le problematiche da esso associate, grazie all’introduzione di miglioramenti quali il controllo wireless real-time e l’azionamento magnetico.
Questo lavoro si propone di presentare il progetto sviluppato presso l’Area Ricerca del Centro Protesi INAIL, in collaborazione con la Scuola Superiore Sant’Anna di Pisa, nell’ambito del progetto RELIEF relativo alla progettazione di un sistema AUS ad azionamento magnetico, che coniughi facilità di utilizzo per l’utente finale senza essere eccessivamente invasivo e con costi di fabbricazione tali da renderlo accessibile.
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Magnani, Virginia. "Studio della prevalenza dell'incontinenza urinaria nelle pazienti con fibrosi cistica afferenti al Centro Regionale di Cesena come premessa alla presa in carico riabilitativa." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2019.
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Introduzione: L’incontinenza urinaria (IU) è ad oggi un problema riconosciuto e riportato in letteratura da vari studi, anche se la sua prevalenza risulta variabile (27-74%). La sua causa principale, nelle pazienti con fibrosi cistica, è la tosse cronica, che porta ad una progressiva debolezza dei muscoli del pavimento pelvico. L’obiettivo della tesi è di valutare la prevalenza dell’IU nelle pazienti con fibrosi cistica seguite al Centro Regionale di Cesena, determinare la presenza o meno di correlazione tra incontinenza ed età, indice di massa corporea e funzionalità polmonare e confrontare i risultati ottenuti con quelli presenti in letteratura, con lo scopo di pianificare la presa in carico riabilitativa.
Materiali e metodi: Il questionario ICIQ-UI SF è stato somministrato durante le visite di routine alle pazienti di età maggiore o uguale a 10 anni. Sono inoltre stati raccolti i dati clinici di ciascun paziente: altezza, peso, FVC, FEV1 e MEF 75/25.
Risultati: 49 pazienti hanno partecipato allo studio. 20 di queste sono risultate incontinenti e sono significativamente più grandi di età rispetto alle continenti (p=0,01). Esiste inoltre una correlazione tra incontinenza e FEV1 o MEF 75/25, sebbene non sia statisticamente significativa (p=0,06). Non è stata trovata alcuna correlazione tra IU e BMI o FVC.
Tutte le donne incontinenti hanno riportato IU da stress; le situazioni che più comunemente causano le perdite di urina sono tosse/starnuti, attività fisica e risate.
Conclusioni: L'incontinenza urinaria è una condizione frequente e sottovalutata che colpisce comunemente le donne con fibrosi cistica, sebbene questo problema non sia spesso riportato dalle pazienti al medico o al fisioterapista, forse a causa dell’imbarazzo. È però importante identificare le pazienti con incontinenza perché semplici esercizi per rinforzare i muscoli del pavimento pelvico possono migliorare la situazione. Indagare la presenza dell’IU dovrebbe diventare parte delle visite di routine.
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AGOSTINI, MASSIMILIANO. "La Neuromodulazione sacrale nelle disfunzioni del pavimento pelvico." Doctoral thesis, Università degli Studi di Roma "Tor Vergata", 2008. http://hdl.handle.net/2108/673.
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La disfunzione vescico-uretrale rappresenta un importante problema nella pratica medica quotidiana a causa dei disturbi psicologici, i costi sociali e l’elevato impatto sulla qualità di vita. Recentemente, la neuromodulazione sacrale, cioè la stimolazione elettrica dei nervi sacrali, sembra rappresentare un’alternativa nei casi di iperattività vescicale idiomatica resistente alla terapia medica.
Il meccanismo di azione è soltanto parzialmente noto, ma sembra coinvolgere la modulazione nel midollo spinale per via della stimolazione degli interneuroni inibitori.
La prima tappa è rappresentata da un test di prova (PNE test). Comprende l’applicazione di un elettrodo monopolare temporaneo quale test diagnostico per determinare la sede migliore per l’impianto e per verificare, dopo un periodo di applicazione della neuromodulazione di 7-14 giorni la risposta clinica. Se il test di simulazione è efficace, viene impiantato un elettrodo quadripolare connesso ad un neuromodulatore definitivo.
L’iperattività vescicale idiopatica rappresenta la principale indicazione per questa tecnica. I pazienti che hanno le minori probabilità di beneficiare da questa procedura sono coloro con lesioni spinali complete o quasi complete, mentre le lesioni spinali incomplete sembrano rappresentare una potenziale indicazione. Questa tecnica è attualmente indicata anche nei casi di ritenzione cronica non ostruttiva e nella sindrome del dolore pelvico cronico.
