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Journal articles on the topic 'Stress urinary incontinence'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2024

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1

Yasmin, Lubna, and Ferdousi Begum. "Prevalence of Urinary Incontinence in Women." Bangladesh Journal of Obstetrics & Gynaecology 33, no. 1 (July 3, 2020): 59–62. http://dx.doi.org/10.3329/bjog.v33i1.43548.

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Objective: The objectives of the study were to find out the prevalence of urinary incontinencein women. Materials and Methods: A cross sectional study was conducted on five hundred one (501)women older than 18 years of age who were admitted in department of obstetrics andgynaecology of Shaheed Suhrawardi Medical College and Hospital from April to December2009, answered a questionnaire about urinary incontinence. They were grouped accordingto presence or absence of urinary incontinence (incontinent and continent) and type ofincontinence present (urge, stress and mixed). Results: Urinary incontinence was found in 104(20.8%) women, out of which 25 (24%)suffered from stress incontinence only, 21 (20.2%) suffered from urge incontinence and58(55.8%) suffered mixed incontinence. Conclusions: One in five women older than 18 years of age suffer from one or other formof urinary Incontinence. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 59-62

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2

Hannestad, Yngvild S., Rolv Terje Lie, Guri Rortveit, and Steinar Hunskaar. "Familial risk of urinary incontinence in women: population based cross sectional study." BMJ 329, no. 7471 (October 14, 2004): 889–91. http://dx.doi.org/10.1136/bmj.329.7471.889.

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Abstract Objective To determine whether there is an increased risk of urinary incontinence in daughters and sisters of incontinent women. Design Population based cross sectional study. Setting EPINCONT (the epidemiology of incontinence in the county of Nord-Trøndelag study), a substudy of HUNT 2 (the Norwegian Nord-Trøndelag health survey 2), 1995-7. Participants 6021 mothers, 7629 daughters, 332 granddaughters, and 2104 older sisters of 2426 sisters. Main outcome measures Adjusted relative risks for urinary incontinence. Results The daughters of mothers with urinary incontinence had an increased risk for urinary incontinence (1.3, 95% confidence interval 1.2 to 1.4; absolute risk 23.3%), stress incontinence (1.5, 1.3 to 1.8; 14.6%), mixed incontinence (1.6, 1.2 to 2.0; 8.3%), and urge incontinence (1.8, 0.8 to 3.9; 2.6%). If mothers had severe symptoms then their daughters were likely to have such symptoms (1.9, 1.3 to 3.0; 4.0%). The younger sisters of female siblings with urinary incontinence, stress incontinence, or mixed incontinence had increased relative risks of, respectively, 1.6 (1.3 to 1.9; absolute risk 29.6%), 1.8 (1.3 to 2.3; 18.3%), and 1.7 (1.1 to 2.8; 10.8%). Conclusion Women are more likely to develop urinary incontinence if their mother or older sisters are incontinent.

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3

Caldwell, Lauren, and Amanda B. White. "Stress Urinary Incontinence." Obstetrics and Gynecology Clinics of North America 48, no. 3 (September 2021): 449–66. http://dx.doi.org/10.1016/j.ogc.2021.05.002.

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4

Maddern, G. J. "Urinary stress incontinence." BMJ 325, no. 7368 (October 12, 2002): 789–90. http://dx.doi.org/10.1136/bmj.325.7368.789.

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5

Kavia, R., Tg Rashid, and Jl Ockrim. "Stress urinary incontinence." Journal of Clinical Urology 6, no. 6 (November 2013): 377–90. http://dx.doi.org/10.1177/2051415813510115.

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6

Nwanodi, Oroma B. "Stress Urinary Incontinence." Postgraduate Obstetrics & Gynecology 31, no. 10 (May 2011): 1–7. http://dx.doi.org/10.1097/01.pgo.0000397461.06879.49.

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7

&NA;. "Stress Urinary Incontinence." Postgraduate Obstetrics & Gynecology 31, no. 10 (May 2011): 8. http://dx.doi.org/10.1097/01.pgo.0000397462.14503.d6.

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8

Lavelle, Erin Seifert, and Halina M. Zyczynski. "Stress Urinary Incontinence." Obstetrics and Gynecology Clinics of North America 43, no. 1 (March 2016): 45–57. http://dx.doi.org/10.1016/j.ogc.2015.10.009.

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9

Fowler, Jackson E., and Jane L. Crowley. "Stress Urinary Incontinence." AORN Journal 45, no. 4 (April 1987): 922–33. http://dx.doi.org/10.1016/s0001-2092(07)65870-0.

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10

Klapper, Allan S., Spiridon Marinis, Amy Richter, Azin Shahryarinejad, and Arnold J. Friedman. "Urinary Stress Incontinence." Journal of Pelvic Medicine and Surgery 11, no. 4 (July 2005): 183–90. http://dx.doi.org/10.1097/01.spv.0000165716.04535.27.

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11

Haslam, Jeanette. "Stress urinary incontinence." Primary Health Care 13, no. 4 (May 2003): 43–49. http://dx.doi.org/10.7748/phc2003.05.13.4.43.c213.

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12

Kobashi, Kathleen C., and Gary E. Leach. "Stress urinary incontinence." Current Opinion in Urology 9, no. 4 (July 1999): 285–90. http://dx.doi.org/10.1097/00042307-199907000-00002.

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13

Nygaard, Ingrid E., and Michael Heit. "Stress Urinary Incontinence." Obstetrics & Gynecology 104, no. 3 (September 2004): 607–20. http://dx.doi.org/10.1097/01.aog.0000137874.84862.94.

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14

Dwyer, P. L. "Differentiating stress urinary incontinence from urge urinary incontinence." International Journal of Gynecology & Obstetrics 86, Supplement (July 2004): S17—S24. http://dx.doi.org/10.1016/j.ijgo.2004.04.029.