Quando si effettua la selezione, oltre tre quarti dei pazienti hanno mostrato una risposta clinicamente significativa con una riduzione di almeno 50% nella frequenza di episodi di incontinenza, ma i risultati variano in base alla metodica di valutazione di ciascun Autore. Dal punto di vista economico, l’investimento iniziale per l’apparecchiatura è ammortizzato nel medio termine dalla riduzione dei costi legati alla disfunzione delle basse vie urinarie. Infine, questa tecnica richiede un attento follow-up ed adattamenti dei parametri elettrici per ottimizzare l’equilibrio tra i sistemi neurologiciVesico-urethral dysfunction is a major problem in daily medical practice due to its psychological disturbances, its social costs and its high impact on quality of life. Recently, sacral neuromodulation, namely the electrical stimulation of the sacral nerves, appears to have become an alternative for radical bladder surgery particularly in cases of idiopathic bladder over¬activity. The mechanism of action is only partially understood but it seems to involve a modulation in the spinal cord due to stimulation of inhibitory interneurons. Temporary sacral nerve stimulation is the first step. It comprises the temporary application of neuromodulation as a diagnostic test to deter¬mine the best location for the implant and to control the integrity of the sacral root. If test stimulation is successful, a permanent device is implanted. This procedure is safe in experienced hands. So-called idiopathic bladder overactivity still the major indication for this technique. Patients not likely to benefit from the procedure were those with complete or almost complete spinal lesions, but incomplete spinal lesions seemed to be a potential indication. This technique is now also indicated in the case of idiopathic chronic retention and chronic pelvic pain syndrome. When selection is performed, more than three-quarters of the patients showed a clinically significant response with 50% or more reduction in the frequency of incontinent episodes, but the results vary according to the author’s mode of evaluation. From the economic point of view, the initial investment in the device is amortized in the mid-term by savings related to lower urinary tract dysfunction. Finally, this technique requires an attentive follow-up and adjustments to the electric parameters so as to optimize the equilibrium between the neurological systems
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Giammaria, Valeria. "Efficacia dell’esercizio terapeutico della muscolatura del pavimento pelvico nella prevenzione dell’incontinenza urinaria femminile durante la gravidanza e dopo il parto: revisione basata sull'evidenze." Bachelor's thesis, Alma Mater Studiorum - Università di Bologna, 2019.
Find full textAbstract:
Introduzione
L’incontinenza urinaria è una patologia che affligge circa 36 milioni di persone in Europa di cui, circa il 60%, è costituita da donne. I fattori di rischio per lo sviluppo di questa patologia sono molteplici e tra di essi viene inserita la gravidanza ed, in particolare, il parto vaginale. Nelle donne in gravidanza che presentano tale patologia si evidenzia una riduzione della qualità della vita (QoL) in termini di attività fisica, viaggi, relazioni sociali, salute mentale ed emotiva.
Obiettivo
Valutare, secondo i più recenti studi scientifici, l’efficacia dell’esercizio terapeutico della muscolatura del pavimento pelvico per la prevenzione dell’incontinenza urinaria femminile durante la gravidanza e dopo il parto.
Materiali e metodi
La ricerca è stata svolta sulle banche dati PubMed e Cochrane Library, servendosi del metodo P.I.C.O. . Sono state incluse nella ricerca revisioni sistematiche pubblicate negli ultimi 5 anni, in lingua inglese e che prevedessero programmi di prevenzione comprendenti esercizi di rinforzo della muscolatura del pavimento pelvico.
Risultati
Sono state selezionate tre revisioni sistematiche; ciascuna di esse indaga l’efficacia preventiva dell’esercizio terapeutico della muscolatura del pavimento pelvico applicato in momenti diversi della gravidanza; tutti e tre gli studi valutano positivamente l’applicazione di tale metodica per la prevenzione dell’incontinenza urinaria femminile durante la gravidanza e nel periodo successivo al parto.
Conclusioni
Dall’analisi dei risultati ottenuti dalle tre revisioni prese in esame, è possibile affermare l’efficacia dell’esercizio terapeutico della muscolatura del pavimento pelvico nella prevenzione dell’incontinenza urinaria femminile sia durante che dopo il parto. I limiti evidenziati negli studi analizzati, tuttavia, suggeriscono la necessità di ulteriori ricerche per valutare il reale impatto di questa metodica.
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Thiel, Marcelo. "Analise quantitativa da fibrose e semiquantitativa da reação inflamatoria de quatro diferentes slings sinteticos." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308661.
Full textAbstract:
Orientadores: Cassio Luis Zanettini Riccetto, Paulo Cesar Rodrigues PalmaTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: OBJETIVOS: Analisar quantitativamente, com método estereológico, a densidade de fibras colágenas formadas após implante de quatro diferentes tipos de sling;verificar por análise histopatológica a reação inflamatória. MATERIAS E MÉTODOS: Realizou-se o estudo em 70 ratas da raça Wistar, divididas em 3 grupos (A,B,C): No grupo A (30 ratas) implantou-se uma faixa de silicone e outra de submucosa intestinal suína, de 8x 4 mm, no tecido subcutâneo da parede abdominal. No grupo B (30 ratas), implantou-se, da mesma maneira, uma faixa de copolímeros de poligalactina com ácido poliglicólico e outra de polipropileno monofilamentar, de 8x 4 mm. Sutura com fio de nylon 5/0, fixou as faixas e, no grupo C (10 ratas), denominado controle, realizou-se dissecção do subcutâneo e aplicação do mesmo fio, sem implante de material. A coloração de Picro-Sirius, empregada apenas no 90° dia de pós-operatório, permitiu análise das fibras colágenas e a de Hematoxilia-eosina, o estudo histopatológico da reação inflamatória. Nos dias 7, 30 e 90 de pós-operatório, sacrificaram-se 10 ratas de cada grupo. RESULTADOS: No 7° dia, todos os materiais induziram moderada reação inflamatória, sem diferença com o controle. No 30° dia, os copolímeros de poligalactina com ácido poliglicólico apresentaram a menor reação inflamatória, sem diferença com o controle. Neste período, polipropileno monofilamentar e silicone produziram inflamação moderada, enquanto que na submucosa intestinal suína, a intensidade foi severa. No 90° dia, a reação inflamatória, nos copolímeros de poligalactina com ácido poliglicólico, foi maior que antes, porém menor do que a do polipropileno monofilamentar e silicone, que permaneceram semelhantes entre si. Novamente, o grau de inflamação na submucosa intestinal suína continuou o maior de todos. Na análise estereológica, a densidade. de fibras colágenas dos copolímeros de poligalactina com ácido poliglicólico e polipropileno monofilamentar foi significativamente menor (61 % e 65% respectivamente) do que o silicone (85%) e submucosa intestinal suína (86%). CONCLUSÕES: Polipropileno monofilamentar foi o melhor material inabsorvível, pois induziu menos reação inflamatória que os outros materiais testados. Como a submucosa intestinal suína foi completamente removida, a intensa reação fibrótica que produz, toma-se útil, e responsável pelo suporte suburetral após a cirurgia
Abstract: OBJECTIVES: To analyse quantitatively, using stereological methods, the density of the collagen fibres induced by four types of sling materials, and verify by a histopathological analysis the corresponding inflammatory reaction, as fibrosis secondary to sling implantation is considered responsible for restoring urethral support and re-establishing continence in women with stress urinary incontinence, and new synthetic materials that promote adequate fibrosis with the least intensity and duration have been proposed to substitute the aponeurotic sling. MATERIALS AND METHODS: The study comprised 70 isogenic white Wistar rats divided into three groups: group A (30 rats) had 8 x 4 mm strips of silicone and porcine small intestine submucosa (SIS) implanted in the abdominal subcutaneous tissues; group B (30 rats) had 8 x 4 mm strips of polycaprolactone and polylactic acid copolymers and monofilament polypropylene (PLP) implanted the abdominal subcutaneous layer; while a control group of 10 rats had dissection and suturing with 5/0 Nylon in the abdominal subcutaneous layer, as used to fix the strips in the other rats. Picro-Sirius staining was used to assess collagen fibres, and haematoxylin-eosin for the histopathological study. At 7, 30 and 90 days after surgery, 10 rats from each group were killed and assessed. RESULTS: Afier 7 days all the materials induced a moderate inflammatory reaction that did not differ from that in the control group. At 30 days there was no difference between the control and polycaprolactone and polylactic acid copolymers, having the least inflammatory reaction. PLP and silicone produced a moderate inflammatory reaction, while the porcine SIS induced a more intense reaction. At 90 days there was a more intense inflammatory reaction in polycaprolactone and polylactic acid copolymers than before but it was less than with PLP and silicone, which again were no different. During this period the inflammatory reaction induced by SIS was greater. The stereological analysis indicated that collagen fibres induced by polycaprolactone and polylactic acid copolymers and PLP were less dense (61% and 65%, respectively), and significant1y less than with silicone (85%) and SIS (86%). CONCLUSION: PLP was the best nonabsorbable material as it induced a less intense inflammatory reaction than the other tested materials. As porcine SIS was completely absorbed the intense fibrosis induced is useful, as it is exclusively responsible for the urethral support later after surgery
Doutorado
Cirurgia
Mestre em Cirurgia
8
Foster, Patricia Margaret. "Living with incontinence : a qualitative study of elderly women with urinary incontinence." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26131.
Full textAbstract:
Urinary incontinence has been described as a devastating symptom, an embarrassing condition, and a major geriatric problem, creating substantial personal, medical, and social difficulties. Urinary incontinence is a problem which affects men and women of all ages, but is predominantly a concern for elderly women! It is estimated that 50% to 75% of cases of incontinence are hidden or unreported.
A review of the literature on urinary incontinence reveals numerous studies describing prevalence rates and types of incontinence. Characteristics of incontinent individuals and experimental studies comparing different treatments are also available. However, qualitative studies of urinary incontinence as it is experienced by elderly women are nonexistent.
The purpose of this study is to explore and describe the impact of living with untreated urinary incontinence upon the daily lives of elderly women living in the community. The phenomenological approach to qualitative methodology was used for this study. This approach seeks to discover and describe the human experience as it is lived, and for this study, that experience was living with untreated urinary incontinence.
Incontinent women, 60 years of age and over, were contacted through seniors' community centres, seniors' newspapers, and community service agencies. Nine women served as informants and participated in intensive interviews guided by open-ended questions. Verbatim transcriptions of these interviews and field notes from contact with seniors provided the data for analyses.
Four major themes comprise the research findings: the recognition of incontinence, the avoidance of exposure, the need for information, and the redefinition of normal. The first theme describes the women's struggle to recognize the incontinence for what it was, acknowledging to themselves that it was an ongoing problem. Even after incontinence was recognized, the women emphasized the importance of keeping their symptoms hidden. This avoidance of exposure necessitated reorganization of their lives and limited opportunities to talk about problems with incontinence. Despite their hesitation in talking about incontinence, the women identified a compelling need for information. Finally, over and above these three management strategies, living with incontinence led to an attitudinal strategy of redefining what would constitute normal. For these women, this new definition of normal included incontinence.
In light of these findings, implications for nursing education and practice are identified. Suggestions for future research stemming from this study conclude the discussion.Applied Science, Faculty of
Nursing, School of
Graduate
9
Fozzatti, Maria Celina Martins. "Efeito da reeducação postural global (RPG) na incontinencia urinaria de esforço feminina." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311597.