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15

Naumann, Gert, Thomas Hitschold, Dominique Frohnmeyer, Peter Majinge, and Rainer Lange. "Sexual Disorders in Women with Overactive Bladder and Urinary Stress Incontinence Compared to Controls: A Prospective Study." Geburtshilfe und Frauenheilkunde 81, no. 09 (September 2021): 1039–46. http://dx.doi.org/10.1055/a-1499-8392.

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Abstract Introduction and Hypothesis Female urinary incontinence (UI) has a negative impact on sexual function and sexual quality of life (QoL) in women. But there is still no consensus on the type of UI or the prevalence of sexual dysfunction (SD). The aim of the study was to evaluate sexual disorders in women with overactive bladder (OAB) compared to patients with urinary stress incontinence (SUI) and healthy controls. Materials and Methods 106 women presenting to a urogynecological outpatient clinic (referral clinic) were investigated using standardized questionnaires and the Female Sexual Function Index (FSFI-d). All 65 incontinent women underwent a full urodynamic examination; the controls (31) were non-incontinent women in the same age range who came for routine check-ups or minor disorders not involving micturition or pelvic floor function. Women with mixed urinary incontinence, a history of previous medical or surgical treatment for UI, recurrent urinary tract infections, previous radiation therapy or pelvic organ prolapse of more than stage 2 on the Pelvic Organ Prolapse Quantification (POP-Q) system were excluded. Results 100 questionnaires could be evaluated (94.3%). Thirty-four women had urinary stress incontinence, 35 had OAB, 31 were controls. Mean age was 56 years, with no significant differences between groups. The scores of the questionnaire ranged from 2 to 35.1 points. The median score of OAB patients was significantly lower (17.6) than the median score of the controls (26.5; p = 0,004). The stress-incontinent women had a score of 21.95, which was lower than that of the controls but statistically non-significant (p = 0.051). In all subdomains, the OAB patients had lower scores than the stress-incontinent women and significantly lower values than the control group. Most striking was the impairment of “sexual interest in the last 4 weeks”. The figure for “none or almost no sexual activity” was 80% for the OAB group, 64.7% for the group of stress-incontinent women and 48% for the control group. Incontinence during intercourse was reported by one OAB patient and 4 stress-incontinent women but did not occur in the control group. Conclusions There is a high prevalence of SD in women with urinary incontinence. Patients with OAB reported a greater negative impact on sexual function and had significantly lower scores for the FSFI questionnaire than patients with stress incontinence or controls.

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Singh, Dr Priyanka, Dr Ashutosh Mishra, Dr Kamlesh Verma, and Dr Apeksha Vishnoi. "Medical Management of Post Menopausal Stress Urinary Incontinence." International Journal of Scientific Research 2, no. 5 (June 1, 2012): 498–500. http://dx.doi.org/10.15373/22778179/may2013/170.

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17

Najjari, Laila, Nadine Janetzki, Lieven Kennes, Elmar Stickeler, Julia Serno, and Julia Behrendt. "Comparison of Perineal Sonographically Measured and Functional Urodynamic Urethral Length in Female Urinary Incontinence." BioMed Research International 2016 (2016): 1–6. http://dx.doi.org/10.1155/2016/4953091.

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Objectives. To detect the anatomical insufficiency of the urethra and to propose perineal ultrasound as a useful, noninvasive tool for the evaluation of incontinence, we compared the anatomical length of the urethra with the urodynamic functional urethral length. We also compared the urethral length between continent and incontinent females.Methods. 149 female patients were enrolled and divided into four groups (stress, urge, or mixed incontinence; control). Sonographically measured urethral length (SUL) and urodynamic functional urethral length (FUL) were analyzed statistically. Standardized and internationally validated incontinence questionnaire ICIQ-SF results were compared between each patient group.Results. Perineal SUL was significantly longer in incontinent compared to continent patients (p<0.0001). Pairwise comparison of each incontinent type (stress, urge, or mixed incontinence) with the control group showed also a significant difference (p<0.05). FUL was significantly shorter in incontinent patients than in the control group (p=0.0112). But pairwise comparison showed only a significant difference for the stress incontinence group compared with the control group (p=0.0084) and not for the urge or mixed incontinent group. No clear correlation between SUL, FUL, and ICIQ-SF score was found.Conclusions. SUL measured by noninvasive perineal ultrasound is a suitable parameter in the assessment of female incontinence, since incontinent women show a significantly elongated urethra as a sign of tissue insufficiency, independent of the type of incontinence.

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18

Dudič, Rastislav, Viera Dudičová, and Eva Vaská. "Direct abdominal muscle diastasis and stress urinary incontinence in postpartum women." Česká gynekologie 88, no. 4 (August 29, 2023): 273–78. http://dx.doi.org/10.48095/cccg2023273.

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Background: Currently, there are not enough studies comparing the width of the linea alba in women with and without stress urinary incontinence in postpartum women. The primary aim of the study was to compare the width (IRD) in postpartum women with and without symptoms of stress urinary incontinence (SUI). The secondary aim of the study was to compare pelvic floor muscle morphometry in postpartum women with and without SUI symptoms. Methods: IRD distance was measured with a linear probe via 2D US. Urinary leakage symptoms were assessed by the International Consultation on Incontinence Questionnaire (ICIQ – UI SF). Symptoms of overactive bladder were assessed by the Brief Urge Urinary Incontinence Symptoms Questionnaire (OAB-q). The functional status of the pelvic floor muscles was examined by manometry and pelvic floor muscle morphometry was examined by 3D/4D US. Conclusion: We compared IRD distance with and without SUI symptoms in postpartum women. The group of patients with stress urinary incontinence had a greater IRD distance at rest and during exercise compared to women without stress urinary incontinence. No worse pelvic floor muscle function and morphometry was found in women with SUI compared to women without SUI. Key words: diastasis of the direct abdominal muscle – stress urinary incontinence – postpartum women

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19

Smolnova, Tatyana Yu, and D. M. Lukyanova. "The role of genetic polymorphisms and growth factors in pathogenesis of urgent and mixed urinary incontinence in women." Medical Journal of the Russian Federation 22, no. 6 (December 15, 2016): 325–28. http://dx.doi.org/10.18821/0869-2106-2016-22-5-325-328.