Full textAbstract:
Orientadores: Paulo Cesar Rodrigues Palma, Miriam DambrosDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: A Incontinência urinária de esforço (IUE) feminina, condição com alta prevalência, é definida como um sinal e sintoma ligado a distúrbios funcionais da uretra (esfíncteres) e/ou bexiga e não caracteriza uma doença. Trata-se então de uma disfunção mecânica em que alterações na biomecânica da bacia pélvica podem estar associadas à modificação deste mecanismo. Atualmente tem-se valorizado e vem-se aplicando o tratamento fisioterapêutico nesta afecção, como o treinamento dos músculos do assoalho pélvico, obtendo-se bons resultados a curto e médio prazos. Além disso, técnicas baseadas na abordagem global da paciente, que consideram aspectos da estrutura postural, estão ainda em fase de investigação. O trabalho aqui descrito constou da aplicação do tratamento da Reeducação Postural Global (RPG), trabalhando-se a reestruturação postural por meio do reequilíbrio do Sistema músculo esquelético (SME), alongamento das cadeias musculares e reequilíbrio dos eixos ósseos, num enfoque global. Objetivo: Avaliar os efeitos da RPG nas queixas de IUE e qualidade de vida em um grupo de mulheres incontinentes. Casuística e Método: Para o estudo, foram selecionadas 26 mulheres portadoras de queixa clínica de IUE, que foram submetidas ao tratamento da RPG. O tratamento constou de sessões semanais de 50 minutos num período de três meses e posteriormente de sessões quinzenais por mais três meses. O grupo foi acompanhado por seis meses após final do tratamento, sendo reavaliado no término do tratamento, no terceiro e sexto meses. A avaliação foi feita usando Questionário de Qualidade de Vida, diário miccional de três dias, Pad Use e Avaliação funcional do assoalho pélvico (AFA). No término do tratamento e no seguimento de seis meses, as pacientes também foram avaliadas por meio de escala analógica de satisfação. Resultados: Das 26 pacientes que iniciaram o programa, 25 concluíram o tratamento. No final deste quatro pacientes (16%) estavam curadas, 18 (72%) apresentaram melhora significativa e três (12%) não apresentaram melhora. No seguimento de seis meses, seis (24%) pacientes estavam curadas, 16 (64%) apresentaram melhora e três (12%) não apresentaram melhora. Diferenças significativas foram notadas no número de perdas (p<0.001), Pad Use (p<0.001) e AFA (p<0.001). Além disso, foi percebida melhora em todos os domínios do Questionário de Qualidade de Vida, especialmente em Percepção geral da saúde (p<0.005) e Impacto da incontinência (p<0.001) em todos os seguimentos da avaliação. Conclusão: A RPG induziu à melhora significativa dos sintomas de IUE e qualidade de vida no grupo de mulheres incontinentes estudado
Abstract: Stress Urinary Incontinence (SUI), is defined as a signal and/or a symptom connected to functional disorders of the urethra (sphincter) and/or blader and do not characterize a disease. It is, indeed a dysfunction where alterations in the pelvis biomechanics can be associated to a modification of this mechanism. Lately, physiotherapeutic treatments, as the training of the pelvic floor muscles, have been used and good results have been obtained in short and medium terms. Besides, techniques based on a global approach of the patient, which consider also aspects of the postural structure, are still under investigation. The work hereby described consisted of the application of the Global Postural Reeducation (GPR) treatment, in which the postural restructuring is worked through the reestablishment of the balance of the skeletal muscle system, stretching of the muscle chains and rebalance of the bone axis, in a global approach. Objective: Evaluate the effects of the GPR on Stress Urinary Incontinence and Life Quality in a group of incontinent women. Material and Methods: For this study, 26 women with SUI were selected, who underwent a GPR treatment. All patients were treated for six months using GPR, 50 minutes weekly sessions during three months and three more months of sessions every other week. The patients were evaluated before and after the treatment, and also at three and six months follow-up. Outcome measures were made using King's Health Questionnaire, three days voiding diary, Pad Use and Functional Evaluation of Pelvic Floor (FEPF). In the end of the treatment and after six months, the patient satisfaction was evaluated trough a standardized analogical visual scale. Results: Twenty-five patients were available for follow-up. At the end of the treatment there were four (16%) patients completely dry, 18 (72%) pesented significant improvement and three (12%) did not presented improvement. At six months follow-up there were six (24%) patients completely dry, 16 (64%) improved and three (12%) failures. Significant differences were noted in the number of leak episodes (p<0.001), Pad Use (p<0.001) and FEPF (p<0.001). Regarding the King's Health Questionnaire, improvement in all domains were observed, especially in General Perception of Health (p<0.005), leakage impact (p<0.001) in all the moments of evaluation. Conclusion: GPR significantly improved the symptoms and Quality of Life in women with SUI
Mestrado
Pesquisa Experimental
Mestre em Cirurgia
10
Silveira, Arlon Breno Figueiredo da. "Uso de sling sintetico pre-publico para tratamento da incontinencia urinaria de esforço : eficacia, segurança e qualidade de vida." [s.n.], 2008. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308657.
Full textAbstract:
Orientadores: Cassio Luis Zanettini Riccetto, Paulo Cesar Rodrigues PalmaDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias
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Resumo: Objetivos: Com o objetivo de avaliar os resultados cirúrgicos e de modificação na qualidade de vida de mulheres submetidas ao tratamento de incontinência urinária de esforço com sling sintético de polipropileno com abordagem pré-púbica. Métodos: Foi desenvolvido estudo prospectivo, de intervenção, com seguimento por seis meses, envolvendo 20 pacientes, com idade mínima de 21 anos e com diagnóstico de incontinência urinária de esforço realizado no Serviço de Uroginecologia do Hospital das Clínicas da Universidade Estadual de Campinas, Campinas, São Paulo, com base em dados clínicos, urodinâmicos e de Pad-test compatíveis, as quais expressaram a vontade de se submeter à implantação de sling para correção cirúrgica; não gestantes; sem doença ou qualquer condição que pudesse comprometer o resultado da cirurgia, tal como: distúrbio de coagulação sanguínea, obstrução do trato urinário superior, insuficiência renal, comprometimento do sistema imune, infecção urinária ou vaginal; não submetidas a procedimento de sling sintético prévio; que concordaram em participar do estudo, por meio da assinatura do Termo de Consentimento Livre Esclarecido e em responder os questionários King's Health Questionnaire (KHQ) e International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) antes da cirurgia e decorridos seis meses do procedimento. Para o tratamento de incontinência urinária de esforço, empregou-se tela manufaturada em fibras de polipropileno, classe I, monofilamentar com 42 µm de diâmetro e macroporos maiores que 75 mm, por abordagem pré-púbica. As variáveis estudadas incluíram: idade, avaliação urodinâmica, Pad-test e resultados dos questionários King's Health Questionnaire (KHQ) e International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) . Os dados foram organizados por meio do programa Epi-INfo versão 6.04d e analisados com o programa Statistical Package for Social Sciences (SPSS), versão 13.0. As variáveis nominais e ordinais foram expressas em distribuição de freqüências absolutas e relativas e as quantitativas, pelos parâmetros da Estatística Descritiva. Para comparação dos parâmetros objetivos uroginecológicos e de qualidade de vida aferida pelos questionários International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) e King's Health Questionnaire (KHQ), do período pré-operatório e decorridos seis meses do procedimento cirúrgico, empregou-se teste de diferença de médias, em nível de significância de 0,05, determinando-se o intervalo de confiança em nível de confiança de 95%. Resultados: Comparando a avaliação pré-operatória àquela decorridos seis meses do procedimento cirúrgico, verificou-se redução significante da perda de urina mensurada através do Pad-test (p<0,001). A pressão de perda sob esforço foi negativa em 90% das pacientes decorridos seis meses da cirurgia. Os demais parâmetros urodinâmicos da cistometria não foram alterados significativamente comparando antes e depois da cirurgia. O fluxo máximo miccional despida de significância estatística (p = 0,034). Houve melhora de todos os parâmetros subjetivos avaliados pelo International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), com significância estatística da freqüência de perda de urina (0,009) e menor interferência na vida da pacientes (p= 0,001), assim como de todos os domínios do King's Health Questionnaire (KHQ). Houve 6 (30%) casos de complicações, que consistiram em extrusão vaginal do sling, instituindo-se tratamento cirúrgico por retirada do segmento da tela exposta e síntese da mucosa vaginal. Conclusão: Embora tenha havido a necessidade de interromper este estudo devido ao alto índice de complicações, confirmou-se o fato de ser a incontinência urinária um evento que compromete a qualidade de vida das pacientes exercendo tal impacto que, mesmo diante do insucesso do procedimento terapêutico, a avaliação subjetiva foi favorável, decorridos seis meses da cirurgia
Abstract: Objectives: A prospective study of intervention was developed aiming to evaluate the surgical results and impact in the quality of life of women submitted to stress urinary incontinence treatment with polypropylene synthetic sling with prepubic approach. Methods: Twenty patients were included in this study. Diagnosis of stress urinary incontinence were based on clinical data, urodynamics and Pad-test. Inclusion criteria included: minimum age of 21 years; non pregnant; without illness or any condition that could compromise surgery's result (sanguineous coagulation disorders, superior urinary tract obstruction, renal insufficiency, immune system disorder, urinary or vaginal infection); abcense of previous synthetic sling procedure; agreement to participate of the study, by means of Free Consent Term signature and to answer to the questionnaires King's Health Questionnaire (KHQ) e International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) before the surgery and after six months of the procedure. Its was used a sling made of staple fibres of polypropylene, type I, monofilamentar (42 µm diameter) and macropores. All the procedures were performed under spinal anesthesia. The sling was placed and adjusted in midurethral area with minimal periurethral dissection. The proper tension and fixation was achieved by passing the sling arms through the prepubic subcutaneous fat tissue. The variables studied included: age; urodynamic evaluation; Pad-test; King's Health Questionnaire; and International Consultation on Incontinence Questionnaire. Data were recorded using Epi-INfo version 6.04d software and analyzed with Statistical Package for Social Sciences (SPSS), version 13.0. The nominal and ordinal variables were express in absolute and relative frequency distribution and the quantitative ones by parameters of descriptive statistics. Difference of means test was used (significance level of 0,05, 95% confidence interval) for comparison of the urogynecologic objective parameters and quality of life surveyed by ICIQ and KHQ questionnaires, of pre-operative and six months post-operative evaluation. Results: Comparing pre-surgical evaluations with those after six months of the surgical procedure, there were significant reduction of urine loss assessed by the pad-test (p<0,001). Comparing urodynamics evaluations before and after surgical procedure 90% patients no there were of urine loss. Other urodynamics parameters no there were significant alterations. The max flow there was significant reduction (p=0,034). There was an improvement of all subjective parameters evaluated by ICIQ-SF, with significance for frequency of urine loss (0,009) and minor interference in life (p= 0.001), as well as of all KHQ domains. Six patients (20%) presented complications which consisted of vaginal exposition of the sling. All of them were corrected surgically by excision of the mesh and suture of the vaginal wall. The study was interrupted after six months of follow up due to the high frequency of adverse effects. Conclusion: Although the decision of interrupting the study due to the high index of complication, it allowed to confirm that stress urinary incontinence compromises the quality of life of the patients significantly, and the treatmet could promote an improvement in the quality of life, even when objective results were unfavourable
Mestrado
Cirurgia
Mestre em Cirurgia
Books on the topic "Incontinenza"
1
Bravo, Carlos Verdejo. Lo "suyo" tiene solución: Los problemas de la incontinencia urinaria. Madrid: Editorial Popular, 1994.
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2
Hahn, Susan. Incontinence. Chicago: University of Chicago Press, 1993.
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Executive, NHS. Incontinence. Heywood: BAPS, 1994.