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The purpose of study. To analyze genetic polymorphisms of receptors of bladder, structural components of intercellular matrix of urinary excretion organs, molecular biochemical mechanisms of regulation of function of bladder and urethra resulting in urinary incontinency. Materials and methods. The analysis of publication data concerning genetic polymorphisms and molecular biochemical mechanisms of development of urinary incontinence in women. The results. The publication data is presented concerning impact of genetic polymorphisms of receptors of detrusor on development of urgent and mixed urinary incontinency in women. The corresponding molecular genetic and biochemical processes underlying detrusor sphincter dyssynergia in women are considered. Conclusion. The urinary incontinence is a multifactorial pathology developing due to alterations at systemic, organic, tissular and cellular levels. Such growth factors as bFGF, TGFβ, CTGF contribute into pathogenesis of urgent and partially mixed urinary incontinency resulting in intensification of unstripped muscle cohesions of detrusor, obstructive miohypertrophy and fibrosis of bladder wall. The altered adrenalin reactivity of urinary excretion ways plays particular role in pathogenesis of urgent component of urinary incontinence. And vice versa, damage of structure of connective tissue in patients with polymorphism COL1A1 or disorder of molecular biochemical mechanism of action of cytokines TGFβ and CTGF provoke insufficiency of sphincter apparatus of urinary excretion ways. The totality of enumerated mechanisms results in development of stress urinary incontinency. The elaboration of individual approach to selection of treatment method requires consideration of mentioned mechanisms of development of urinary incontinence including form and severity of disease.

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20

Cervigni, M., and M. Gambacciani. "Female urinary stress incontinence." Climacteric 18, sup1 (September 14, 2015): 30–36. http://dx.doi.org/10.3109/13697137.2015.1090859.

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21

Park, Young Kyung. "Female Stress Urinary Incontinence." Journal of the Korean Continence Society 12, no. 1 (2008): 1. http://dx.doi.org/10.5213/jkcs.2008.12.1.1.

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22

Anders, Kate. "Managing stress urinary incontinence." Practice Nursing 16, no. 1 (January 2005): 17–24. http://dx.doi.org/10.12968/pnur.2005.16.1.17341.

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23

Mokrzycki, Mark L., Shyam B. Hatangadi, Joan E. Zaccardi, and Susan Cox. "Preexisting Stress Urinary Incontinence." JOURNAL OF LOWER GENITAL TRACT DISEASE 5, no. 4 (October 2001): 204–7. http://dx.doi.org/10.1097/00128360-200110000-00002.

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24

&NA;. "FEMALE URINARY STRESS INCONTINENCE." AJN, American Journal of Nursing 108, no. 2 (February 2008): 72DD. http://dx.doi.org/10.1097/01.naj.0000310349.36614.24.

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25

Hernández, Hernández D., B. Padilla-Fernández, G. Conde-Santos, and D. Castro-Díaz. "Recurrent stress urinary incontinence." European Urology Supplements 17, no. 9 (September 2018): e2474. http://dx.doi.org/10.1016/s1569-9056(18)32843-4.

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26

Patrelli, Tito Silvio, Salvatore Gizzo, Marco Noventa, Andrea Dall’Asta, Andrea Musarò, Raffaele Faioli, Giuliano Carlo Zanni, et al. "Female Stress Urinary Incontinence." Surgical Innovation 22, no. 2 (May 29, 2014): 137–42. http://dx.doi.org/10.1177/1553350614535855.

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27

Keyock, Kristy L., and Diane K. Newman. "Understanding stress urinary incontinence." Nurse Practitioner 36, no. 10 (October 2011): 24–36. http://dx.doi.org/10.1097/01.npr.0000405281.55881.7a.

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28

Daniel, R., C. D. Mallen, and J. Cooper. "Female stress urinary incontinence." BMJ 340, feb01 1 (February 1, 2010): b5533. http://dx.doi.org/10.1136/bmj.b5533.

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29

Blaivas, Jerry G. "Classifying stress urinary incontinence." Neurourology and Urodynamics 18, no. 2 (1999): 71–72. http://dx.doi.org/10.1002/(sici)1520-6777(1999)18:2<71::aid-nau1>3.0.co;2-5.

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30

Konchanin, Ronald P. "Female Stress Urinary Incontinence." Guthrie Journal 61, no. 2 (April 1992): 73–74. http://dx.doi.org/10.3138/guthrie.61.2.073.

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31

Malhotra, Narendra, Rajani Rawat, and Ruchika Garg. "Urinary Incontinence: Revisited." Journal of South Asian Federation of Obstetrics and Gynaecology 6, no. 2 (2014): 107–11. http://dx.doi.org/10.5005/jp-journals-10006-1283.

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ABSTRACT Patients usually under-report symptoms of incontinence. Therefore, improved physician-patient communication is vital. Most urinary incontinence can be evaluated and treated after careful history and simple clinical assessment. Initial treatment, for both urge urinary incontinence and stress urinary incontinence, is lifestyle modification and pelvic floor muscle exercises. Urgency responds to bladder training and drug therapy with anticholinergic medication. Pharmacotherapy has a limited place in stress incontinence. How to cite this article Malhotra N, Garg R, Agrawal P, Rawat R. Urinary Incontinence: Revisited. J South Asian Feder Obst Gynae 2014;6(2):107-111.

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32

Wei, Ming-Cheng, Ying-Hsiang Chou, Yi-Sun Yang, Edy Kornelius, Yu-Hsun Wang, and Chien-Ning Huang. "Osteoporosis and Stress Urinary Incontinence in Women: A National Health Insurance Database Study." International Journal of Environmental Research and Public Health 17, no. 12 (June 21, 2020): 4449. http://dx.doi.org/10.3390/ijerph17124449.

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We aimed to determine the influence of osteoporosis and stress urinary incontinence in women. We hypothesized that women with osteoporosis had an increased risk of stress urinary incontinence. This retrospective study used data from the Taiwan Longitudinal Health Insurance database from 2005–2009. The study population was screened to identify women (age ≥ 40 years) newly diagnosed with osteoporosis (ICD-9-CM code = 733.0, 733.1). The osteoporosis cohort included 6125, and the non-osteoporosis cohort included 12,250 participants. The newly diagnosed stress urinary incontinence incidence was calculated to determine the influence of osteoporosis and stress urinary incontinence. We used the Cox proportional hazards model to predict the effects of stress urinary incontinence and the Kaplan–Meier analysis to estimate the cumulative incidence of stress urinary incontinence in women. Participants with osteoporosis experienced a 1.79 times higher risk than that of the non-osteoporosis group (95% CI = 1.28–2.51) for stress urinary incontinence, regardless of age. We did not observe a higher risk of stress urinary incontinence in participants with pathological fractures compared to those with simple osteoporosis. Our data emphasized that physicians and nurses should conduct urinary incontinence screening in women with osteoporosis to recommend proper treatment, medical help or to bring the disorder to light.

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Mladenovic-Segedi, Ljiljana. "Improvement in the quality of life in women with stress urinary incontinence after surgery for pelvic organ prolapse." Medical review 72, no. 7-8 (2019): 197–201. http://dx.doi.org/10.2298/mpns1908197m.

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Introduction. Pelvic organ prolapse is commonly associated with symptomatic stress urinary incontinence, in up to 50% of patients. The aim of our research was to examine the quality of life of women with urinary incontinence and pelvic organ prolapse after conventional surgical treatment. Material and Methods. The research included 50 patients with stress urinary incontinence and pelvic organ prolapse that underwent vaginal hysterectomy with anterior and posterior colporrhaphy. The pelvic organ prolapse-quantification system was used to determine the degree of genital prolapse. All patients completed a questionnaire to determine the ?stress and urge? score preoperatively, as well as the Urinary Distress Inventory-6 and Urinary Impact Questionnaire-7 during the follow-up examination, a year after the surgery. Results. One year after surgery, 20 patients (40%) presented with a recurrence of cystocele. The average value of the Urinary Distress Inventory-6 questionnaire a year after surgery was 29.0 ? 10.8, while the average value of the Urinary Impact Questionnaire-7 questionnaire was 3.7 ? 16.3. After the surgery, 6 patients (12%) had persistent stress urinary incontinence and 4 patients (8%) had urge urinary incontinence. Among patients with persistent stress urinary incontinence, two patients reported pronounced symptoms of stress urinary incontinence and reoperation was performed. Conclusion. The classical surgical treatment of pelvic organ prolapse with anterior and posterior colporrhaphy leads to improvement in the quality of life of patients with pelvic organ prolapse and stress urinary incontinence. If the symptoms of stress urinary incontinence persist after classical surgical treatment, other anti-incontinence surgical modalities should be considered.

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Pires, Telma, Patrícia Pires, Helena Moreira, and Rui Viana. "Prevalence of Urinary Incontinence in High-Impact Sport Athletes: A Systematic Review and Meta-Analysis." Journal of Human Kinetics 73, no. 1 (July 21, 2020): 279–88. http://dx.doi.org/10.2478/hukin-2020-0008.

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AbstractThe aim of this study was to systematize the scientific evidence that assessed the prevalence of urinary incontinence in female athletes and determine which modality is most predisposed to stress urinary incontinence. From September to December 2018, a systematic literature search of current interventional studies of stress urinary incontinence of the last ten years was performed using PubMed, EMBASE, Scopus and Web of Science databases. The methodological quality was assessed by the Downs and Black scale, while the data collected from the studies were analyzed through meta-analysis. Nine studies met the eligibility criteria, meaning they included reports of urinary incontinence in different sports. The meta-analysis showed 25.9% prevalence of urinary incontinence in female athletes in different sports, as well as 20.7% prevalence of stress urinary incontinence. The most prevalent high impact sport was volleyball, with the value of 75.6%. The prevalence of urinary incontinence can be high in female athletes, with high-impact sports potentially increasing the risk for stress urinary incontinence. Further research is needed regarding the potential risk factors related to the onset of urinary incontinence.

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Raichura, Radhika Kanaiyalal, and Amit M. Patel. "Prevalence of Urinary Incontinence in Postpartum Women Across Ahmedabad City." International Journal of Health Sciences and Research 13, no. 6 (June 3, 2023): 35–40. http://dx.doi.org/10.52403/ijhsr.20230608.

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INTRODUCTION: Urge incontinence (UUI) is involuntary urine loss induced by sudden, strong impulses to urinate, a common gynaecological urinary condition affecting postpartum women. Stress urinary incontinence (SUI) is the involuntary flow of urine from the urethra's external opening when abdominal pressure rises (as in sneezing, coughing, or laughing). Mixed urinary incontinence is defined as complaint of involuntary leakage related to exertion, effort, sneezing, or coughing, affecting psychosocial health significantly and is eventually associated to a decline in life quality. AIM: This study aimed to determine the prevalence of urinary incontinence among postpartum women across Ahmedabad city. METHODS: Primiparous women having an age between 25 to 35 years (< 6 months postpartum) following a vaginal delivery or cesarean section were included as per the inclusion and exclusion criteria. Participants were asked to complete the Questionnaire for Urinary Incontinence Diagnosis (QUID), used to determine the type of urinary incontinence as well as stress, urge, and mixed urinary incontinence. RESULTS: The questionnaire was completed by 100 women in total (80%). In order to participate in this cross-sectional study, 100 primiparous women between the ages of 25 to 35 were chosen based on inclusion criteria. Their degree of urinary incontinence was evaluated using the Urinary Incontinence Diagnosis (QUID). The findings showed the prevalence of urge incontinence (21.13%), mixed incontinence (12.82%), and stress incontinence (57.53%). CONCLUSION: The findings revealed that stress incontinence was more prevalent than urge incontinence and mixed incontinence. Urinary incontinence requires knowledge and awareness regarding indications, risk factors, repercussions, prevention, and treatment methods. Key words: Postpartum, Urinary Incontinence, Primiparous, Prevalence