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Great Britain. Department of Health. and NHS Executive, eds. Incontinence. [U.K.]: NHS Executive, 1994.
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Executive, NHS. Incontinence. Heywood: BAPS, 1995.
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Malcolm, Lucas, Emery Simon MB ChB, and Beynon J, eds. Incontinence. Malden, Mass: Blackwell Science, 1999.
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Stress incontinence explained: Male and female incontinence : urinary incontinence treatment, bladder problems, overactive bladder, urge incontinence, incontinence products, all covered. Place of publication not identified]: Cleal Publishing, 2016.
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Docimo, Ludovico, and Luigi Brusciano, eds. Anal Incontinence. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-08392-1.
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Ratto, Carlo, Giovanni B. Doglietto, Ann C. Lowry, Lars Påhlman, and Giovanni Romano, eds. Fecal Incontinence. Milano: Springer Milan, 2007. http://dx.doi.org/10.1007/978-88-470-0638-6.
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Franco, Israel, Paul F. Austin, Stuart B. Bauer, Alexander von Gontard, and Yves Homsy, eds. Pediatric incontinence. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118814789.
Full textBook chapters on the topic "Incontinenza"
1
Pescatori, Mario. "Incontinenza fecale." In Prevenzione e trattamento delle complicanze in chirurgia proctologica, 165–83. Milano: Springer Milan, 2011. http://dx.doi.org/10.1007/978-88-470-2062-7_9.
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Pescatori, Mario. "Incontinenza anale postoperatoria." In Ascessi, fistole anali e retto-vaginali, 129–32. Milano: Springer Milan, 2011. http://dx.doi.org/10.1007/978-88-470-1914-0_47.
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Hoffmann-Weltin, Yvonne. "Incontinence." In Practical Issues in Geriatrics, 107–14. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-61997-2_11.
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Sloan, John P. "Incontinence." In Protocols in Primary Care Geriatrics, 39–45. New York, NY: Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4612-1884-5_6.
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Matson, Johnny L., and Abigail Issarraras. "Incontinence." In Handbook of Intellectual Disabilities, 1093–103. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-20843-1_57.
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Beck, David E., Patricia L. Roberts, John L. Rombeau, Michael J. Stamos, and Steven D. Wexner. "Incontinence." In The ASCRS Manual of Colon and Rectal Surgery, 861–77. New York, NY: Springer New York, 2009. http://dx.doi.org/10.1007/b12857_46.
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Baeten, Cornelius G., and Han C. Kuijpers. "Incontinence." In The ASCRS Textbook of Colon and Rectal Surgery, 653–64. New York, NY: Springer New York, 2007. http://dx.doi.org/10.1007/978-0-387-36374-5_46.
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Reid, Vanessa. "Incontinence." In Clinical Case Studies for the Family Nurse Practitioner, 117–21. West Sussex, UK: John Wiley & Sons, Inc., 2014. http://dx.doi.org/10.1002/9781118785829.ch25.
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Warner, Christina, and Anders Mellgren. "Incontinence." In Complications of Anorectal Surgery, 209–26. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-48406-8_11.
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Al-Mousa, Riyad Taher, and Hashim Hashim. "Incontinence." In Neuro-Urology, 193–206. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-90997-4_14.
Full textConference papers on the topic "Incontinenza"
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Szabó, L., I. Bajusz, K. Losonczi, Gy Réti, B. Lombay, M. Polovitzer, D. Molnár, et al. "364 Urinary incontinence." In 10th Europaediatrics Congress, Zagreb, Croatia, 7–9 October 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-europaediatrics.364.
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Park, Eunok, and Kyungja Kang. "Incontinence-Quality of Life (I-QOL) Among Women with Urinary Incontinence." In Healthcare and Nursing 2014. Science & Engineering Research Support soCiety, 2014. http://dx.doi.org/10.14257/astl.2014.72.19.
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Maskalova, Erika. "STRESS URINARY INCONTINENCE IN PREGNANCY." In 2nd International Multidisciplinary Scientific Conference on Social Sciences and Arts SGEM2015. Stef92 Technology, 2015. http://dx.doi.org/10.5593/sgemsocial2015/b11/s2.117.
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Pitasari, Dyah, and Iskandar Zulkarnain. "Incontinentia Pigmenti: A Case Report." In The 23rd Regional Conference of Dermatology 2018. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008157203510354.
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Zoglmann, Robin, Tam Nguyen, Marian Engberts, Dominique Vaessen, Niels Patberg, and Jan Van den Berg. "Do patients with stress incontinence cough or do cough patients suffer from urinary incontinence?" In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa713.
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Davis, Frances M., Ting Tan, Suzanne Nicewonder, and Raffaella De Vita. "Tensile Properties of the Swine Cardinal Ligament." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14294.
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Pelvic floor disorders such as urinary incontinence, fecal incontinence, and pelvic organ prolapse represent a major public health concern in the United States affecting one third of adult women [1]. These disorders are determined by structural and mechanical alterations of the pelvic organs, their supporting muscles and connective tissues that occur mainly during pregnancy, vaginal delivery, and aging [1].
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de Carvalho Teixeira, Karen, Manoela Motta Pontes, Maria Luiza Lopes de Nogueira Alberto, Thayane dos Anjos Rodrigues, and Luciano Matos Chicayban. "The importance of physiotherapy in the puerperium." In 7th International Congress on Scientific Knowledge. Biológicas & Saúde, 2021. http://dx.doi.org/10.25242/8868113820212397.