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Borges, João Bosco Ramos, Telma Guarisi, Ana Carolina Marchesini de Camargo, Thomaz Rafael Gollop, Rogério Bonassi Machado, and Pítia Cárita de Godoy Borges. "Urinary incontinence after vaginal delivery or cesarean section." Einstein (São Paulo) 8, no. 2 (June 2010): 192–96. http://dx.doi.org/10.1590/s1679-45082010ao1543.

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ABSTRACT Objective: To assess the prevalence of stress urinary incontinence, urge incontinence and mixed urinary incontinence among women residing in the city of Jundiaí (São Paulo, Brazil), and the relation between the type of incontinence and the obstetric history of these women. Methods: A cross-sectional community-based study was conducted. A total of 332 women were interviewed; they were seen for whatever reason at the public primary healthcare units of the city of Jundiaí, from March 2005 to April 2006. A pre-tested questionnaire was administered and consisted of questions used in the EPINCONT Study (Epidemiology of Incontinence in the County of Nord-Trondelag). Statistical analysis was carried out using the χ2 test and odds ratio (95%CI). Results: Urinary incontinence was a complaint for 23.5% of the women interviewed. Stress urinary incontinence prevailed (50%), followed by mixed urinary incontinence (35%) and urge incontinence (15%). Being in the age group of 35-64 years, having a body mass index of 30 or greater and having had only vaginal delivery or cesarean section, with uterine contraction, regardless of the number of pregnancies, were factors associated with stress urinary incontinence. However, being in the age group of 55 or older, having a body mass index of 30 or greater and having had three or more pregnancies, only with vaginal deliveries, were factors associated with mixed urinary incontinence. Conclusions: One third of the interviewees complained of some type of urinary incontinence, and half of them presented stress urinary incontinence. Cesarean section, only when not preceded by contractions, was not associated with stress urinary incontinence. The body mass index is only relevant when the stress factor is present.

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ASIF,, HAFIZ MUHAMMAD, KHIZAR HAYYAT, and ANAM IQBAL. "POSTPARTUM STRESS;." Professional Medical Journal 20, no. 02 (February 7, 2013): 208–13. http://dx.doi.org/10.29309/tpmj/2013.20.02.684.

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There is no consensus on the amount of exercise necessary to improve pelvic floor muscle (PFM) function. We reviewedthe pathophysiology of PFM dysfunction and the evolution of PFM training regimens since Kegel introduced the concept of pelvic floorawareness and the benefits of strength. This paper describes the effect of pelvic floor muscle training (Kegel Exercises) in stress urinaryincontinence. The design of PFM training logically requires multiple factors to be considered in each patient. Objectives: The objective ofthe study was to determine the effects of pelvic floor muscle training with postpartum urinary incontinence (1) Improvement in urinarycontrol. (2) Improvement in relieving urinary urgency. (3) Time duration in which patient returns to functional activities. (4) Anycomplications after exercises. Study Design: Quasi Study. Place and Duration of Study: the study was carried out in department ofphysiotherapy Ghurki Trust Teaching Hospital Lahore the duration of study was 12 months from May 2011 to April 2012. Patients andMethods: The study was based on 28 patients who were having the complaint of postpartum urinary incontinence. Abdominal and pelviccontrol was assessed and recorded before commencing the exercises and was also assessed regularly on every follow up. Results:Kegel exercises helps to control and eradicate the problem of postpartum stress urinary incontinence. Conclusions: Kegel exercises givea good result in postpartum stress urinary incontinence.

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Sevastyanov, L. V., E. M. Turgunov, and E. V. Avilova. "Surgical management of stress urinary incontinence: multiple modalities in the absence of a standard technique." Voprosy ginekologii, akušerstva i perinatologii 22, no. 5 (2023): 95–102. http://dx.doi.org/10.20953/1726-1678-2023-5-95-102.

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Stress urinary incontinence is a common pathology among middle-aged and older women that significantly reduces the quality of life. According to numerous data, despite the introduction of new technologies in the surgery for stress urinary incontinence, the results of treatment remain unsatisfactory, and addressing the problem of urinary incontinence in women is still one of the priority tasks in modern urogynecology. The article presents general information about the causes of this condition, ultrasound diagnostic approach, advantages and disadvantages of sling operations as the most common method of surgery for stress urinary incontinence. Technical specifications for synthetic sling placement are discussed. Key words: treatment, sling tension, stress urinary incontinence

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Osińska, Aleksandra, Cezary Stawikowski, Bartłomiej Zielonka, Barbara Dengler, Izabela Wolanin, Paulina Krawiec, Ilona Kowalczyk, Bartłomiej Stachyra, Marta Wolanin, and Karolina Madej. "Multifaceted therapeutic options for stress urinary incontinence in women." Journal of Education, Health and Sport 23, no. 1 (April 25, 2023): 79–85. http://dx.doi.org/10.12775/jehs.2023.23.01.008.

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Stress urinary incontinence (SUI) affects many women worldwide in every age group. Involuntary leakage of urine during abdominal pressure increase significantly reduces the quality of life. The choice of treatment depends on the patient's expectations, the doctor's experience and the severity of symptoms. Aim of the study: The aim of this study is to discuss the therapeutic methods of stress urinary incontinence (SUI). Material and method: The work was based on a review of the available literature in the PubMed, Google and Google Scholar databases using the following keywords: stress urinary incontinence; SUI; urinary incontinence in women; Surgical treatment; TOT; TVT. Results and conclusions: We use conservative and surgical methods in the treatment of stress urinary incontinence. Conservative treatments such as physiotherapy, pharmacotherapy, and behavioral therapy are first-line treatments. In the case of severe symptoms of stress urinary incontinence, surgical treatment is used. The most common method is the Burch operation and TVT and TOT sling operations. Treatment of stress urinary incontinence (SUI) in women requires an approach that takes into account the patient's goals, severity of symptoms, desired effect, physician experience and complications, therefore there is no single effective management.

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Shafik, A. "The cutaneo-urethral reflex. Description of the reflex and its role in stress urinary incontinence." Urologia Journal 59, no. 2 (April 1992): 50–55. http://dx.doi.org/10.1177/039156039205900212.

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The present communication describes the “cutaneo-urethral reflex” and its clinical significance. The study comprised 39 healthy volunteers and 14 patients with urinary stress incontinence. The periurethral skin was stimulated by pencil electrode and the EMG activity of the external urethral sphincter was recorded by concentric needle electrode inserted into the sphincter. The external urethral sphincter basal activity was increased with periurethral skin stimulation. The reflex response was absent when the external urethral sphincter or the periurethral skin were anesthetized. The recording of the cutaneo-urethral reflex in 14 urinary stress incontinent patients showed absence of reflex in 4 patients and weak activity in 10. These results suggest a weak external urethral sphincter in stress incontinence. Together with the absent or weak straining urethral reflex, it is believed that urinary stress incontinence is due to weak external urethral sphincter contraction on coughing; intra-urethral pressure, on coughing, is not elevated enough to be above the intravesical pressure, with a resulting urinary leak. EMG recording of the urethral reflex may thus prove valuable in the diagnosis of control urinary disorders and can be included as an investigative tool in such disorders.

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Rajput, Disha A., Shalini M. Valecha, Manisha Sarwade, and Shrikant Dhumale. "Burch Retropubic Urethropexy for Genuine Stress Urinary Incontinence: A Review of Eight Cases." Journal of SAFOMS 5, no. 2 (2017): 129–32. http://dx.doi.org/10.5005/jp-journals-10032-1121.

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ABSTRACT Introduction Urinary incontinence (UI) is more common than any other chronic disease with the prevalence of approximately 23 and 55%. Among the various forms of UI, stress incontinence (SUI) is the most common (49%), with urgency incontinence (UUI) representing 21% and mixed type (MUI) at 29%. As it affects the quality-of-life of women, the restoration of urinary continence is one of the greatest challenges. Aim To review the cases of genuine SUI treated surgically by Burch retropubic urethropexy. Results We have managed surgically eight cases of genuine SUI by Burch retropubic urethropexy. On 1-year follow-up, none of the patients had any urinary complaints. All had responded well to surgery and patient's satisfaction index was good. Conclusion Since SUI is the commonest among incontinences, it is a challenge to diagnose and treat to improve quality-of-life of patients. Burch retropubic urethropexy is the gold standard treatment for SUI, especially if other indications exist for abdominal surgery. Even in the present era of less invasive vaginal procedures, results are comparable. How to cite this article Rajput DA, Valecha SM, Sarwade M, Dhumale S. Burch Retropubic Urethropexy for Genuine Stress Urinary Incontinence: A Review of Eight Cases. J South Asian Feder Menopause Soc 2017;5(2):129-132.

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Park, Seong-Hi, and Chang-Bum Kang. "Effect of Kegel Exercises on the Management of Female Stress Urinary Incontinence: A Systematic Review of Randomized Controlled Trials." Advances in Nursing 2014 (December 30, 2014): 1–10. http://dx.doi.org/10.1155/2014/640262.

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Objective. The purpose of this study was to evaluate the effect of Kegel exercises on reducing urinary incontinence symptoms in women with stress urinary incontinence. Methods. Randomized controlled trials (RCTs) were conducted on females with stress urinary incontinence who had done Kegel exercises and met inclusion criteria in articles published between 1966 and 2012. The articles from periodicals indexed in KoreaMed, NDSL, Ovid Medline, Embase, Scopus, and other databases were selected, using key terms such as “Kegel” or “pelvic floor exercise.” Cochrane’s risk of bias was applied to assess the internal validity of the RCTs. Eleven selected studies were analyzed by meta-analysis using RevMan 5.1. Results. Eleven trials involving 510 women met the inclusion criteria. All trials contributed data to one or more of the main or secondary outcomes. They indicated that Kegel exercises significantly reduced the urinary incontinence symptoms of female stress urinary incontinence. There was no heterogeneity in the selected studies except the standardized bladder volumes of the pad test. Conclusion. There is some evidence that, for women with stress urinary incontinence, Kegel exercises may help manage urinary incontinence. However, while these results are helpful for understanding how to treat or cure stress urinary incontinence, further research is still required.

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Amna, Ambreen, Farkhunda Nadeem, and Pushpa Srichand. "URINARY INCONTINENCE;." Professional Medical Journal 24, no. 06 (June 5, 2017): 824–27. http://dx.doi.org/10.29309/tpmj/2017.24.06.1112.