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The gestational period promotes changes in the woman's body, so that the baby can develop in a healthy way in the uterus. These transformations can interfere in a woman's daily life. Physiotherapy promotes re-education of the abdominal muscles, analgesia in the perineum region, restoration of gastrointestinal function, in addition to helping them with psychological changes. To verify the benefits of physiotherapy in the puerperium. A non-systematic review of the literature was carried out, through randomized clinical trials, published between 1999 and 2018. The search involved the databases PubMed, MEDLINE, SciELO, LILACS and PEDro. The following keywords were used: postpartum physiotherapy. 6 RCTs were included. There was a significant decrease in pain in the treatment group in four studies, increase in strength of the pelvic floor muscles (PFM) and decrease in urinary incontinence in two studies, but 3 postpartum women presented voiding symptoms; in another study, there was a decrease in the score related to anal incontinence; in another study, immediate physiotherapy after delivery reduced abdominal diastasis. Postpartum physiotherapy, through an exercise program, contributes to pain reduction, increase in pelvic floor strength, decrease in urinary incontinence, anal incontinence and abdominal diastasis.
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Celik, Ismail B., Asaf Varol, Coskun Bayrak, and Jagannath R. Nanduri. "A One Dimensional Mathematical Model for Urodynamics." In ASME/JSME 2007 5th Joint Fluids Engineering Conference. ASMEDC, 2007. http://dx.doi.org/10.1115/fedsm2007-37647.
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Millions of people in the world suffer from urinary incontinence and overactive bladder with the major causes for the symptoms being stress, urge, overflow and functional incontinence. For a more effective treatment of these ailments, a detailed understanding of the urinary flow dynamics is required. This challenging task is not easy to achieve due to the complexity of the problem and the lack of tools to study the underlying mechanisms of the urination process. Theoretical models can help find a better solution for the various disorders of the lower urinary tract, including urinary incontinence, through simulating the interaction between various components involved in the continence mechanism. Using a lumped parameter analysis, a one-dimensional, transient mathematical model was built to simulate a complete cycle of filling and voiding of the bladder. Both the voluntary and involuntary contraction of the bladder walls is modeled along with the transient response of both the internal and external sphincters which dynamically control the urination process. The model also includes the effects signals from the bladder outlet (urethral sphincter, pelvic floor muscles and fascia), the muscles involved in evacuation of the urinary bladder (detrusor muscle) as well as the abdominal wall musculature. The necessary geometrical parameters of the urodynamics model were obtained from the 3D visualization data based on the visible human project. Preliminary results show good agreement with the experimental results found in the literature. The current model could be used as a diagnostic tool for detecting incontinence and simulating possible scenarios for the circumstances leading to incontinence.
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Narasara, Gde Ganjar Oka, Rwahita Satyawati, and Nuniek Nugraheni. "Urinary Incontinence Prevalence and Its Relation between Pelvic Floor Muscle Strength and Type of Incontinence Urine Based on Incontinence Questions (3IQ) among Elderly Men." In International Meeting on Regenerative Medicine. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007318001630166.
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Zhang, Ye, Mahdi Ahmadi, and Rajesh Rajamani. "An Instrumented Urethral Catheter With Supercapacitor Based Force Sensor." In 2018 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/dmd2018-6904.
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Urinary incontinence (UI), defined by the International Continence Society as “the complaint of any involuntary leakage of urine” [1], is believed to affect at least 13 million people in the United States. Around 80% of people affected are women [2,3]. The most common type of UI in women is stress urinary incontinence (SUI) [4]. Although not identified as life-threatening, UI may lead to withdrawal from social situations and reduced life quality.
Reports on the topic "Incontinenza"
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Hsieh, David T., and Bhagwan Moorjani. Incontinentia Pigmenti. Fort Belvoir, VA: Defense Technical Information Center, January 2008. http://dx.doi.org/10.21236/ada478042.
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Wang, Peng, Jiyuan Shi, Jinhui Tian, Shiguang Wang, and Ya Gao. Postapoplectic Urinary Incontinence. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2020. http://dx.doi.org/10.37766/inplasy2020.5.0073.
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Rosato-Scott, Claire, Dani J. Barrington, Amita Bhakta, Sarah J. House, Islay Mactaggart, and Jane Wilbur. How to Talk About Incontinence: A Checklist. Institute of Development Studies (IDS), October 2020. http://dx.doi.org/10.19088/slh.2020.006.
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Incontinence is the medical term used to describe the involuntary loss of urine or faeces. Women, men, girls, boys and people of all genders, at any age, can experience incontinence. A person with incontinence can experience leakage occasionally, regularly or constantly; and leakage can happen at any time, day or night. A person may also experience leakage of urinary or faecal matter due to not being able to get to the toilet in time or not wanting to use the toilet facilities available. This is known as social, or functional, incontinence. In many low- and middle-income countries (LMICs) understanding of incontinence is still in its early stages: the term ‘incontinence’ may not be known, knowledge of the condition is rare, and the provision of support is lacking. Those who experience incontinence may face stigma due to having the condition, and this may affect their willingness or confidence to talk about it. There is a need to better understand incontinence in LMICs, and how best to support people living with the condition to improve their quality of life. This requires having conversations with individuals that experience the condition, and with individuals who care for those who do: they will have the lived experiences of what it means to live with incontinence practically, emotionally and socially for them and their families. Living with incontinence can have a range of impacts on the people living with it and their carers. These include increased stress and distress; additional needs for water and soap; and restricted ability to join in community activities, school or work. Living with incontinence can also lead to a range of protection issues. The potential challenges that people face may be quite diverse and may vary between people and households. The checklist below, and corresponding page references to ‘Incontinence: We Need to Talk About Leaks’ can be used to increase your understanding of incontinence and the options available to support people living with the condition; and provide guidance on how to have conversations to understand how best to support people living with incontinence in your area.