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Background: Genitourinary fistula remains a major cause of morbidity worldwide.Approximately 2 million of women suffer from urinary leakage. Since the establishment ofGenito urinary Fistula center at Isra University Hospital –Hyderabad Sindh. We are able to shareour experience of fistulous women at the time of admission and at follow up visit. Objectives:To determine the different types of urinary incontinence in a woman after genitourinary fistularepair. Study Design: A Follow-up Descriptive study. Study Setting: This Study was done atFistula center Isra University Hospital Hyderabad GU – 11 from January 2011 to December2013. All the women who were admitted with true incontinence followed by Obstetrical andmajor gynecological surgeries were included. However women with stress incontinence andurge incontinence and women who are not willing to include in the study were excluded.Result: Out of one hundred and ten (110) women included in this study, 59 (53.6%) were foundto have obstetrical fistula, while 43 (39%) were suffering from Iatrogenic fistula. Continencestatus were explored at follow up visit. Out of 110 women, 108 (98.18%) & 96 (87.27 %) werehaving no signs of incontinence on examination at first visit and after six week and secondvisit after three month respectively. Only 7 % women fell into incontinence grade 2 at six weekfollow up and only one percent had persistent symptoms of stress incontinence at 3 monthrespectively. Women fall on incontinence grade 3, 4 and 5 were completely cured at 3 month.Conclusion: Success rate of genitor- urinary fistula repair is 98 %. Majority of women (96 %)on short term follow up at 6 weeks showed improved urinary symptoms. Moreover on follow upvisit at 3 months, these women reported improved quality of life and social reintegration afterfistula closure.

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Aftab, Anam, Muhammad Osama, Faisal Ali, and Abdul Hasseb Bhutta. "URINARY INCONTINENCE AMONG WOMEN AFTER MULTIPLE PREGNANCIES." Rehabilitation Journal 01, no. 01 (June 30, 2017): 13–15. http://dx.doi.org/10.52567/trj.v1i01.47.

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Objective: The purpose of the current study was to look into the occurrence of symptoms of Stress and Urge Urinary Incontinence among women following multiple pregnancies, and the association of gravidity and age with severity of urinary incontinence. Study Design: Cross Sectional Survey. Study Setting: Al-Nafees Hospital, Islamabad. Methodology: Women aged 20-40 years of age with multiple pregnancies were included in the study, whereas females with urinary incontinence with cause other than pregnancy or delivery were excluded. Non probability convenience sampling was used. “MESA Urinary Incontinence Questionnaire: was used as an outcome measurement tool. Results: A total of 129 participants were included in the study. The mean age of participants was 30.68±5.03 years. Gravidity was 2 for 37.2% (n=48) participants and >2 for 62.8% (n=81) participants. Among participants 55.8% (n=72) women had vaginal and 44.2% (n=57) had caesarian deliveries. A non significant positive correlation was found between gravida and stress incontinence (p>0.05), however a positive significant correlation was observed between gravida and urge incontinence (p=0.05). Similarly a non significant correlation was found between age and stress incontinence (p>0.05), however a positive significant correlation was observed between age and urge incontinence (p<0.05). No significant differences were observed based on mode of delivery in terms of stress incontinence and urge incontinence (p<0.05). Conclusion: Urinary Incontinence is common among women postpartum and urge incontinence is associated with age and gravidity. Mode of delivery has no significant difference in terms of severity of urinary incontinence. Keywords: Urinary incontinence, stress incontinence, urge incontinence, postpartum, gravida, vaginal delivery, caesarian section.

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Karki, Gyanendra Man Singh, Tarun Pradhan, Amit Deo, and Pujan Chaulagain. "Prevalence of Stress Urinary Incontinence after Vaginal Hysterectomy in Eastern Nepal." Birat Journal of Health Sciences 5, no. 2 (October 1, 2020): 1110–14. http://dx.doi.org/10.3126/bjhs.v5i2.31523.

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Introduction: Pelvic organ prolapse is reproductive health morbidity in our country and vaginal hysterectomy is one of the most commonly performed surgery. Urinary incontinence is a common problem after hysterectomy. Objective: This study assesses the prevalence of stress urinary incontinence after vaginal hysterectomy and the factors associated for stress urinary incontinence after hysterectomy. Methodology: This is ahospital based descriptive prospective study conducted for a period of 1-year from January 2019 toJanuary 2020. All patients who underwent vaginal hysterectomy for pelvic organ prolapse were included in the study. Datawas recorded in Performa, and patients were followed up with telecommunication after a month of post-operative period regarding occurrence of stress urinary incontinence. Data were statistically analysed for mean, frequency and fisher’s exact test were done to find the association betweenstress urinary incontinence and risk factors. Results: A total of 100 patients were included in the study. Twenty-one (21%) patients complained of post-operative stress urinary incontinence. Stress urinary incontinence was not found to be significantly associated with vaginal hysterectomy, smoking habit, type of work or stage of pelvic organ prolapse. However, it was significantly associated with advancing age. Conclusion: Stress urinary incontinence was significantly associated with advancing age but the association with smoking habit, type of work, stage of pelvic organ prolapse was not statistically significant.

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Ismael, U., W. Khafagy, W. ElBassioune, E. Elhelw, A. Hamed, A. M. Abdeltawab, A. Shaaban, et al. "Explicating the negative impact of obesity on the quality of life in older women with stress urinary incontinence." Voprosy ginekologii, akušerstva i perinatologii 21, no. 4 (2022): 60–68. http://dx.doi.org/10.20953/1726-1678-2022-4-60-68.

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Objective. To study the negative impact of obesity on the quality of life in older women with stress urinary incontinence. Patients and methods. This cross-sectional study included 100 women aged 65 years and over who sought treatment for stress urinary incontinence at Ain Shams and Al-Azhar University teaching hospitals (Urogynecology and Internal Medicine Departments). Patients were classified by their body mass index [BMI], the severity of urinary incontinence according to the Incontinence Severity Index was assessed, as well as the results of the Incontinence Quality of Life questionnaire. Results. There was no statistically significant difference regarding the demographic data of participants between two groups. Mean age of women in group I was 66.3 (SD 1.2) years and in group II – 67.2 (SD 2.4) years. Mean (±SD) BMI in group I was 35.1 (4.6) and in group II – 23.2 (2.2). Women in group I suffered more from frequent episodes of incontinence, with more negative impact on the quality of life. Conclusion. Obesity affects the severity of stress urinary incontinence and reduces the quality of life in older women. Key words: obesity, stress urinary incontinence, older women

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Gjerakaroska-Savevska, Cvetanka, Erieta Nikolikj-Dimitrova, Valentina Koevska, Biljana Mitrevska, Marija Gocevska, and Daniela Gecevska. "Rehabilitation treatment in patients with urinary incontinence." Archives of Public Health 12, no. 3 (December 11, 2020): 1–10. http://dx.doi.org/10.3889/aph.2020.5609.