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Rosato-Scott, Claire, Dani J. Barrington, Amita Bhakta, Sarah J. House, Islay Mactaggart, and Wilbur Jane. How to Talk About Incontinence: A Checklist. Institute of Development Studies (IDS), October 2020. http://dx.doi.org/10.19088/slh.2020.012.
Full textAbstract:
Incontinence is the medical term used to describe the involuntary loss of urine or faeces. Women, men, girls, boys and people of all genders, at any age, can experience incontinence. A person with incontinence can experience leakage occasionally, regularly or constantly; and leakage can happen at any time, day or night. A person may also experience leakage of urinary or faecal matter due to not being able to get to the toilet in time or not wanting to use the toilet facilities available. This is known as social, or functional, incontinence. In many low- and middle-income countries (LMICs) understanding of incontinence is still in its early stages: the term ‘incontinence’ may not be known, knowledge of the condition is rare, and the provision of support is lacking. Those who experience incontinence may face stigma due to having the condition, and this may affect their willingness or confidence to talk about it. There is a need to better understand incontinence in LMICs, and how best to support people living with the condition to improve their quality of life. This requires having conversations with individuals that experience the condition, and with individuals who care for those who do: they will have the lived experiences of what it means to live with incontinence practically, emotionally and socially for them and their families. Living with incontinence can have a range of impacts on the people living with it and their carers. These include increased stress and distress; additional needs for water and soap; and restricted ability to join in community activities, school or work. Living with incontinence can also lead to a range of protection issues. The potential challenges that people face may be quite diverse and may vary between people and households. The checklist below, and corresponding page references to ‘Incontinence: We Need to Talk About Leaks’ can be used to increase your understanding of incontinence and the options available to support people living with the condition; and provide guidance on how to have conversations to understand how best to support people living with incontinence in your area.
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Sanchez-Guerrero, Clara, and Emmanuel Chartier-Kastler. Suburethral sling for post-prostatectomy incontinence. BJUI Knowledge, November 2022. http://dx.doi.org/10.18591/bjuik.0752.
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Rosato-Scott, Claire, Dani J. Barrington, Amita Bhakta, Sarah J. House, Islay Mactaggart, and Jane Wilbur. Incontinence: We Need to Talk About Leaks. Institute of Development Studies (IDS), October 2020. http://dx.doi.org/10.19088/slh.2020.005.
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Anyone, of any gender, at any age, can leak urine or faeces. What would you do if it happened to you? Imagine if you’d woken up this morning and you’d wet the bed. What would you do? Have a wash, put on clean clothes, change the bedding and put it in a washing machine? You may go to the shop and buy an incontinence pad. And perhaps if you knew that there was help available for leaking urine you’d make an appointment to see a doctor next week and then just carry on with the rest of your day, dignity intact. Now imagine if you’d woken up this morning and you’d wet the bed. But to have a wash, or clean your clothes and bedding, you’d have to walk for an hour to collect water. Imagine you are frightened to walk there alone, the path is steep and you struggle to use the hand pump. Even if you did get water, you don’t have enough soap so the smells would linger anyway. And after all that effort, you have nothing to wear to soak up urine if it happens again. What if you didn’t know that leaking urine was common, and you spent the rest of the day worried about your health and too embarrassed to go to work in case people could tell? What if you were worried that your partner would hit you again for making a mess so you had very little to drink all day for fear of it happening again? What can you do to support people living with incontinence? To start, we need to talk about leaks.
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Rosato-Scott, Claire, Dani J. Barrington, Amita Bhakta, Sarah J. House, Islay Mactaggart, and Jane Wilbur. Incontinence: We Need to Talk About Leaks. Institute of Development Studies (IDS), October 2020. http://dx.doi.org/10.19088/slh.2020.011.
Full textAbstract:
Anyone, of any gender, at any age, can leak urine or faeces. What would you do if it happened to you? Imagine if you’d woken up this morning and you’d wet the bed. What would you do? Have a wash, put on clean clothes, change the bedding and put it in a washing machine? You may go to the shop and buy an incontinence pad. And perhaps if you knew that there was help available for leaking urine you’d make an appointment to see a doctor next week and then just carry on with the rest of your day, dignity intact. Now imagine if you’d woken up this morning and you’d wet the bed. But to have a wash, or clean your clothes and bedding, you’d have to walk for an hour to collect water. Imagine you are frightened to walk there alone, the path is steep and you struggle to use the hand pump. Even if you did get water, you don’t have enough soap so the smells would linger anyway. And after all that effort, you have nothing to wear to soak up urine if it happens again. What if you didn’t know that leaking urine was common, and you spent the rest of the day worried about your health and too embarrassed to go to work in case people could tell? What if you were worried that your partner would hit you again for making a mess so you had very little to drink all day for fear of it happening again? What can you do to support people living with incontinence? To start, we need to talk about leaks.
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Smith, Caroline, and Prasad Godbole. Management of the child with non-neurogenic daytime urinary incontinence. BJUI Knowledge, June 2022. http://dx.doi.org/10.18591/bjuik.0636.v2.
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Smith, Caroline, and Prasad Godbole. Assessment of the non-neurogenic child with daytime urinary incontinence. BJUI Knowledge, June 2022. http://dx.doi.org/10.18591/bjuik.0213.v2.
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Balk, Ethan, Gaelen P. Adam, Hannah Kimmel, Valerie Rofeberg, Iman Saeed, Peter Jeppson, and Thomas Trikalinos. Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update. Agency for Healthcare Research and Quality (AHRQ), August 2018. http://dx.doi.org/10.23970/ahrqepccer212.
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