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Urinary incontinence is the inability to control urination with spectrum of disturbances from periodical urinary leaks to complete inability to retain urine. It occurs more often in elderly and in women. Urinary incontinence has a great impact on general health and may reduce the quality of life. There are several types: stress urinary incontinence, urgent urinary incontinence, neurogenic urinary incontinence, overflow urinary incontinence. Stress urinary incontinence is the most frequent one and is due to pelvic floor muscle weakness. For assessment and treatment of these patients the individual approach is warranted. The treatment of these patients includes medications, behavioral therapy, biofeedback, pelvic floor muscle training, electrical stimulation, magnetic stimulation and surgery. Non-surgical treatment might be effective to prevent surgery. Rehabilitation treatment with pelvic floor exercises and physical modalities for patients with urinary incontinence is important for recovery of the urinary continence and improvement of quality of life in these patients.

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Shrestha, Ranjana, Ganesh Dangal, Sonu Bharati, Aruna Karki, Hema Kumari Pradhan, Kabin Bhattachan, Rekha Poudel, Nishma Bajracharya, and Kenusha Devi Tiwari. "Outcome of Trans-obturator Tape Procedure in the treatment of Stress Urinary Incontinence at Kathmandu Model Hospital." Nepal Journal of Obstetrics and Gynaecology 15, no. 1 (June 7, 2020): 24–27. http://dx.doi.org/10.3126/njog.v15i1.29335.

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Aims: To evaluate the improvement in the quality of life of women with stress urinary incontinence who were treated with trans-obturator tape procedure. Methods: This is a cross-sectional study of treatment of stress urinary incontinence using trans-obturator tape at Kathmandu Model Hospital from February 2018 to December 2019. The outcome of the procedure in terms of improvement in quality of life and surgical complications were assessed. Results: Out of 16 cases of stress urinary incontinence half of them were post-menopausal. One each had intra-operative bladder injury, urinary retention and urinary tract infection; 14 cases improved completely by a week, one had some improvement and one didn’t improve. At six months follow-up one case had no improvement and one developed urge incontinence. Conclusions: Trans-obturator tape has been found a good procedure for the treatment of stress urinary incontinence in our setting and hence led to high rate of improvement in quality of life with minimal and minor complications. Key words: Complications; quality of life; stress urinary incontinence; trans-obturator tape

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Toh, KL, and JK Tan. "Artificial Urinary Sphincter in Adult Male with Neurogenic Stress Urinary Incontinence: A Rare Indication." Annals of the Academy of Medicine, Singapore 34, no. 5 (June 15, 2005): 389–90. http://dx.doi.org/10.47102/annals-acadmedsg.v34n5p389.

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Introduction: The artificial urinary sphincter (AUS) is a rare indication for stress urinary incontinence secondary to spinal cord injury. Clinical Picture: A 48-year-old male sustained spinal cord injury, resulting in detrusor acontractility and urinary stress incontinence. Treatment and Outcome: An AUS was implanted and the patient achieved complete urinary continence. Conclusion: The AUS is an appropriate and durable device for management of patients with neurogenic stress incontinence.

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Kolgaeva, D. I., E. S. Koneva, T. V. Shapovalenko, E. N. Zhumanova, K. V. Lyadov, and K. V. Kotenko. "Experience of application of the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urine continuity in women." Russian Journal of Physiotherapy, Balneology and Rehabilitation 17, no. 6 (November 2, 2018): 305–11. http://dx.doi.org/10.17816/1681-3456-2018-17-6-305-311.

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Background. The article presents the results of applying the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urinary incontinence in women. Aim. To study and scientifically use the method of high-intensity focused electromagnetic therapy in the complex treatment of stress urinary incontinence in women. Research Objective: To study the effect of high-intensity focused electromagnetic therapy on the manifestations of urinary incontinence by assessing the ability of urinary retention (by the number of absorbent pads used) and quality of life according to the questionnaire of the International Council of Urinary Incontinence (ICIQ-SF) in women with stress urinary incontinence. Methods. The study included 40 women whose average age was 53.6 4.8 years with stress incontinence; the disease duration was 5.6 1.1 years, which were divided into 2 groups comparable by clinical and functional characteristics, the main 20 patients who underwent a course of WIFEM therapy, consisting of 67 procedures, which were carried out 23 once a week, the duration of each procedure was 28 minutes and the control ― 20 patients who underwent a course of exercises according to Kegel, daily, for a course of 20 lessons. Results. As a result of the study, it was shown that high-intensity focused electromagnetic therapy has a pronounced myostimulating effect on the pelvic floor muscles in women with stress urinary incontinence, which helps to strengthen control over urinary retention, a significant reduction and even complete disappearance of symptoms of urinary incontinence, and an increase in the psycho-emotional background and quality of life in general, as evidenced by a test to determine the amount of absorbent pads used and questionnaire data and for urinary incontinence (ICIQ-SF). Conclusion. High-intensity focused electromagnetic therapy has a pronounced myostimulating effect on the pelvic floor muscles in women with stress urinary incontinence, which contributes to increased control over urinary retention, a significant decrease or even complete disappearance of symptoms of incontinence, as well as an increase in psycho-emotional background and quality of life in general.

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